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https://www.readbyqxmd.com/read/28057158/-preliminary-application-of-monopolar-coagulation-in-suturelesslaparoscopic-partial-nephrectomy
#1
B Wu, F Zhang
Objective: To study the safety and feasibility of using monopolar coagulation in sutureless laparoscopic partial nephrectomy (LPN). Methods: From February 2015 to March 2016, sutureless LPN using monopolar coagulation was performed on 25 patients with renal tumors. Mean patient age was 50 years (range 31 to 68). Mean tumor size was 4.1 cm (range 1.2 to 10.1). Mean RENAL nephrometry score was 6.1 (range 4 to 12). The renal hilar vessels were clamped in 14 surgeries, whereas 11 surgeries were carried out without clamping...
December 27, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28051762/impact-of-long-term-high-fat-diet-intake-gestational-protein-restricted-offspring-on-kidney-morphology-and-function
#2
V H G Rizzi, L D B Sene, C D B Fernandez, J A R Gontijo, P A Boer
Emerging evidence highlights the far-reaching consequences of high-fat diet (HFD) and obesity on kidney morphological and functional disorders. In the present study, we aim to evaluate the effects of early HFD intake on renal function and morphology in maternal protein-restricted offspring (LP). LP and normal protein-intake offspring (NP) were fed HFD (LPH and NPH, respectively) or standard rodent (LPN and NPN) diet from the 8th to 13th week of age. Blood pressure, kidney function, immunohistochemistry and scanning electron microscopy were analyzed...
February 2017: Journal of Developmental Origins of Health and Disease
https://www.readbyqxmd.com/read/28049342/is-it-safe-to-use-the-same-scissors-after-accidental-tumor-incision-during-partial-nephrectomy-results-of-in-vitro-and-in-vivo-experiments
#3
Hirofumi Yoshino, Kazutaka Miyamoto, Eu-Chang Hwang, Takashi Yamane, Masayuki Nakagawa, Hideki Enokida
PURPOSE: When accidental tumor incision (ATI) is occurred during open partial nephrectomy (PN), scissors can be changed easily. On the other hand, during Laparoscopic PN (LPN) or Robotic PN (RPN), it is time consuming and very expensive especially for RPN to change scissors. This study is to investigate whether tumor cells remain on the surface of scissors after ATI during PN, and is to investigate alternative way to avoid changing scissors during LPN and RPN. METHODS: We subcutaneously injected 786-O renal cell carcinoma (RCC) cells containing enhanced green fluorescent protein (786-O/EGFP) into 6 mice...
January 3, 2017: Journal of Endourology
https://www.readbyqxmd.com/read/28011501/laparoscopic-versus-open-partial-nephrectomy-comparison-of-overall-and-subgroup-outcomes
#4
Mohamed Abdelhafez, Amend Bastian, Steffen Rausch, Arnulf Stenzl, Jens Bedke, Stephan Kruck
BACKGROUND: At experienced centers, laparoscopic partial nephrectomy (LPN) can achieve similar results to those of open surgery (OPN). However, the role of LPN for complex tumors and imperative indications is under debate. PATIENTS AND METHODS: A total of 356 cases (186 LPN and 170 OPN) between 2005-2012 were reviewed. Clinical, surgical, pathological and radiological data, including PADUA classification were analyzed. RESULTS: In overall analysis, OPN was associated with higher tumor complexity (p≤0...
January 2017: Anticancer Research
https://www.readbyqxmd.com/read/28000016/robotic-assisted-partial-nephrectomy-provides-better-operative-outcomes-as-compared-to-the-laparoscopic-and-open-approaches-results-from-a-prospective-cohort-study
#5
Lorenzo G Luciani, Stefano Chiodini, Daniele Mattevi, Tommaso Cai, Marco Puglisi, William Mantovani, Gianni Malossini
The objective of this is to compare the surgical outcomes of partial nephrectomy (PN), performed via three different approaches: robot-assisted (RAPN), laparoscopic (LPN), and open (OPN), in a single non-academic regional center. The data of patients undergoing PN at our Department from 2005 to 2016 were prospectively collected. A logistic regression model adjusted for preoperative variables (age, tumor size, creatinine and hemoglobin, ASA and Padua scores) was performed to evaluate whether transfusion, conversion, and postoperative complication rate were influenced by the surgical approach...
December 20, 2016: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/27955631/the-impact-of-gender-difference-on-operative-time-in-laparoscopic-partial-nephrectomy-for-t1-renal-tumor-and-the-utility-of-retroperitoneal-fat-thickness-as-a-predictor-of-operative-time
#6
Hiroki Ito, Kazuhide Makiyama, Takashi Kawahara, Kimito Osaka, Koji Izumi, Yumiko Yokomizo, Noboru Nakaigawa, Masahiro Yao
BACKGROUND: To investigate the impact of biological gender on operative parameters, especially operative time, in laparoscopic partial nephrectomy (LPN) for T1 renal tumor. METHODS: One hundred and eleven (28 female and 83 male) patients and 64 (20 female and 44 male) patients with renal tumors suspected to be RCC cT1aN0M0 who underwent retroperitoneal and transperitoneal LPN, respectively, were analyzed. The influence of sex on operative factors including retroperitoneal fat tissue thickness, determined on CT, was analyzed...
December 12, 2016: BMC Cancer
https://www.readbyqxmd.com/read/27933637/association-of-temporal-variations-in-staffing-with-hospital-acquired-pressure-injury-in-military-hospitals
#7
Patricia A Patrician, Mary S McCarthy, Pauline Swiger, Dheeraj Raju, Sara Breckenridge-Sproat, Xiaogang Su, Kelly H Randall, Lori A Loan
To more precisely evaluate the effects of nurse staffing on hospital-acquired pressure injury (HAPI) development, data on nursing care hours per patient day (NCHPPD), nursing skill mix, patient turnover (i.e., admissions, transfers, and discharges), and patient acuity were merged with patient information from pressure injury prevalence surveys that were collected annually for the Military Nursing Outcomes Database (MilNOD) project. The MilNOD included staffing and adverse events from 56 medical-surgical, stepdown, and critical care units in 13 military hospitals over a 4-year-period...
December 9, 2016: Research in Nursing & Health
https://www.readbyqxmd.com/read/27932612/legionella-longbeachae-is-immunologically-silent-and-highly-virulent-in-vivo
#8
Liliana M Massis, Mariana A Assis-Marques, Fernanda V S Castanheira, Yasmin J Capobianco, Andiamira C Balestra, Pedro Escoll, Rebecca E Wood, Graziele Z Manin, Vani M A Correa, José C Alves-Filho, Fernando Q Cunha, Carmen Buchrieser, Marcos C Borges, Hayley J Newton, Dario S Zamboni
BACKGROUND: Legionella longbeachae (Llo) and Legionella pneumophila (Lpn) are the most common pneumonia-causing agents of the genus. Although both species can be lethal to humans and are highly prevalent, little is known about the molecular pathogenesis of Llo infections. In murine models of infection, Lpn infection is self-limited whereas Llo infection is lethal. DESIGN/METHODS: We used mouse macrophages, human macrophages, human epithelial cells and mouse infections in vivo to evaluate multiple parameters of the infection...
December 8, 2016: Journal of Infectious Diseases
https://www.readbyqxmd.com/read/27928811/laparoscopic-versus-open-partial-nephrectomy-for-stage-t1a-of-renal-tumors
#9
Gholam Hossein Rezaeetalab, Hormoz Karami, Farid Dadkhah, Nasser Simforoosh, Nasser Shakhssalim
PURPOSE: Partial nephrectomy is the gold standard treatment for small kidney masses. Data on the comparison oflaparoscopic (LPN) versus open partial nephrectomy (OPN) are based on retrospective studies. Thus, we plannedto compare these two techniques in a prospective trial. MATERIALS AND METHODS: The study population consisted of patients over 18 years old with single renal mass of≤ 4 cm. Patients were divided into two groups considering their preference. Study arms were matched accordingto age, gender, tumor size and location and renal nephrometry score...
8, 2016: Urology Journal
https://www.readbyqxmd.com/read/27888090/rationale-and-design-of-mi-care-the-mile-square-colorectal-cancer-screening-awareness-and-referral-and-education-project
#10
Joanna Buscemi, Yazmin San Miguel, Lisa Tussing-Humphreys, Elizabeth A Watts, Marian L Fitzgibbon, Karriem Watson, Robert A Winn, Kameron L Matthews, Yamile Molina
Although colorectal cancer (CRC) is largely preventable through identification of pre-cancerous polyps through various screening modalities, morbidity and mortality rates remain a challenge, especially in African-American, Latino, low-income and uninsured/underinsured patients. Barriers to screening include cost, access to health care facilities, lack of recommendation to screen, and psychosocial factors such as embarrassment, fear of the test, anxiety about testing preparation and fear of a cancer diagnosis...
January 2017: Contemporary Clinical Trials
https://www.readbyqxmd.com/read/27867847/retroperitoneal-and-laparoscopic-heminephrectomy-in-duplex-kidney-in-infants-and-children
#11
Ciro Esposito, Maria Escolino, Marco Castagnetti, Antonio Savanelli, Angela La Manna, Alessandra Farina, Francesco Turrà, Agnese Roberti, Alessandro Settimi, Francois Varlet, Holger Till, Jean Stephan Valla
BACKGROUND: Two main techniques are adopted to perform partial nephrectomy in children: laparoscopy and retroperitoneoscopy. The aim of this paper is to review the larger multicentric experience recently published by our group to review indications, techniques and results of both approaches. METHODS: Data of 102 patients underwent partial nephrectomy in a 5-year period using minimally invasive surgery (MIS) procedures were analyzed. Fifty-two children underwent laparoscopic partial nephrectomy (LPN), and 50 children underwent retroperitoneoscopic partial nephrectomy (RPN)...
October 2016: Translational pediatrics
https://www.readbyqxmd.com/read/27859677/plane-of-nutrition-affects-growth-rate-organ-size-and-skeletal-muscle-satellite-cell-activity-in-newborn-calves
#12
M E MacGhee, J S Bradley, S R McCoski, A M Reeg, A D Ealy, S E Johnson
Plane of nutrition effects on body, tissue and cellular growth in the neonatal calf are poorly understood. The hypothesis that a low plane of nutrition (LPN) would limit skeletal muscle size by reducing fibre growth and muscle progenitor cell activity was tested. At birth, calves were randomly assigned to either a LPN (20% CP, 20% fat; GE=1.9 Mcal/days) or a high plane of nutrition (HPN; 27% CP, 10% fat, GE = 3.8 Mcal/days) in a 2 × 3 factorial design to test the impact of diet on neonatal calf growth, organ weight and skeletal muscle morphometry with time...
November 18, 2016: Journal of Animal Physiology and Animal Nutrition
https://www.readbyqxmd.com/read/27845279/-the-results-of-laparoscopic-partial-nephrectomy-depending-on-the-type-of-access-and-the-tumour-size
#13
R Naghiyev, S Imamverdiyev, O Sanli
Aim - retrospective comparative analysis of results of laparoscopic partial nephrectomy (LPN) depending on the type of access and the size of the tumor. The study included 170 patients undergoing LPN during the period from 2010 to 2015 years. Among the patients was 108 males (63.5%) and 62 women (36.5%) ranging in age from 17 to 80 years (average age 56,6±0.9 years). Depending on the type of access and the size of the tumor patients divided into 4 subgroups-154 patients who performed transperitoneal LRP, 16 patients undergoing retroperitoneal partial nephrectomy, 117 patients with tumor less than 4 cm and 53 patients with tumor more than 4 cm...
October 2016: Georgian Medical News
https://www.readbyqxmd.com/read/27834458/evaluation-of-padua-score-as-predictor-of-warm-ischemia-time-wit-during-laparoscopic-partial-nephrectomy-lpn
#14
Stefano Ricciardulli, Qiang Ding, Xu Zhang, Hongzhao Li, Baojun Wang, Guoqiang Yang, Xiyou Wang, Peng Zhang, Xin Ma, Alberto Breda
OBJECTIVE: To evaluate the efficacy of Preoperative Aspects and Dimension Used for an Anatomical (PADUA) classification in the prediction of Warm Ischemia Time (WIT) during Laparoscopic Partial Nephrectomy (LPN). METHODS: Single centre retrospective study on 402 patients who underwent LPN between January 2011 and October 2013. WIT was correlated with each characteristics of the PADUA classification. Univariate and multivariate analysis were used to evaluated the independent predictive risk factors of WIT >20 minutes...
November 18, 2016: Urologia
https://www.readbyqxmd.com/read/27779799/diagnosis-and-long-term-outcome-of-renal-cysts-after-laparoscopic-partial-nephrectomy-in-children
#15
Ciro Esposito, Maria Escolino, Bernardita Troncoso Solar, Roberta Iacona, Rosanna Esposito, Alessandro Settimi, Imran Mushtaq
OBJECTIVE: To document the imaging follow-up of laparoscopic partial nephrectomy (LPN) in children and to investigate the natural history of cystic lesions following LPN. PATIENTS AND METHODS: We reviewed the ultrasonography (US) imaging reports performed during the follow-up of 125 children (77 girls, 48 boys; mean age 3.2 years) who underwent LPN in two centres of paediatric surgery in the period 2005-2015. RESULTS: A transperitoneal approach was adopted in 83 children and a retroperitoneal approach in 42...
October 25, 2016: BJU International
https://www.readbyqxmd.com/read/27762624/laparoscopic-partial-nephrectomy-with-a-remotely-activated-bulldog-clamp-in-a-pig-model
#16
Wei Chen, Jian-Ming Guo, Jun Hou, Guo-Min Wang
PURPOSE: Saving warm ischemia time (WIT) in laparoscopic partial nephrectomy (LPN) is important. We have designed a new device, a remotely activated bulldog clamp, to facilitate LPN. In present study, the effectiveness, convenience, and safety of the new design device were compared with that of standard bulldog vascular clamp in a pig model. MATERIALS AND METHODS: Fifteen cases of LPN were bilaterally operated on upper or lower pole of kidneys in five pigs. As the test group, eight cases involved the remotely activated bulldog clamp, whereas the remaining seven cases, as the control group, involved the common standard vascular bulldog clamp...
January 2017: Journal of Endourology
https://www.readbyqxmd.com/read/27757354/the-lesser-palatine-nerve-innervates-the-levator-veli-palatini-muscle
#17
Hideaki Kishimoto, Yoshitaka Matsuura, Katsuya Kawai, Shigehito Yamada, Shigehiko Suzuki
When the lesser palatine nerve (LPN) is supposed to be a branch of the trigeminal nerve and innervate sensation of the soft palate, whether the LPN contains motor fibers is unclear. In this study, we monitored the electromyogram of the levator veli palatini (LVP) muscle on stimulating the LPN during palatoplasty in 3 patients. The electromyogram of the muscles showed the myogenic potential induced by electrostimulation of the LPN. Taken together with the finding from our previous anatomical study that the motor fibers come from the facial nerve, this result supports the double innervation theory of the LVP, which posits that both the pharyngeal plexus and the facial nerve innervate it...
September 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27732324/usefulness-of-r-e-n-a-l-nephrometry-scoring-system-and-centrality-index-score-for-predicting-outcome-of-laparoscopic-partial-nephrectomy
#18
Masahiro Sugiura, Takahito Suyama, Manato Kanesaka, Ayumi Fujimoto, Kyokushin Hou, Kazuhiro Araki, Hiroshi Masuda, Satoko Kojima, Yukio Naya
OBJECTIVES: The aim of this study was to investigate the clinical usefulness for prediction of outcome of laparoscopic partial nephrectomy (LPN) using the R.E.N.A.L nephrometry scoring system (RNS) and centrality index score (C-index). MATERIALS AND METHODS: We retrospectively reviewed 64 patients who underwent LPN from 2010 to 2014 in our institution. The RNS and C-index scores were assigned according to the described protocols for their systems. The relationships between the patients' scores before surgery and the outcomes of LPN, warm ischemia time (WIT), operative time (ORT), estimated blood loss (EBL), and percent change in estimated glomerular filtration rate (eGFR) were analyzed retrospectively...
October 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/27725308/differences-in-the-time-of-onset-of-postoperative-upper-limb-palsy-among-surgical-procedures-a-meta-analysis
#19
REVIEW
Shota Takenaka, Yukitaka Nagamoto, Hiroyuki Aono, Takashi Kaito, Noboru Hosono
BACKGROUND CONTEXT: The time of onset of postoperative upper limb palsy (ULP), also referred to as C5 palsy, varies among patients. Although some studies addressed the relationship between the time of onset of ULP and the potential etiologies, no meta-analysis has been conducted regarding the association between the time of onset of ULP and other factors such as surgical procedure type and treated diseases. PURPOSE: This study aimed to elucidate differences in the time of onset of ULP among spinal surgical procedures and treated diseases to understand its etiology...
December 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27711098/bleeding-during-laparoscopic-partial-nephrectomy-can-a-hemostatic-matrix-help-to-improve-hemostasis
#20
Faruk Ozgor, Abdulmuttalip Simsek, Ozgu Aydogdu, Onur Kucuktopcu, Omer Sarilar, Ahmet Yalcin Berberoglu, Mehmet Fatih Akbulut, Murat Binbay
OBJECTIVES: To evaluate the possible role of an hemostatic matrix on hemostasis, perioperative outcomes and complications in patients who underwent laparoscopic partial nephrectomy (LPN). MATERIALS AND METHODS: Patients charts were analyzed retrospectively and their demographic characteristics, operative parameters and follow-up results were recorded. Patients were divided into two groups, according to those who used an hemostatic matrix as Group 1 (n = 41) and those who did not used as Group 2 (n = 44)...
5, 2016: Archivio Italiano di Urologia, Andrologia
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