[Cholelithiasis and renal cysts: simultaneous laparoscopic treatment]. / Litiasi della colecisti e cisti renali: trattamento laparoscopico in un unico tempo.

Laparoscopic surgery has been increasingly used in different fields of surgery. This report concerns the authors' experience with combined laparoscopic cholecystectomy and symptomatic renal cyst decortication. The mean diameter of the cysts was 11.2 cm. and involved the left and right kidney in 3 and 1 patient, respectively. All cysts were peripheral. Surgery was performed using 4 trocars in 3 cases and 5 trocars in the other. The mean operative time was 110 minutes and mean blood loss 40 cc. Postoperative pain was minimal. The mean duration of postoperative ileus was 2.2 days. No significant complications were observed. The mean postoperative hospital stay was 3.5 days. At follow-up examinations all patients were pain-free. Recurrence of the cyst was observed in only one case. Combined laparoscopic cholecystectomy and renal cyst decortication is technically feasible in selected cases and does not seem to significantly affect the perioperative course of cholecystectomy.

[Cavernous hemangioma of the adrenal glands: a clinical case]. / Emangioma cavernoso del surrene: caso clinico.

Cavernous haemangiomas of the adrenal gland are rare and the preoperative diagnosis is very difficult. We report the case of a patient admitted for aspecific abdominal pain. Instrumental diagnostic investigations (ultrasonography and CT scan) revealed an adrenal mass of uncertain interpretation which was surgically removed and histologically diagnosed as a cavernous haemangioma.