RESUMO
From 1974 to 1993, the authors admitted 212 patients with renal trauma to their department. A large proportion of these cases were due to skiing accidents. Based on a retrospective study of 78 patients admitted to the Grenoble urology department, the authors describe the features of this trauma. 91% of patients were males with a mean age of 27.5 years, with 9% of type III trauma. Treatment was surgical in 55% of cases. Total nephrectomy was performed in 21% of patients. Partial nephrectomy was performed in 25.5% of cases, with a morbidity of 45%, predominantly consisting of fistulas.
Assuntos
Rim/lesões , Esqui/lesões , Adolescente , Adulto , Traumatismos em Atletas/classificação , Traumatismos em Atletas/epidemiologia , Traumatismos em Atletas/cirurgia , Criança , Contusões/epidemiologia , Feminino , Seguimentos , França/epidemiologia , Hematoma/epidemiologia , Humanos , Isquemia/epidemiologia , Rim/irrigação sanguínea , Rim/cirurgia , Nefropatias/etiologia , Masculino , Nefrectomia/efeitos adversos , Nefrectomia/classificação , Nefrectomia/estatística & dados numéricos , Estudos Retrospectivos , Ruptura , Taxa de Sobrevida , Fístula Urinária/etiologiaRESUMO
A 42 year-old man was referred to surgery because of a symptomatic posterior mediastinal mass. Ablation was successfully performed via a video-thoracoscopic procedure avoiding a thoracotomy. The post-operative diagnosis was a bronchogenic cyst, as was the pre-operative diagnosis. The technical details are discussed.