Is laparoscopic nephrectomy the preferred approach in xanthogranulomatous pyelonephritis?

Kapoor, Rakesh; Vijjan, Vivek; Singh, Kamaljeet; Goyal, Rajiv; Mandhani, Anil; Dubey, Deepak; Srivastava, Aneesh; Kumar, Anant

doi:10.1016/j.urology.2006.07.009

Cited by 39 publications

(39 citation statements)

References 9 publications

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“…In 2005, Khaira et al [11] concluded that complication rates between LN and open nephrectomy are equivalent, but noted lower analgesic requirements and shorter hospital stays. These findings are further supported by other recent case series [5, 6, 13]. Consequently, surgeons now consider minimally invasive approaches to XGP.…”

Section: Discussionsupporting

confidence: 83%

The Role of Laparoscopic Nephrectomy in Pediatric Xanthogranulomatous Pyelonephritis: A Case Report

Brown

Chamberlain

Roth

2013

Case Reports in Urology

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Xanthogranulomatous pyelonephritis (XGP) is a rare chronic renal infection characterized by the destruction of renal parenchyma. Traditional treatment involves open radical nephrectomy, which is challenging due to the inflammatory process associated with XGP. More recently, laparoscopic nephrectomy has been employed successfully in adult XGP. We present a case of a six-year-old female child with XGP who was successfully treated by laparoscopic nephrectomy with minor complications. Our case demonstrates the safety and feasibility of laparoscopic nephrectomy for childhood XGP, indicating that it should be considered a management option in such cases.

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Section: Discussionsupporting

confidence: 83%

The Role of Laparoscopic Nephrectomy in Pediatric Xanthogranulomatous Pyelonephritis: A Case Report

Brown

Chamberlain

Roth

2013

Case Reports in Urology

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“…[8–10] Reported open conversion rate is 16-33% and complication rate is 20-50% in a contemporary series. [11–15] With increase in advanced laparoscopic experience and skills, LN can be offered in selected patients with acceptable morbidity, decreased blood loss and shorter convalescence. [16]…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic versus open nephrectomy for xanthogranulomatous pyelonephritis: An outcome analysis

et al. 2011

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Context:Current literature suggests that laparoscopic nephrectomy (LN) in patients with xanthogranulomatous pyelonephritis (XGP) is associated with high conversion and complication rate.Aims:To report contemporary outcome of patients with XGP, managed with either open nephrectomy (ON) or LN.Settings and Design:In this retrospective study, medical records of 37 patients with histopathologically confirmed XGP from January 2001 to October 2009 were reviewed.Materials and Methods:The clinical presentation, preoperative course, intraoperative findings, postoperative recovery and complications in ON and LN were analyzed.Statistical Analysis:Student's t test was used to perform statistical comparison between the LN and ON groups. Values are expressed as mean ± standard deviation.Results:In 37 patients, 20 underwent ON and 17 underwent LN. One patient in the LN group required conversion. He had ectopic pelvic kidney, and the vascular pedicle could not be identified because of dense adhesions. There were no intraoperative complications. The mean blood loss was 257.5 ± 156.67 ml and 141.18 ± 92.26 ml in ON and LN groups, respectively. Mean hospital stay was 15.45 ± 7.35 days and 9.71 ± 4.55 days in ON and LN groups, respectively. Postoperative complications were classified according to Clavien grading for surgical complications. Grade 2 complications were seen in 40% and 29.4% of patients in ON and LN groups, respectively. One patient in LN required secondary suturing of specimen retrieval site.Conclusions:LN in patients with XGP is often challenging and requires considerable experience in laparoscopy. In properly selected patients, all benefits of minimally invasive surgery can be availed with LN.

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“…There have been a few case reports of successful outcomes with antibiotics alone in focal forms of XGP [15]. In addition there have been reports of good outcomes and shorter hospital stays with laparoscopic nephrectomies compared to open nephrectomies [21]. …”

Section: Discussionmentioning

confidence: 99%

Expanding spectrum of illness due to community-associated methicillin-resistant Staphylococcus aureus: a case report

Kempker

DiFrancesco

Martín-Gorgojo

et al. 2009

Cases J

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IntroductionXanthogranulomatous pyelonephritis is a rarely identified form of chronic pyelonephritis usually caused by gram-negative organisms. Herein, we report the first case caused by infection due to community-associated methicillin-resistant Staphylococcus aureus strain.Case presentationAn HIV-infected female with a history of intravenous drug use presented with a three month history of abdominal pain, distension, and fever. Computerized tomography of the abdomen revealed a large multicystic right kidney mass. During surgical exploration an intrarenal abscess was identified. Cultures revealed the presence of community-associated methicillin-resistant Staphylococcus aureus. Histopathological examination demonstrated xanthogranulomatous disease. The patient was successfully treated with nephrectomy and a prolonged antibiotic combination regimen with vancomycin and linezolid.ConclusionOur case illustrates the escalating spectrum of illness caused by infection due to community-associated methicillin-resistant Staphylococcus aureus.

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Is laparoscopic nephrectomy the preferred approach in xanthogranulomatous pyelonephritis?

Cited by 39 publications

References 9 publications

The Role of Laparoscopic Nephrectomy in Pediatric Xanthogranulomatous Pyelonephritis: A Case Report

The Role of Laparoscopic Nephrectomy in Pediatric Xanthogranulomatous Pyelonephritis: A Case Report

Laparoscopic versus open nephrectomy for xanthogranulomatous pyelonephritis: An outcome analysis

Expanding spectrum of illness due to community-associated methicillin-resistant Staphylococcus aureus: a case report

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