awareness of the presence of the accessory renal artery in kidney transplant, treatment of renal artery stenosis, clinical assessment of renal vascular hypertension, radiology and angiography interventions is very helpful. in 30% of cases the accessory renal artery is separated from the abdominal aorta and in most cases, this artery along with the main artery entered to the kidney through the h...

The most frequent anatomical variations of the renal arterial system are accessory arteries (supernumerary arteries) and aberrant arteries, which occur in varying numbers among various ethnic racial groups. Prior to surgery, understanding these is crucial because it affects decision use donor kidneys, planning partial nephrectomy, other urological procedures. Along with main artery on same side...

A 76-year-old man developed a hemoperitoneum after ERCP for choledocholithiasis. He underwent a laparotomy and splenectomy for a capsular tear at the splenic hilum, a rare complication of ERCP. "Bowing" of the endoscope with torsion on the greater curvature of the stomach may lead to shear forces causing splenic injury.

De novo renal cell carcinoma (RCC) rarely occurs in kidney allografts; however, the risk of RCC in these patients is 100-fold that of the general healthy population. Although total nephrectomy has been the standard treatment for kidney allograft RCC, several authors have reported that early-stage RCC in kidney allografts was successfully treated with nephron-sparing surgery. We herein describe ...

The lung scans of 101 patients with carcinoma of the bronchus have been compared with the bronchoscopic and radiographic findings. As the tumour approaches the hilum as judged by bronchoscopy or the chest radiograph the relative perfusion of the affected lung decreases. When the relative perfusion of the affected lung is less than one third of the total the tumour is likely to be inoperable. Th...

Localized Castleman's disease (CD) has been divided two types, the classical hyaline vascular (HV) type and the rare plasma cell (PC) type. Recently, we have reported two cases of IgG4-related disorder of the retroperitoneum showing PC type of CD. To further clarify the clinicopathological findings of CD of the retroperitoneum, eight such cases have been studied. A single lesion was located in ...

PURPOSE We evaluated factors that impact the ability to learn hand-assisted laparoscopic donor nephrectomy (HALDN) to identify impediments to diffusion of this procedure. METHODS From February 2002 to June 2004, we collected data from our institutional database on 70 patients who underwent HALDN. Time for individual steps of the procedure (colon mobilization, kidney/ureter mobilization, renal...