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https://www.readbyqxmd.com/read/30089991/complications-of-411-laparoscopic-urological-procedures-a-single-surgeon-experience
#1
Khalid Al-Otaibi
Objectives: The aim of this study is to review the complications of laparoscopic urological procedures performed using a single surgeon during a 12-year period. Materials and Methods: From June 2004 to May 2017, a total of 411 abdominal urological procedures were performed using the author. They included 250 varicocele ligations, 94 nephrectomies (simple, partial, radical, and nephroureterectomy), 34 adrenalectomies, 22 renal cyst ablation, and 11 pelvic lymph node dissections...
July 2018: Urology Annals
https://www.readbyqxmd.com/read/30089984/current-status-of-robot-assisted-urologic-surgery-in-saudi-arabia-trends-and-opinions-from-an-internet-based-survey
#2
Raed A Azhar, Ahmed A Mobaraki, Hattan M Badr, Noor Nedal, Anmar M Nassir
Objectives: The objective of this study is to assess the current status of urologic robot-assisted surgery (RAS) in Saudi Arabia and evaluate perceptions of its importance and utility. Methods: A 59-item questionnaire was E-mailed to urologists and trainees in Saudi Arabia to assess the demographics and individual and institutional surgical practices of minimally invasive surgery (MIS) with a focus on RAS and urologic subtypes. Results: Ninety-five surveys were completed...
July 2018: Urology Annals
https://www.readbyqxmd.com/read/30089339/-a-case-of-renal-cell-carcinoma-recurrence-in-the-ureteral-stump-8-years-after-radical-nephrectomy
#3
Sachi Fukui, Kentaro Muraoka, Masashi Imano, Akitoshi Takizawa, Tetsuo Murai, Gensyu Tate
A 62-year-old woman underwent laparoscopic radial nephrectomy for the left renal cell carcinoma in September 2008. In July2016, the patient developed asymptomatic gross hematuria. Computed tomography (CT) revealed the enlargement of the left ureteral stump and an 11mm nodule in the superior lobe of the right lung. Since [F-18] fluoro-D-glucose-positron emission tomography-CT FDG PET-CT demonstrated a lung tumor, we decided to perform right upper lobectomybyvideo-assisted thoracoscopic surgeryin September. The patient was diagnosed with metastatic renal cell carcinoma...
July 2018: Hinyokika Kiyo. Acta Urologica Japonica
https://www.readbyqxmd.com/read/30082679/evaluation-of-the-learning-curve-of-hand-assisted-laparoscopic-donor-nephrectomy
#4
Bum Sik Tae, Ulanbek Balpukov, Hyeon Hoe Kim, Chang Wook Jeong
BACKGROUND In this study, we analyzed the learning curve of hand-assisted laparoscopic donor nephrectomy (HALDN). MATERIAL AND METHODS The first 198 consecutive donors (110 cases by expert surgeon and 88 cases by newbie surgeon) operated on using HALDN were included in this study. The primary outcome measures were warm ischemic time (WIT), total operation time and estimated blood loss (EBL). The secondary outcome measures included length of hospital stay (LOS), graft outcome, and surgery-related complications...
August 7, 2018: Annals of Transplantation: Quarterly of the Polish Transplantation Society
https://www.readbyqxmd.com/read/30082229/robotic-donor-nephrectomy-against
#5
Felix Kawan, Gerit Theil, Paolo Fornara
The use of robotic techniques in laparoscopic donor nephrectomy currently tends to involve a longer ischemia time without clear advantages, and the cost of robotic surgery is significantly higher. If only one robot is available, then unnecessary prolongation of cold ischemia time also occurs, as the donor must first be undocked to dock the recipient. The combination of laparoscopic donor nephrectomy with parallel initiation of robot-assisted situs preparation and exposure of the renal vessels appears to be the best current approach to safe and cost-effective donor nephrectomy and subsequent robot-assisted kidney transplantation without wasting any time...
August 3, 2018: European Urology Focus
https://www.readbyqxmd.com/read/30078544/study-of-renal-and-kidney-tumor-vascularization-using-data-from-preoperative-three-dimensional-arteriography-prior-to-partial-nephrectomy
#6
Shahed Borojeni, Antoinette Borojeni, Paul Panayotopoulos, Antoine Bouvier, Christophe Aubé, Abdel-Rahmène Azzouzi, Pierre Bigot
BACKGROUND: In a cadaveric model with healthy kidneys, it has recently been highlighted that a single renal segment could be supplied by one or more arterial branches originating from an artery supplying another segment. OBJECTIVE: To demonstrate occurrences of anatomical variations of renal vascularization and to analyze vascularization of renal tumors. DESIGN, SETTING, AND PARTICIPANTS: This prospective monocentric study included all patients treated for a renal tumor between May 2015 and June 2017 by laparoscopic partial nephrectomy after superselective tumor embolization in a hybrid operating room...
August 2, 2018: European Urology Focus
https://www.readbyqxmd.com/read/30072310/laparoscopic-partial-nephrectomy-after-selective-embolization-and-robot-assisted-partial-nephrectomy-a-comparison-of-short-term-oncological-and-functional-outcomes
#7
Maxime Benoit, Antoine Bouvier, Paul Panayotopoulos, Thibaut Culty, Bertrand Guillonneau, Christophe Aube, Abdel Rahmène Azzouzi, Philippe Sebe, Pierre Bigot
BACKGROUND: Partial nephrectomy (PN) is the standard treatment for localized renal tumors. Laparoscopic PN (LPN) after selective embolization of tumor (LPNE) in a hybrid operating room has been developed to make LPN easier and safer. The aim of this study was to compare outcomes of LPNE and robot-assisted PN (RAPN). PATIENTS AND METHODS: All patients who underwent an LPNE at Angers University Hospital between May 2015 and April 2017, and a RAPN at Diaconesses Croix Saint Simon hospital between October 2014 and April 2017 were prospectively included...
July 12, 2018: Clinical Genitourinary Cancer
https://www.readbyqxmd.com/read/30065959/acquired-von-willebrand-disease-secondary-to-clear-cell-renal-cell-carcinoma
#8
Brian Odom, Iyad Khourdaji, Victoria Golas, Richard Zekman, Bradley Rosenberg
Background: Acquired von Willebrand disease (AvWD) is a rare and often underdiagnosed disease that typically is associated with lymphoproliferative, cardiovascular disease, and myeloproliferative disease. It is challenging to diagnose as it requires a hemostatic challenge to present itself. Case Presentation: This is a 46-year-old male with a history of multiple sclerosis complicated by neurogenic bladder who presented with intermittent gross painless hematuria. He underwent a gross hematuria workup. Cystoscopy demonstrated active bleeding from the right ureteral orifice...
2018: Journal of Endourology Case Reports
https://www.readbyqxmd.com/read/30054236/robotic-donor-nephrectomy-the-right-way-forward
#9
Rajesh K Ahlawat, Tarun Jindal
Donor nephrectomy is an extremely challenging procedure. The stakes are high, as two lives-the donor and the recipient-depend on it. Robotic donor nephrectomy has an edge over a laparoscopic approach.
July 24, 2018: European Urology Focus
https://www.readbyqxmd.com/read/30051264/quality-of-life-outcomes-in-patients-with-localised-renal-cancer-a-literature-review
#10
Sabrina H Rossi, Tobias Klatte, Grant D Stewart
PURPOSE: Patients with localised renal cell carcinoma (RCC) can expect excellent oncologic outcomes. As such, there has been a shift towards maximising health-related quality of life (HRQoL). A greater understanding of HRQoL outcomes associated with different treatment options for RCC can facilitate patient-centred care, shared decision-making and enable cost utility analyses to guide health policies. The aim of this literature review was to evaluate the evidence regarding HRQoL following different management strategies for localised RCC...
July 26, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/30049484/laparoscopic-total-nephrectomy-for-wilms-tumor-towards-new-standards-of-care
#11
REVIEW
Paula Flores, Martín Cadario, Yvonne Lenz, Walter Cacciavillano, Laura Galluzzo, Enrique Guillermo Nestor Paz, Juan Pablo Corbetta, Pedro Zubizarreta
INTRODUCTION: Laparoscopic total nephrectomy (LN) in malignant pediatric tumors remains controversial. For selected patients undergoing pre-operative chemotherapy in referral centers, LN has so far shown comparable results to the standard open technique. PURPOSE: To describe the inclusion criteria and preliminary results of laparoscopic nephrectomies (LN) for the treatment of unilateral Wilms tumors (WT). MATERIAL AND METHODS: Between November 2010 and January 2016, a retrospective study of patients with WT and undergoing pre-operative chemotherapy was performed...
July 23, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/30042021/laparoscopic-procurement-of-single-versus-multiple-artery-kidney-allografts-meta-analysis-of-comparative-studies
#12
REVIEW
Andika Afriansyah, Nur Rasyid, Arry Rodjani, Irfan Wahyudi, Chaidir Arif Mochtar, Endang Susalit, Agus Rizal Ardy Hariandy Hamid
Laparoscopic donor nephrectomy has become the standard procedure to procure kidney graft. Transplantation using multiple arteries allograft is technically more challenging and still controversial with respect to renal transplantation outcomes. The objective of this study was to examine the transplantation outcome in both donor and recipient outcome of multiple arteries allograft kidney compared with single renal artery kidney. Eligible studies were identified from electronic databases: PubMed, Cochrane CENTRAL, Science Direct, and CINAHL as of October 2016...
July 2, 2018: Asian Journal of Surgery
https://www.readbyqxmd.com/read/30040793/an-easy-and-effective-method-to-locate-renal-vein-during-retroperitoneal-laparoscopic-radical-nephrectomy-single-center-experience
#13
Lei Luo, Ya-Nan Liu, Yan Zhang, Gui-Ming Zhang, Li-Jiang Sun, Yong Liu, Fang-Ming Wang
BACKGROUND There are few studies that address how to quickly locate the renal vein after processing the renal artery during retroperitoneal laparoscopic radical nephrectomy (RLRN) for renal cell carcinoma (RCC). This study aimed to evaluate the feasibility of an easy and effective method to locate the renal vein in RLRN. MATERIAL AND METHODS Between September 2016 and October 2017, a total of 44 consecutive cases of RLRN were performed. All the surgeries used the proposed study method to locate the renal vein, in which surgeons located the renal artery following the medial arcuate ligament on the posterior abdominal wall, then the surgeon directly searched for the renal vein caudally relative to renal artery when performing left nephrectomy, but cranially when performing right nephrectomy...
July 24, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/30039718/comparison-of-partial-and-radical-laparascopic-nephrectomy-perioperative-and-oncologic-outcomes-for-clinical-t2-renal-cell-carcinoma
#14
Gal Rinott Mizrahi, Yuval Freifeld, Ilan Klein, Leonid Boyarsky, Rani Zreik, Ido Orlin, Boris Freidman, Avi Stein, Yoram Dekel
INTRODUCTION: Nephron sparing surgery has emerged as the treatment of choice for small renal masses. However, its role in larger tumors remains controversial. In the current study we compare the outcomes of Laparoscopic Partial Nephrectomy (LPN) vs. Radical Nephrectomy (LRN) for T2 renal tumors. MATERIALS AND METHODS: 13 patients who had LPN and 16 patients who had LRN for T2 renal tumors were retrospectively analyzed for preoperative factors (age, gender, co-morbidities, hemoglobin and creatinine levels and estimated Glomerular Filtration Rate [eGFR]), operative and perioperative characteristics (tumor characteristics, Operative Time [OT], warm ischemia time [WIT], Estimated Blood Loss [EBL], Length of Stay [LOS] and post-operative complications), histopathological results and follow-up data (eGFR and recurrences)...
July 24, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/30036616/direct-lateral-access-to-renal-artery-during-transperitoneal-laparoscopic-partial-nephrectomy-surgical-technique-and-comparative-outcomes
#15
Chao Zhang, Fubo Wang, Xiaolei Shi, Fei Guo, Huiqing Wang, Yue Yang, Xiaofeng Gao, Bo Yang
OBJECTIVE: To describe a novel technique of laparoscopic partial nephrectomy (LPN) with direct lateral access (DLA) to renal artery and to report our early outcomes with this technique. MATERIALS AND METHODS: A retrospective review of 135 cases of transperitoneal LPN done by a single surgeon at our tertiary care Institution from August 2014 to December 2016 was performed. Standard LPN (n=73) or DLA-LPN (n=62) was performed. Relevant clinical data were recorded including baseline patient and tumor characteristics, and surgical outcomes (operative time, artery mobilization time, warm ischemia time, estimated blood loss, complications, and so on)...
July 20, 2018: Urology
https://www.readbyqxmd.com/read/30035429/-the-incidence-of-malignant-transformation-of-renal-cysts-of-category-1-2-and-2f-by-the-bosniak-classification-into-multilocular-cystic-renal-cell-carcinoma
#16
S P Darenkov, A A Proskokov, A A Agabekian, I A Trofimov
RELEVANCE: Renal cysts remain the most common of benign renal lesions, but current literature is lacking large observational studies on the incidence of their malignant transformation. AIM: To assess the incidence of malignant transformation of renal cysts of category 1, 2, and 2F by the Bosniak classification into multilocular cystic renal cell carcinoma. MATERIALS AND METHODS: From January 2009 to December 2017, 177 patients with renal cysts of category 1 (n=50), 2 (n=74), and 2F (n=53) underwent laparoscopic decortication...
July 2018: Urologii︠a︡
https://www.readbyqxmd.com/read/30035415/-computer-assisted-laparoscopic-surgery-for-renal-carcinoma
#17
Yu G Alyaev, E S Sirota, E A Bezrukov, R B Sukhanov
AIM: To investigate the effectiveness and benefits of using 3D planning and virtual surgery in the management of patients with localized renal carcinoma undergoing laparoscopic surgery. MATERIALS AND METHODS: A retrospective analysis was performed on 558 patients with renal cell carcinoma (RCC) who underwent surgical treatment at the Clinic of Urology, I.M. Sechenov First MSMU from January 2012 to May 2017. Of them, 244 (43.7%) and 314 (56.3%) patients underwent laparoscopic radical nephrectomy (LRN) and laparoscopic partial nephrectomy (LPN), respectively...
July 2018: Urologii︠a︡
https://www.readbyqxmd.com/read/30033070/european-association-of-urology-guidelines-on-renal-transplantation-update-2018
#18
Oscar Rodríguez Faba, Romain Boissier, Klemens Budde, Arnaldo Figueiredo, Claire Fraser Taylor, Vital Hevia, Enrique Lledó García, Heinz Regele, Rhana Hassan Zakri, Jonathon Olsburgh, Alberto Breda
CONTEXT: The European Association of Urology (EAU) panel on renal transplantation (RT) has released an updated version of the RT guidelines. OBJECTIVE: To present the 2018 EAU guidelines on RT. EVIDENCE ACQUISITION: A broad and comprehensive scoping exercise was performed, encompassing all areas of RT guidelines published between January 1, 2007, and May 31, 2016. Databases covered by the search included Medline, Embase, and the Cochrane Libraries...
July 19, 2018: European Urology Focus
https://www.readbyqxmd.com/read/30024301/laparoscopic-nephrectomy-for-the-management-of-xanthogranulomatous-pyelonephritis-still-a-challenging-procedure
#19
Rubén Campanario Pérez, Rocío Sáiz Marenco, Javier Amores Bermúdez, Jose Miguel Arroyo Maestre, Vanesa Quintero Gómez, Elena Ruiz Rosety, Milagros Fuentes Curtido, Margarita De Paz Suarez, Álvaro Juárez Soto
OBJECTIVE: To assess the feasibility of laparoscopic nephrectomy (LN) in the treatment of patients with xanthogranulomatous pyelonephritis (XGP). METHODS: Retrospective study of 17 patients (mean age 60.0±13.3 years) who underwent LN by a single surgeon from 2010-2018. Socio-demographic and clinical data including diagnosis, presenting clinical features, surgical management and postoperative course were analyzed. RESULTS: LN was successfully performed in 15 (88...
July 19, 2018: Journal of Endourology
https://www.readbyqxmd.com/read/30008883/intrarenal-urothelial-cancers-confused-as-infiltrative-renal-masses-report-of-22-cases-and-literature-review
#20
Xiaobo Ding, Xiaobo Ma, Yatao Jia, Hongfei Li, Yanbo Wang
Distinguishing infiltrative renal masses (IRMs) from intrarenal urothelial cancers (IUCs) is critically important, but may be challenging for any radiologist or urologist. The present study aimed to summarize the clinical, imaging and pathological characteristics of IRM, which were postoperatively confirmed as IUC. The analysis was performed using the records of 22 patients who were preoperatively diagnosed with IRM but the results of percutaneous biopsies or postoperative pathological analyses led to diagnoses of urothelial cancers (UCs) from January 2011 to December 2017...
August 2018: Oncology Letters
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