• was not impacted by the advent of hand-assisted laparoscopic radical nephrectomy. (topgradeapp.com)
  • offers equivalent cancer-specific and overall survival when compared with radical nephrectomy. (topgradeapp.com)
  • higher local recurrence rates with ablative technologies when compared with partial or radical nephrectomy. (topgradeapp.com)
  • Wilms tumor, treatment for which includes surgery (radical or partial nephrectomy), is the fifth most common pediatric malignancy and the most common type of renal tumor in children. (medscape.com)
  • According to the NWTSG protocol, the first step in the treatment of Wilms tumor is surgical staging followed by radical nephrectomy, if possible. (medscape.com)
  • Although end-stage kidney disease after unilateral radical nephrectomy is uncommon (0.25% in the NWTSG trial), preserving healthy kidney tissue may prevent this complication, especially in patients with an underlying intrinsic kidney disease (eg, WAGR [Wilms tumor, aniridia, genitourinary anomalies, and mental retardation] syndrome, Denys-Drash syndrome). (medscape.com)
  • These range from conventional radical approaches such as radical nephrectomy, partial nephrectomy, to more conservative approaches such as active surveillance, and some novel emerging management strategies such as various thermal ablation techniques. (e-urol-sci.com)
  • Some authors have advocated a role for partial nephrectomy if the disease is limited and therefore amenable to this operation. (medscape.com)
  • Gross nephrectomy specimen shows a Wilms tumor pushing the normal renal parenchyma to the side. (medscape.com)
  • Nephron-sparing surgery will continue to be explored, provided that viable renal parenchyma is demonstrated. (medscape.com)
  • 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)
  • The benefits of ureteral ligation over surgical nephrectomy include a less invasive procedure with smaller incisions and less risk for bleeding. (kireportscommunity.org)
  • This team concept simplifies the procedure as each member understands the nuances of laparoscopic procedure, has knowledge of the equipment used, and is able to anticipate the needs of the other team members. (sls.org)
  • However, Bercowsky et al reported that the technical difficulty and associated complications of the procedure negated any benefits over open nephrectomy. (medscape.com)
  • 1475 were excluded as the laparoscopic procedure performed was not determined. (bvsalud.org)
  • However, there are times when unilateral nephrectomy is undertaken initially to reduce proteinuria while simultaneously preserving residual kidney function. (kireportscommunity.org)
  • Specifically in children , a unilateral ligation approach was compared to unilateral surgical nephrectomy before KT (indications for which included polyuria, massive resistant proteinuria, intractable HTN, and recurrent kidney infection). (kireportscommunity.org)
  • A dry-lab suture task was used to acquire relevant hand performance data. (bvsalud.org)
  • Antibiotics may be appropriate as a temporizing measure in patients who require a medical workup before nephrectomy. (medscape.com)
  • 9 Options for treating localized renal cell carcinoma include nephrectomy (open or laparoscopic, total or partial), laparoscopic and percutaneous ablation (for example, radiofrequency ablation, cryotherapy), and minimally invasive catheter techniques such as superselective chemoembolization. (diagnosticimaging.com)
  • Currently, nephrectomies are not performed with Multicystic Dysplastic Kidneys (MCDK). (kireportscommunity.org)
  • Surgical nephrectomies can be open, laparoscopic, or robot-assisted. (kireportscommunity.org)
  • 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)
  • PURPOSE: To evaluate three partial nephrectomies (PN) procedures: open (OPN), standard laparoscopy (LPN), and robot-assisted laparoscopy (RAPN), for the risk of initial complications and rehospitalization for two years after the surgery. (bvsalud.org)
  • Mini-invasive procedures, especially robot-assisted surgery, had fewer complications and shorter hospital lengths of stay. (bvsalud.org)
  • Surgeons should recognize that laparoscopic surgery, like all surgery, carries a risk of morbidity and mortality. (sls.org)
  • Shah and colleagues, in a retrospective analysis of 37 patients with XGP treated with either with either open (n=20) or laparoscopic nephrectomy (n=17), found that laparoscopic surgery was associated with lower mean blood loss, a shorter mean hospital stay, and a lower complication rate. (medscape.com)
  • Conversion to open surgery was necessary in one laparoscopic nephrectomy patient. (medscape.com)
  • The problems of the learning curve have passed for laparoscopic cholecystectomy, but the rigors of mastering the techniques and technologies necessary for so-called "advanced" procedures remain for the majority of surgeons. (sls.org)
  • Individual surgeons must appraise their skills and limits honestly and should be willing to police colleagues in an even-handed fashion. (sls.org)
  • Data on surgical robots are not openly accessible, limiting further study of the operation trajectory of surgeons' hands. (bvsalud.org)
  • Videos of operations were obtained using the camera array mounted on the robot, and the hand trajectory of the surgeons was reconstructed. (bvsalud.org)
  • Now that laparoscopic nephrectomy is the criterion standard in many regions, this approach can be entertained depending on the individual surgeon's skill level. (medscape.com)
  • When use of the laparoscopic approach is being entertained, the patient and his or her family should be informed that a conversion rate of nearly 50% can be expected. (medscape.com)
  • 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)
  • however, it has been described via hand-assisted laparoscopic and open methods with ligation at the ureteropelvic junction . (kireportscommunity.org)
  • These data underscore the fact that laparoscopic procedures can be performed with a low rate of mortality. (sls.org)
  • [ 14 ] The increased use of hand-assisted laparoscopic nephrectomy may allow a reasonable compromise between technical feasibility and acceptable patient morbidity. (medscape.com)
  • Xanthogranulomatous pyelonephritis (XGP) is a surgically managed disease that is treated with either nephrectomy or, in rare circumstances, partial nephrectomy. (medscape.com)
  • Congenital Finnish-type nephrotic syndrome is characterized by massive proteinuria, and treatment often involves daily albumin infusions, intensified nutrition, and initial therapy with NSAID and renin-Angiotension-Aldosterone system inhibition (RAASi), thereby reducing proteinuria (aka medical nephrectomy, discussed later). (kireportscommunity.org)
  • 1-3 Much development has occurred, and more options are available to the laparoscopic surgeon today relative to the timeframe of the first edition of this textbook. (sls.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)
  • Guidelines have not been established regarding the duration of antibiotic therapy after nephrectomy, but the author usually continues an active oral agent for 1 week. (medscape.com)