One advantage of the transperitoneal approach to laparoscopic radical nephrectomy (LRN) is the familiarity of the anatomy to most urologists. An understanding of the ligaments at the upper and lateral borders of each kidney helps in colon mobilization and dissection of the upper renal poles.
polyglandular autoimmune syndrome; PGA syndrome type 1; autoimmune polyendocrinopathy type 1; autoimmune-polyendocrine-candidiasis-ectodermal dystrophy syndrome; Disorder Subdivisions. None; General Discussion. APS-1 is a rare and complex inherited disorder of immune-cell dysfunction with multiple autoimmunities. It presents as a constellation of symptoms and side-effects with potentially life-threatening endocrine gland and gastro-intestinal
Typically, relapsing polychondritis causes sudden pain in the inflamed tissue at the onset of the disease. Common symptoms are pain, redness, swelling, and tenderness in one or both ears, the nose, throat, joints, and/or eyes. The lobe of the ear is not involved. Fever, fatigue, and weight loss often develop.