Background: Laparoscopic cholecystectomy (LC) is the most practiced procedure in general surgery worldwide. It nowadays optimum surgical for symptomatic gallbladder lithiasis. Nevertheless, it should not be underestimated since vascular and biliary duct injuries are uncommon, with devastating consequences. This study aimed to advise best technical approach LC according intraoperative situation ...

INTRODUCTION The introduction of laparoscopic techniques has caused the dispute between supporters of routine or elective intraoperative cholangiography to continue, but at present most authors recommend its elective practice on the basis of well-established preoperative and / or intraoperative indications, thus avoiding to carry out a large number of unnecessary procedures, with their inherent...

CONTEXT The association of primary carcinoma of the ureter and lithiasis is extremely rare. We report a rare case of a primary carcinoma of the ureter with corariform calculus. CASE REPORT 60-year-old phaeodermal female, reported a history of right-side nephritic colic, hyperthermia and pyuria during the past 20 years and had received treatment for urinary infections a number of times. The fi...

CONTEXT Calcium Nephrolithiasis is a multifactorial disease; in its pathophysiology is involved various minerals and metabolic factors that may be altered, including bone and phosphor-calcium metabolism. OBJECTIVE To establish the scientific evidence and demonstrate the relationship between calcium nephrolithiasis and bone mineral density loss, through the use of bone turnover markers, serum ...

INTRODUCTION Metabolic investigation in patients with urinary lithiasis is very important for preventing recurrence of disease. The objective of this work was to diagnose and to determine the prevalence of metabolic disorders, to assess the quality of the water consumed and volume of diuresis as potential risk factors for this pathology. PATIENTS AND METHODS We studied 182 patients older than...

Urinary lithiasis and gout were uncommonly prevalent in the eighteenth century. This essay considers the history of both afflictions and especially tells of the last illnesses of Sir Robert Walpole, who died from complications of stone, and his son, Horace, who throughout his life was a sufferer of gout.