• Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. (ac.ir)
  • Conclusions: Each scoring system outperformed tumor size and location, and may be useful when describing the surgical complexity of renal tumors treated with partial nephrectomy. (uky.edu)
  • Comprehensive Genomic Profiling of NF2-Mutated Kidney Tumors Reveals Potential Targets for Therapy. (urotoday.com)
  • Introduction: Intrarenal tumors pose a unique challenge to surgeons due to the lack of visual cues on the kidney surface. (johnshopkins.edu)
  • Intraoperative ultrasonography has facilitated the management of these tumors during minimally invasive partial nephrectomy. (johnshopkins.edu)
  • We sought to evaluate the safety, feasibility, and comparative effectiveness of robot-Assisted partial nephrectomy (RPN) in the management of completely intrarenal tumors. (johnshopkins.edu)
  • Conclusions: RPN is feasible, safe, and effective in the treatment of select intrarenal kidney tumors with outcomes similar to those of partially exophytic tumors. (johnshopkins.edu)
  • Completely intrarenal kidney tumors should not be automatically relegated to radical nephrectomy or open surgery. (johnshopkins.edu)
  • Source: Washington University Website "Robotic surgery is more efficient and precise than either open or laparoscopic surgery for tumors confined to the kidney," says Bhayani, assistant professor of surgery and a leader in the field of robotic surgery. (theroboticsurgeon.com)
  • Patients with a solitary kidney or multifocal tumors were excluded. (elsevierpure.com)
  • Does nephrometry scoring of renal tumors predict outcomes in patients selected for robot-assisted partial nephrectomy? (wakehealth.edu)
  • Robotic and laparoscopic partial nephrectomy for T1b tumors. (wakehealth.edu)
  • Recent reports have shown the efficacy of robot-assisted partial nephrectomy (RAPN) compared with open and laparoscopic surgery for difficult cases such as hilar, endophytic or large tumors. (elsevierpure.com)
  • Although the indication of RAPN for renal tumors has expanded, there are some cases where we have to decide to perform radical nephrectomy for oncological safety. (elsevierpure.com)
  • The adoption of robotic assistance has contributed to the increased utilization of partial nephrectomy for the management of renal tumors. (biomedcentral.com)
  • The downstage migration of kidney cancer and the gained expertise in surgical techniquehave contrib-uted to a wider utilization of nephron sparing surgery and an expansion of its indications to include renal cortical tumors of larger size and in difficult anatomical locations. (prelekara.sk)
  • Evaluation of renal function under controlled hypotension in zero ischemia robotic assisted partial nephrectomy. (ac.ir)
  • Serileri birbirleri ile daha sağlıklı kıyaslamak ve öğrenme eğrisini daha objektif analiz edebilmek amacı ile Padua, centrality-index ,nefrometri ve Zero ischemia-index (ZII-Zhongshan index) gibi farklı skorlama-sınıflama sistemleri oluşturulmuştur. (urolojihekimleri.org)
  • For TE, warm ischemia and zero ischemia were used in 51% and 49% of cases, respectively. (elsevierpure.com)
  • Specialization in "zero-ischemia" partial nephrectomy. (healthtrip.com)
  • Cytoreductive partial and radical nephrectomies provide equivalent oncologic outcomes in T1-2M1 renal cell carcinoma. (urotoday.com)
  • A prospective comparison of laparoscopic and robotic radical nephrectomy for T1-2N0M0 renal cell carcinoma. (wakehealth.edu)
  • A single institution experience of 141 cases of laparoscopic radical nephrectomy with cost-reductive measures. (wakehealth.edu)
  • Oncologic outcome of 132 cases of laparoscopic radical nephrectomy with intact specimen removal for T1-2N0M0 renal cell carcinoma. (wakehealth.edu)
  • Does Sarcopenia Impact Complications and Overall Survival in Patients Undergoing Radical Nephrectomy for Stage III and IV Kidney Cancer? (wakehealth.edu)
  • Comparative Analysis of Renal Functional Outcomes and Overall Survival of Elderly vs Nonelderly Patients Undergoing Radical Nephrectomy. (wakehealth.edu)
  • However, partial nephrectomy can be technically challenging because of intraoperative hemorrhage, which limits the ability to identify the tumor margin and may necessitate the conversion to open surgery or radical nephrectomy. (biomedcentral.com)
  • During this stressful situation, it is imperative for the surgeon to have an organized approach to management of hemorrhage, as delayed management could lead to prolonged ischemic times, iatrogenic positive surgical margins from inadequate visualization, conversion to open surgery, or radical nephrectomy. (biomedcentral.com)
  • He underwent right radical nephrectomy and tumor thrombectomy performed under extracorporeal circulation. (biomedcentral.com)
  • Partial or radical nephrectomy may be used, depending on tumor and patient characteristics. (medscape.com)
  • Long-term data have shown that partial nephrectomy provide comparable oncological outcomes as radical nephrectomy. (prelekara.sk)
  • citation needed] Kidney ischemia can be diagnosed by checking the levels of several biomarkers such as clusterin and cystatin C. While the duration of ischemia was used as a biomarker, it was found that it has significant flaws in predicting renal function outcomes. (wikipedia.org)
  • ObjectiveTo compare the perioperative outcomes of robotic partial nephrectomy (RPN) with laparoscopic PN (LPN) performed for small renal masses (SRMs), in a large multi-institutional series and to define a new composite outcome measure, termed 'optimal outcome' for the RPN group. (wustl.edu)
  • To summarize the available evidence on renorrhaphy techniques and to assess their impact on peri‐operative outcomes after minimally invasive partial nephrectomy (MIPN). (bjuinternational.com)
  • Studies providing sufficient details on renorrhaphy techniques during laparoscopic or robot‐assisted partial nephrectomy and comparative studies focused on peri‐operative outcomes were included in qualitative and quantitative analyses, respectively. (bjuinternational.com)
  • UroToday - Positive Surgical Parenchymal Margin After Laparoscopic Partial Nephrectomy for Renal Cella: Oncological Outcomes Carcinom Thursday, 15 March 2007 BERKELEY, CA (UroToday.com) - Positive margins following supposedly curative surgery can be devastating for patient and surgeon alike. (theroboticsurgeon.com)
  • Comparison of clamping technique in robotic partial nephrectomy: does unclamped partial nephrectomy improve perioperative outcomes and renal function? (wakehealth.edu)
  • Does experience in creating a robot-assisted partial nephrectomy (RAPN) programme in an academic centre impact outcomes or complication rate? (wakehealth.edu)
  • Do statin medications impact renal functional or oncologic outcomes for robot-assisted partial nephrectomy? (wakehealth.edu)
  • Emerging technologies to improve techniques and outcomes of robotic partial nephrectomy: striving toward the pentafecta. (wakehealth.edu)
  • Main Renal Artery Clamping With or Without Renal Vein Clamping During Robotic Partial Nephrectomy for Clinical T1 Renal Masses: Perioperative and Long-term Functional Outcomes. (wakehealth.edu)
  • Robot-assisted partial nephrectomy: continued refinement of outcomes beyond the initial learning curve. (wakehealth.edu)
  • Selective arterial clamping does not improve outcomes in robot-assisted partial nephrectomy: a propensity-score analysis of patients without impaired renal function. (wakehealth.edu)
  • Comparison of perioperative and functional outcomes of robotic partial nephrectomy for cT1a vs cT1b renal masses. (wakehealth.edu)
  • Reevaluating Warm Ischemia Time as a Predictor of Renal Function Outcomes After Robotic Partial Nephrectomy. (wakehealth.edu)
  • Context: The resection technique used to excise tumor during robotic partial nephrectomy (RPN) is of paramount importance in achieving optimal clinical outcomes. (univr.it)
  • Robotic-assisted surgery for partial nephrectomy and cystectomy have a few documented short-term benefits over open or laparoscopic approaches, but the cost effectiveness is unknown, and long-term functional and oncologic outcomes are inadequately studied. (va.gov)
  • Most other differences in outcomes probably may be small or non-existent (i.e., complications, lymph node sampling [for cystectomy], warm ischemia time [for partial nephrectomy], etc. (va.gov)
  • The first is randomized data for patients undergoing partial nephrectomy, in terms of short-term outcomes. (va.gov)
  • The second is high-quality evidence with adequate long-term follow-up to assess cancer outcomes between the operative approaches for either partial nephrectomy or cystectomy. (va.gov)
  • For SPN, warm ischemia and cold ischemia were used in 72% and 28% of patients, respectively. (elsevierpure.com)
  • Intracorporeal cold ischemia was achieved with intra-arterial irrigation of Wisconsin fluid and ice slush hypothermia performed with the use of a laparoscopic specimen bag without extracting the organ from the body. (auanet.org)
  • Cold ischemia was 148 minutes. (auanet.org)
  • However, in Jeju, deceased donor kidney transplantation (DDKT) has been restricted due to the prolonged cold ischemia time (CIT) caused by the island's geographic disadvantages and transportation limitations. (ekjt.org)
  • The geography and resulting transportation limitations of Jeju place it at risk for prolonged cold ischemia time (CIT) in deceased donor kidney transplantations, especially in marginal donor grafts. (ekjt.org)
  • Therefore, the significance of LDKT for overcoming prolonged cold ischemia time (CIT) is greater than in other South Korean provinces. (ekjt.org)
  • Integrated overview of evidence‐based technical principles for renal reconstruction during minimally invasive partial nephrectomy and suggested standardized reporting of key renorrhaphy features in clinical studies on this topic. (bjuinternational.com)
  • Robotic versus laparoscopic partial nephrectomy: a systematic review and meta-analysis. (ac.ir)
  • More complications happen when failure of the kidney functions result in toxicity in various parts of the body which may cause septic shock, hypovolemia, and a need for surgery. (wikipedia.org)
  • The Trifecta was defined as negative surgical margin, zero perioperative complications and a warm ischaemia time of ≤25 min. (wustl.edu)
  • Predictors of Medical and Surgical Complications After Robot-Assisted Partial Nephrectomy: An Analysis of 1139 Patients in a Multi-Institutional Kidney Cancer Database. (wakehealth.edu)
  • Predicting Complications Following Robot-Assisted Partial Nephrectomy with the ACS NSQIP® Universal Surgical Risk Calculator. (wakehealth.edu)
  • Furthermore, some reports have suggested that one of the factors for trifecta achievement, which was defined as negative surgical margins, freedom from perioperative complications, and an short ischemia time, is the experience of the surgeon who will carry out the procedure. (elsevierpure.com)
  • We found that a technique called 'enucleation'was associated with similar cancer control out-comes in comparison to the standard technique and had fewer complications, bet-ter kidney function after surgery, and a shorter hospital stay. (univr.it)
  • There is a signal that length-of-stay may be shorter and major complications may be fewer for robot-assisted cases of partial nephrectomy, but again the certainty of evidence is low . (va.gov)
  • To help clinicians, patients, and policymakers decide between robotic and other surgical approaches in patients undergoing partial nephrectomy and cystectomy, VA's Evidence Synthesis Program (ESP) in West Los Angeles, CA reviewed the literature in PubMed from 1/1/2010 through 6/29/2019 and Cochrane (all databases) from 1/1/2010 through 6/29/2019. (va.gov)
  • Specific tumour features (i.e. size, hilar location, anatomical complexity, nearness to renal sinus and/or urinary collecting system), surgeon's experience, robot‐assisted technology, as well as the aim of reducing warm ischaemia time and the amount of devascularized renal parenchyma preserved represented the key factors driving the evolution of the renorrhaphy techniques during MIPN over the past decade. (bjuinternational.com)
  • Robot-assisted partial nephrectomy: current status, techniques, and future directions. (wakehealth.edu)
  • Robot-assisted surgery probably results in less blood loss than open or laparoscopic approaches, for both partial nephrectomy and cystectomy procedures. (va.gov)
  • The data comparing robot-assisted partial nephrectomy and cystectomy to other approaches have underlying methodologic limitations and long-term studies are sparse. (va.gov)
  • Since a decrease in renal function can lead to an increase in the risk of cardiovascular events and patient death due to the development of chronic kidney disease, we need to select a suitable treatment that includes active surveillance, ablation therapy and partial nephrectomy for nephron sparing. (elsevierpure.com)
  • Partial nephrectomy however, is associated with better renal function preservation and lower risk of chronic kidney -disease. (prelekara.sk)
  • Median estimated blood loss, ischemia time and total operative time were 200 ml (IQR 100 to 300), 24 minutes (IQR 20 to 30) and 211 minutes (IQR 179 to 249), respectively. (uky.edu)
  • Source: UroToday The mean total operative time (140 vs 156 minutes, P = .04), warm ischemia time (19 vs 25 minutes, P = .03), and length of stay (2.5 vs 2.9 days, P = .03) were significantly shorter for RPN than for LPN, respectively. (theroboticsurgeon.com)
  • A pooled analysis did not reveal significant differences in terms of operative time, ischemia time, blood loss, transfusions, or positive margins. (univr.it)
  • The records of the patients who underwent our modified laparoscopic partial nephrectomy technique were evaluated retrospectively. (ac.ir)
  • However, it remains unclear which of these systems, if any, is most useful, or whether any performs better than simply reporting tumor size or location in patients undergoing partial nephrectomy. (uky.edu)
  • Materials and Methods: Patients undergoing partial nephrectomy with available preoperative imaging were identified from 2005 to 2011. (uky.edu)
  • Patients' Perceptions Regarding the Relevance of Items Contained in the Functional Assessment of Cancer Therapy Kidney Symptom Index-19. (urotoday.com)
  • Ischemia is not an independent predictive factor of chronic renal failure after partial nephrectomy in a solitary kidney in patients without pre-operative renal insufficiency. (univ-rennes.fr)
  • Source: NPR A researcher has found a potential therapy for patients with kidney cancer, which historically hasn't responded well to other therapies, such as radiation and chemotherapy. (theroboticsurgeon.com)
  • Indocyanine green cannot predict malignancy in partial nephrectomy: histopathologic correlation with fluorescence pattern in 100 patients. (wakehealth.edu)
  • A nonrandomized prospective comparison of robotic-assisted partial nephrectomy in the elderly to a younger cohort: an analysis of 339 patients with intermediate-term follow-up. (wakehealth.edu)
  • A Propensity Score-Matched Comparison of Clamp Technique in Patients with Two Kidneys. (wakehealth.edu)
  • Conservative or invasive management for high-risk kidney disease patients with ischaemia? (medicom-publishers.com)
  • However, kidney transplantation for patients with end-stage renal disease (ESRD) has seldom been performed on Jeju Island. (ekjt.org)
  • In patients' follow-up, prolonged prothrombin time (PT), activated partial thromboplastin time (PTT) and thrombocytopenia were developed. (peertechzpublications.com)
  • This could lead to an acute kidney injury. (wikipedia.org)
  • Renal ischemia-reperfusion injury (IRI) is a major cause of acute kidney injury (AKI). (mdpi.com)
  • Striated nephrogram which is an appearance of gas in the renal area in emphysematous described for acute pyelonephritis shows discrete pyelonephritis or abscess and the typical mass like rays of alternating hypo attenuation and hyper calcification in end stage renal tuberculosis (Putty attenuation radiating from the papilla to the cortex kidney). (egyptianjournal.xyz)
  • A 58-year-old man with mRCC developed acute coronary syndrome (ischemia/infarction) associated with critical sub-occlusion of the common trunk of the left coronary artery and some of its branches, which was documented on coronary angiography. (biomedcentral.com)
  • Acute limb ischemia (ALI) and critical limb ischemia (CLI) following ALI are life-threatening diseases. (springeropen.com)
  • UroToday - Incidence of Benign Pathologic Findings at Partial Nephrectomy for Solitary Renal Mass Presumed to be Renal Cell Carcinoma on Preoperative Imaging The authors conclude that there is no reliable indicator of benign pathology preoperatively in solitary renal masses, as all of these were considered to be renal cell carcinoma on preoperative imaging. (theroboticsurgeon.com)
  • Reducing the risk of hemorrhage during robotic partial nephrectomy begins with reviewing the preoperative imaging for renal vasculature and tumor anatomy, with a focus on accessory vessels and renal tumor proximity to the renal hilum. (biomedcentral.com)
  • Running-clip renorrhaphy reducing warm ischemic time during laparoscopic partial nephrectomy. (ac.ir)
  • 0.001) correlation with ischemia time, with the centrality index system showing the strongest correlation. (uky.edu)
  • Furthermore, each of the scoring systems showed a stronger correlation with ischemia time than tumor size or tumor location. (uky.edu)
  • Quantitative synthesis showed that running suture was associated with shorter operating and ischaemia time, and lower postoperative complication and transfusion rates than interrupted suture. (bjuinternational.com)
  • Barbed suture had lower operating and ischaemia time and less blood loss than non‐barbed suture. (bjuinternational.com)
  • The single‐layer suture technique was associated with shorter operating and ischaemia time than the double‐layer technique. (bjuinternational.com)
  • Risks and benefits of partial nephrectomy with limited or without ischemia time. (urotoday.com)
  • Warm ischemia time prior to renal cooling was 6 minutes. (auanet.org)
  • Since that time, the authors have performed a total of over 1500 robotic partial nephrectomies. (biomedcentral.com)
  • This is the most common type of kidney cancer. (adjb.net)
  • w]ith a less aggressive cancer (grade 1 or 2 kidney cancer) about 94 out of every 100 people (94%) diagnosed live for at least 5 years after diagnosis. (adjb.net)
  • And so, unexpectedly swiftly, I find I am to present myself at Addenbrooke's at 07:00 this Saturday to be admitted for an open partial nephtectomy (following the recent diagnosis of suspected kidney cancer). (adjb.net)
  • Patient summary: Tumor enucleation for kidney cancer involves dissection along the tumor capsule and optimally preserves normal kidney tissue, which may lead to better functional recovery. (elsevierpure.com)
  • Specializations: Expertise in kidney transplantation, robotic and laparoscopic urological surgeries, endourology, stone disease management, and urological cancer surgeries. (healthtrip.com)
  • Wilms Tumor Wilms tumor is an embryonal cancer of the kidney composed of blastemal, stromal, and epithelial elements. (msdmanuals.com)
  • Key statistics about kidney cancer. (msdmanuals.com)
  • This accounts for 60-97% of renal arterial lesions, which could lead to the occlusion of the renal artery and ischemic atrophy of the kidneys. (wikipedia.org)
  • This study aimed to document the surgical and oncologic results of nephron sparing of non-ischemic laparoscopic partial nephrectomy without the step of hilus controlling and even without dissecting to expose the main renal vascularity and directly focusing on mass removal. (ac.ir)
  • Present un-controlled results pointed that tumor-focusing nephron-sparing non-ischemic partial lap-aroscopic nephrectomy may be preferable for small-sized, low-complex renal masses. (ac.ir)
  • Severe ischemic nephropathy was detected in the nephrectomy material. (peertechzpublications.com)
  • Renal surgery and coronary artery bypass grafting can produce renal ischemia and reperfusion injury. (wikipedia.org)
  • In studies of mice models, a high-fat diet can induce greater injury to the kidney with renal ischemia-reperfusion as compared to mice with normal diet. (wikipedia.org)
  • In the present work, a hypoxia/reoxygenation (H/R) model in NRK-52E cells and ischemia-reperfusion model in rats were used. (mdpi.com)
  • Possible causes of kidney ischemia include the activation of IL-17C and hypoxia due to surgery or transplant. (wikipedia.org)
  • Laparoscopic surgery of the kidney. (ac.ir)
  • This was the first live televised kidney surgery. (theroboticsurgeon.com)
  • Proficient in Nephron Sparing Surgery, including Robotic and Laparoscopic Partial Nephrectomy. (healthtrip.com)
  • Patient summary: We reviewed studies on robotic surgery for partial kidney removal using different techniques to cut away the kidney tumor. (univr.it)
  • As partial nephrectomy is increasingly performed with a minimally invasive approach, control of intraoperative hemorrhage can be more challenging than simple manual compression of the renal parenchyma with suturing, as can be done in open surgery. (biomedcentral.com)
  • These were cases with 46, XX congenital adrenal hyperplasia, partial androgen insensitivity, mixed or partial gonadal dysgenesis, and micropenis where data about the assigned gender, childhood genital-normalizing surgery, and adult gender could be extracted. (e-urol-sci.com)
  • Hematoma was removed with surgery but developed again and left nephrectomy was required. (peertechzpublications.com)
  • Near-infrared fluorescence imaging to facilitate super-selective arterial clamping during zero-ischaemia robotic partial nephrectomy. (wakehealth.edu)
  • While the robotic approach has become the standard approach to prostatectomy, there are other urologic procedures (i.e., partial nephrectomy and cystectomy) in which the robotic approach is being introduced. (va.gov)
  • From these, 42 publications met inclusion criteria including: 4 cost-effectiveness analyses, 4 cost-only studies, 7 nephrectomy observational studies, and 16 articles describing 5 cystectomy randomized controlled trials (RCTs), and 11 cystectomy observational studies. (va.gov)
  • This review of an article by one of the founders of laparoscopic urology shows that with one of the common laparoscopic method to remove a kidney, ureter, and bladder cuff for transitional cell caner of the upper urinary tract lining there seems to be a higer recurrence rate and positive margins. (theroboticsurgeon.com)
  • A treatment safety checklist for the management of hemorrhage during robotic partial nephrectomy was collaboratively developed based on prior experiences with intraoperative hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
  • Safely performing robotic partial nephrectomy is dependent on attention to prevention of hemorrhage and rapid response to the challenge of intraoperative bleeding. (biomedcentral.com)
  • Background: Tumor enucleation (TE) optimizes parenchymal preservation and could yield better function than standard partial nephrectomy (SPN), although data on this are conflicting. (elsevierpure.com)
  • The Association Between Cytoreductive Nephrectomy and Overall Survival in Metastatic Renal Cell Carcinoma with Primary Tumor Size ≤4 cm. (urotoday.com)
  • The patient underwent open repair with partial sternotomy and distal balloon control. (bcl2signaling.com)
  • Pseudoaneurysms following partial nephrectomies for Wilms' Tumor and renal cell carcinoma. (llu.edu)
  • Moreover, renal ischemia can cause the delay of graft function after renal transplant and can cause rejection of the transplant. (wikipedia.org)
  • Five weeks ago I left hospital after undergoing an open partial nephrectomy to remove a suspicious 3cm tumour from my right kidney. (adjb.net)
  • The tumour is categorized as Stage 1 (on a scale of 1 - 4) - that is, small and completely contained within the kidney. (adjb.net)
  • Prof. E. Linares Espiños (ES) stated that the tumuor bed recurrence is described in 1,5-2% after PNx (partial nephrectomy), showing no association with operative technique or ischemia type. (uroweb.org)
  • We constructed a method for performing renal autotrasplant via a robotic approach without the necessity of kidney extraction. (auanet.org)
  • The patient in our report is a 31 year-old man with a history of a malrotated left kidney, recurrent renal stones and resultant hematuria-loin-pain syndrome. (auanet.org)