[Place of percutaneous nephrolithotomy in the treatment of kidney stones]

This is a minimally invasive surgical technique, which has its place as a first intention treatment of urolithiasis. Our object is to insist on the importance of this technique within the therapeutic arsenal of renal lithasis. This is a retrospective study of 300 cases of percutaneous nephrolithotomiers practiced in 270 patients in our department through a period of 23 years [1985-2008]: It concerned includes x 157 males and 113 females, the average age is 46 years old [17 years-75] - The calulus was pelvic in 188 cases [62.7%], lawer calyceal in 52 cases [17.3%] and a staghorn in 40 cases [13,3%]. All our patients were treated by the sawe technique. Our success rate was of 68,7%, the complications concerned zo cases that is a rate of 6.7%, without any deaths. The operation duration average was 188 minutes, and the postoperative hospitalisation period was seven days. The percutaneous ne phrolithotomy restes a recommended firts intention in the treatment of complex calculus in association with the complementary extracorporal lithority. The classical surgery has its place in the percutaneous nephrolithotomi failure cases, the residual calculus are the prerogative of extractor poreal lithoripsy

Epidemiologic and etiologic profile of childhood cirrhosis in University Hospital of Rabat. A retrospective study of 47 cases

A retrospective study of 47 cases of cirrhosis in Morrocan children is reported. This liver disease has low frequancy with a slight predominance in males. Three peaks of age are noticed: at one year, 3 years, and 12 years. Biliary cirrhosis is the most frequent etiology. No etiology is found ir approximately 50% of cases. There are no particularities in the analytic study of indetermined cirrhosis [22 cases/47]. Authors emphasize the necessity of a prospective large study of cirrhosis in childhood