Tunc Lutfi, Biri Hasan, Onaran Metin, Krac Mustafa, Yesil Süleyman, Bozkirli Ibrahim
Urology Department, Gazi University School of Medicine, Ankara, Turkey.
Surg Laparosc Endosc Percutan Tech. 2007 Dec;17(6):570-2. doi: 10.1097/SLE.0b013e31812e5360.
Here, we present a patient who underwent transperitoneal laparoscopic nephrectomy for a nonfunctional kidney on the left side, and who was found to have xanthogranulomatous pyelonephritis (XGP) on the subsequent histopathology examination. XGP is a severe, chronic infection of the renal parenchyma. Nephrectomy is the treatment of choice. Preoperative diagnosis of XGP can be challenging because the clinical presentation may vary. Our patient's loss of kidney function was due to a simple cortical kidney cyst that compressed the urinary collecting system. He presented only with mild flank pain and a poorly functioning kidney, and therefore XGP was not suspected before surgery. Because of the renal and perirenal inflammatory changes that commonly accompany XGP, the laparoscopic approach is difficult and is therefore rarely used. However, laparoscopic nephrectomy for XGP offers an easier recovery for the patient and therefore deserves further consideration as a method of treatment.
在此，我们介绍一位因左侧无功能肾接受经腹腹腔镜肾切除术的患者，术后病理检查发现患有黄色肉芽肿性肾盂肾炎（XGP）。XGP是一种严重的肾实质慢性感染。肾切除术是首选治疗方法。XGP的术前诊断具有挑战性，因为临床表现可能各不相同。我们这位患者的肾功能丧失是由于一个简单的皮质肾囊肿压迫了尿液收集系统。他仅表现为轻度胁腹疼痛和肾功能不佳，因此术前未怀疑有XGP。由于XGP常伴有肾脏及肾周炎症改变，腹腔镜手术入路困难，因此很少使用。然而，针对XGP的腹腔镜肾切除术能让患者恢复得更轻松，因此作为一种治疗方法值得进一步考虑。
