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Francesco Porpiglia, Cristian Fiori, Enrico Checcucci, Angela Pecoraro, Michele DI Dio, Riccardo Bertolo
BACKGROUND: Near infrared fluorescence (NIRF) is being investigated as a helpful tool to enhance segmental arterial clamping in robotics. Available experiences with NIRF during standard laparoscopy are anecdotal. The aim of the study was to perform a single-center feasibility and results analysis of laparoscopic partial nephrectomy (LPN) performed using NIRF-guided selective clamping. METHODS: May 2016-December 2016: 15 patients diagnosed with a renal mass suitable for nephron-sparing approach consecutively underwent LPN with NIRF-guidance technique...
December 14, 2017: Minerva Urologica e Nefrologica, the Italian Journal of Urology and Nephrology
Kemal Beksac, Bulent Aksel, Fisun Ardic Yukruk, Olcay Kandemir
INTRODUCTION: Liposarcoma is the most frequent type of retroperitoneal sarcomas. Dedifferentiated liposarcoma is the least common subtype and is an extremely rare tumor. CASE REPORT: We present the case of a 53-year-old male who was referred with a giant retroperitoneal mass. The patients' mass was deemed unresectable by the previous institution and received chemotherapy with no benefit. We macroscopically removed the 38x32 cm mass with right nefrectomy. Pathological examination revealed dedifferentiated liposarcoma...
January 16, 2017: Annali Italiani di Chirurgia
Başak Erginel, Sema Vural, Melih Akın, Cetin Ali Karadağ, Nihat Sever, Abdullah Yıldız, Canan Tanık, Arzu Ataman Demir, Ozlem Yanar, Ali İhsan Dokucu
Medical records of 71 children with Wilms' tumor at Sisli Etfal Education and Research Hospital between 1990 and 2014 were reviewed. Mean age at diagnosis was 3.11 years (2 days-7 years). Male to female ratio was M/F = 6/10. The incidence of associated anomaly was 16.9%. Clinical manifestations included abdominal mass (89%), hematuria (30%), hypertansion (25%), abdominal pain (15%), fever (5%), restlessness (2%), weight loss (2%), varicocele (1%). Ultrasound (USG) was the most often initial study in a child presenting with abdominal mass...
August 2014: Pediatric Hematology and Oncology
Miki N Hew, Dedan Opondo, Ernesto R Cordeiro, Karlijn A M I van Donselaar-van der Pant, Frederike J Bemelman, Mirza M Idu, Jean J M C H de la Rosette, M Pilar Laguna
OBJECTIVES: To determine short-term differences in renal function evolution between patients with renal cell carcinoma (RCC) submitted to radical nephrectomy (RN) and living kidney donors matched for age and gender. To assess the role of co-morbidity as a risk factor for developing an estimated glomerular filtration rate (eGFR) of <60 mL/min/1.73 m(2) . PATIENTS AND METHODS: In this retrospective study patients undergoing Radical Nefrectomy (RN) between January 2000 and February 2011 for suspicion of localised RCC were matched by age and gender to living kidney donors...
May 2014: BJU International
Girolamo Geraci, Francesco Cupido, Chiara Lo Nigro, Antonio Sciuto, Carmelo Sciumè, Giuseppe Modica
INTRODUCTION: Vocal cord injuries (VI), postoperative hoarseness (PH), dysphonia (DN), dysphagia (DG) and sore throat (ST) are common complications after general anesthesia; there is actually a lack of consensus to support the proper timing for post-operative laryngoscopy that is reliable to support the diagnosis of laryngeal or vocal fold lesions after surgery and there are no valid studies about the entity of laryngeal trauma in oro-tracheal intubation. Aim of our study is to evaluate the statistical relation between anatomic, anesthesiological and surgical variables in the case of PH, DG or impaired voice register...
July 2013: Annali Italiani di Chirurgia
M Fazzin, L Dellachiesa, G Resta, M Bandi, S Marino, G Anania
We describe a case of a patient with synchronous bilateral colorectal tumours and renal carcinoma who underwent one-stage laparoscopic surgery procedure with right transperitoneal nefrectomy, right hemicolectomy and sigmoidectomy. One-stage laparoscopic procedure can be used safely and successfully for a patient with multiple primary tumours.
April 2013: Il Giornale di Chirurgia
Zaklina Mijović, Dragan Mihailović, Nikola Zivković, Milos Kostov, Sladjana Zivković, Nebojsa Stojanović
INTRODUCTION: Malignant Triton tumor is a very rare malignant peripheral nerve sheath tumor with rhabdomyosarcomatous differentiation. Most of those tumors occur in patients with von Recklinghausen's disease or as a late complication of irradiation and commonly seen in the head, neck, extremities and trunk. CASE REPORT: We reported retroperitoneal malignant Triton tumor in a 57-year-old female patient. Skin lesions were not present, and there was no family history of neurofibromatosis or previous irradiation...
March 2013: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Rafael da Silva Luiz, Kleiton Augusto Santos Silva, Rodolfo Rosseto Rampaso, Ednei Luiz Antônio, Jairo Montemor, Danilo Sales Bocalini, Leonardo Dos Santos, Luiz Moura, Paulo José Ferreira Tucci, Nayda Parísio de Abreu, Nestor Schor
Previous studies have suggested that exercise improves renal and cardiac functions in patients with chronic kidney disease. The aim of this study was to evaluate the effects of long-term aerobic swimming exercise with overload on renal and cardiac function in rats with 5/6 nefrectomy (5/6Nx). Eight Wistar rats were placed into 4 groups: Control (C), Control+Exercise (E), Sedentary 5/6Nx (NxS) and 5/6Nx+Exercise (NxE). The rats were subjected to swimming exercise sessions with overload for 30 min five days per week for five weeks...
2013: PloS One
Guillermo Axayacalt Gutiérrez-Aceves, Sergio Moreno-Jiménez, Miguel Ángel Celis, Mariana Hernández-Bojórquez
BACKGROUND: We describe a minimally invasive technique to perform a radiosurgical third ventriculostomy in a patient with mild obstructive hydrocephalus secondary to malignant pathology. METHODS: A 42 years old woman with diagnosis of clear cells renal carcinoma and with right nefrectomy performed last year. Cranial Magnetic Resonance Imaging showed two brain metastasis: one right temporal, and other in the pons with Sylvian aqueduct partial obliteration and mild ventricular enlargement...
2012: Surgical Neurology International
Knut Magne Augestad, Johan Gustav Bellika, Andrius Budrionis, Taridzo Chomutare, Rolv-Ole Lindsetmo, Hiten Patel, Conor Delaney
BACKGROUND: Surgical telementoring has been reported for decades. However, there exists limited evidence of clinical outcome and educational benefits. OBJECTIVE: To perform a comprehensive review of surgical telementoring surveys published in the past 2 decades. RESULTS: Of 624 primary identified articles, 34 articles were reviewed. A total of 433 surgical procedures were performed by 180 surgeons. Most common telementored procedures were laparoscopic cholecystectomy (57 cases, 13%), endovascular treatment of aortic aneurysm (48 cases, 11%), laparoscopic colectomy (32 cases, 7%), and nefrectomies (41 cases, 9%)...
June 2013: Surgical Innovation
Leslie Fiengo, Federico Bucci, Gregorio Patrizi, Carolina Paciotti, Fabrizio Fanelli
PURPOSE: Detection of cancer in patients with AAA complicates the treatment of both diseases. AAA associated with RN are rare, with an incidence of 0.1-3% representing a challenge in defining the surgical timing and approach. We discuss the rational for the treatment in patients with concomitant patologies. CASE REPORT: A 65 years-old man was diagnosed with both AAA and Renal Cell Carcinoma. The patient underwent first EVAR followed by renal embolization and Radical Nefrectomy...
November 2012: Annali Italiani di Chirurgia
Giulio Illuminati, Gianluca Ceccanei, Maria A Pacilè, Giulia Pizzardi, Piergaspare Palumbo, Francesco Vietri
UNLABELLED: With the increasing diffusion of percutaneous interventions (PCI), surgeons are often faced with the problem of operating on patients under dual antiplatelet treatment. Replacing dual antiplatelet regiment with low molecular weight heparin may expose to the abrupt thrombosis of coronary stent and massive myocardial infarction. The purpose of this study was to test the hypothesis that abdominal operations can be safely performed under dual antiplatelet treatment. Eleven patients underwent 5 colectomies, 3 nefrectomies, 2 gastrectomies and 1 hysterectomy under aspirin and plavix without any significant perioperative hemorrhage...
May 2013: Annali Italiani di Chirurgia
Bernadetta Kałuża, Ireneusz Ziobrowski, Marek Durlik
UNLABELLED: The aim of the study was to evaluate complication during and after surgical procedure without connection with transplantation among patients after kidney, kidney and pancreas transplantation with stable function of graft. MATERIAL AND METHODS: 54 patients underwent 62 surgical procedures without connection with transplantation procedure. Main characteristic: standard immunosuppressive treatment, main age 51.1±13.95 years, men 77.4%, hospitalization time 5...
April 2012: Polski Przeglad Chirurgiczny
Stefano Bonardelli, Edoardo Cervi, Franco Nodari, Cristina Guadrini, Camilla Zanotti, Stefano Maria Giulini
Patients with abdominal aortic aneurysm (AAA) frequently have other abdominal pathologies of surgical interest (other diseases, OD). Out of 1,375 elective open aortic replacements for AAA, 315 cases with OD were subdivided in Group 1 (82 patients with "clean wound" OD) and Group 2 (233 patients with "clean-contaminated wound" OD). The results of the sub-groups in which OD was treated at the same time as AAA were analysed (1a, 66 cases and 2a, 86 cases) and compared with OD not treated at the same time as AAA (1b, 16 cases and 2b, 147 cases)...
June 2012: Updates in Surgery
R Simůnek, L Sirotek, R Sefr
We present rare case of clear cell renal carcinoma metastasis into common bile duct. It is a 9th case listed on the MEDLINE data base from 1966 to 2010.71-year-old woman underwent right nefrectomy for renal cancer G1 in 1986. She was reoperated in 2006 for relaps in renal bed on the right side. Histological examination confirmed clear cell renal carcinoma again. At present, a new liver metastasis in S 4/5 was detected. During the operation we found first described liver metastasis and second another one in common bile duct with intraluminal growth...
March 2011: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Radovan Cvijanović, Dejan Ivanov, Mirjana Zivojinov
INTRODUCTION: Teratomas are tumours derived from pluripotent germ cells. They appear most frequently on ovaries. However, other locations are also possible: testicles, retroperitoneum, stomach, neck, and bottom of the mouth cavity. It is not very common to find teratomas in two different body cavities. CASE REPORT: A 51-year-old patient visited her doctor complaining of an intensive pain which suddenly appeared in her low back. The computed tomography scan of the abdomen was performed, which revealed cystic formation, 12...
January 2011: Medicinski Pregled
Giampaolo Bianchi
Negli ultimi anni sono state introdotte in urologia nuove tecniche chirurgiche alcune già applicabili nella pratica clinica, altre ancora in corso di sperimentazione. Quella che ha trovato attualmente applicazione è la LESS (Laparo Endoscopic Single-site Surgery); essa riguarda tutte le metodiche che utilizzano una sola porta (multiaccesso) per eseguire interventi laparoscopici. I vantaggi apparenti di questa metodica rispetto alla laparoscopia tradizionale sono soltanto un dimostrato miglior risultato estetico...
March 30, 2011: Urologia
Stojković Ivica, Stevanović Dragan
BACKGROUND: The first double-J (DJ) stents were manufactured in 1978. Their J-shaped tips efficiently prevent their migration from kidneys and from the urinary bladder. Nowadays, DJ stents are in common use because they provide efficient and relatively safe urinary derivation between the kidney and the urinary bladder. We report this case with the aim to point out possible serious complications with long-term indwelling stents. CASE REPORT: The patient was admitted to hospital five years after the placement of DJ in a bad general condition, with symptoms of peritonitis...
March 2009: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Line Marie Holst, Jørgen Bjerggaard Jensen, Peter Bue, Leif Godthaab Hansen
Primary adenocarcinomas of the renal pelvis and ureter are very rare tumours, representing less than 1% of the malignant tumours of the ureter and the renal pelvis. A case of adenocarcinoma of the ureter in a 62-year-old woman with no prior history of urological disease is presented. The patient died postoperatively after nefrectomy due to rapid disease recurrence.
February 9, 2009: Ugeskrift for Laeger
Alina Goszczyk, Ewa Straz-Zebrowska, Anna Jung
The authors present an atypical case of MEST uncovered in 12-year-old girl diagnosed with recurrent pyuria and persistent albuminuria with concomitant hypertension. Urine changes persisted despite the antibiotics therapy and they were accompanied with aseptic urine cultures. While investigating these changes, USG, urography, CT and MRI were performed and these manifested tumor-like change in the right kidney. Right-side nefrectomy was performed. Microscopically MEST was found while infection was found in parenchyma...
2008: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
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