Laparoscopic single port cystolithotomy using pneumovesicum

ABSTRACT Purpose: Currently, several modalities are used to manage bladder stones. We report laparoscopic single port cystolithotomy using stone basket via pneumovesicum method.

Evaluation of intraluminal pressure in cystorrhaphies with and without intestinal serosal patch supplementation from canine cadavers

PURPOSE:To evaluate the maximal intraluminal pressure (MIP) supported by canine cadaveric urinary bladders that underwent cystotomy followed by cystorraphy, with and without serosal patching-supplementation.METHODS:Two groups (n=8 each) were formed, and in one (conventional) the cystotomy was closed with cushing pattern. In the other group (serosal), the same procedure was performed, and a piece of jejunum was used for the construction of the serosal patching over the cystorraphy. MIP was measured by means of an invasive blood pressure transducer with closed stopcock attached to a multiparameter monitor. At the end of each measurement, the bladder body circumference was assessed.RESULTS:Mean±SD MIP sustained for the conventional and serosal groups were 28.88±5.08 and 65.38±10.99 mmHg, respectively (p<0.0001). Bladder circumference did not change significantly between groups (p=0.35) and did not correlate with MIP assessed in conventional (p=0.27; r=0.4379) and serosal groups (p=0.37; r=-0.3637).CONCLUSION:Serosal patch-supplemented cystorraphies were able to sustain intraluminal pressures 55.8% higher, than nonsupplemented cystorraphies in specimens from canine cadavers.

A Giant Pulmonary Hydatid Cyst Treated without Lobectomy

A 20 year-old woman was admitted to our clinic complaining of dyspnea, cough, chest pain and pleural effusion. The diagnosis of pulmonary hydatid cyst was made on the basis of parasitology laboratory findings, computed tomographic results and chest radiographic findings. A giant pulmonary hydatid cyst (33x14x12 cm) was located in the left lower lobe, which involved more than 90% of the lobe. The patient was treated surgically using cystotomy and capitonnage. This is a case of a giant pulmonary hydatid cyst published in the literature, which was surgically treated without a lobectomy, by preserving the lung parenchyma.

Liposarcoma metastásico en mama de origen testicular: a propósito de un caso / Liposarcoma metastatic breast of testicular origin: a purpose of a case

El liposarcoma es un tumor de la vida adulta, diagnosticado con mayor frecuencia en individuos entre los 50 y 65 años de edad. Los sitios más frecuentes de presentación son los muslos y el retroperitoneo, siendo infrecuente la localización testicular y en mamas y la asociación con otros tumores es aún más excepcional. Aquellos liposarcomas que el patólogo identifica como "bien diferenciados" no suelen dar metástasis, a su vez el cáncer de mama en el hombre es una enfermedad rara y poco frecuente que se presenta en una proporción muy baja con respecto a los diferentes tipos de cánceres, dicha entidad constituye el 0,2 1,5 por ciento de todos los tumores malignos en los hombres y aproximadamente el 1 por ciento de los cánceres mamarios en ambos sexos. El objetivo principal es reportar un caso de un paciente masculino de 55 años de edad quién refiere inicio de enfermedades de 23 años de evolución caracterizada por pequeño aumento de tamaño en mama izquierda y la cual hace 4 años ha aumentado rápida y progresivamente de tamaño; concomitantemente presenta aumento de tamaño en región testicular y tumoración en mama derecha realizándosele biopsias en dichas zonas resultando compatible con liposarcoma bien diferenciado.