Oncological outcomes of patients underwent laparoscopic radical nephrectomy radical nephrectomy for large renal. Medical search. Frequent questions

2007) Patterns of recurrence and surveillance strategies for renal cell carcinoma following surgical resection. (medscape.org)
1999) Nephron sparing surgery for localized renal cell carcinoma: impact of tumor size on patient survival, tumor recurrence and TNM staging. (medscape.org)
2004) Nephron sparing surgery for appropriately selected renal cell carcinoma between 4 and 7 cm results in outcome similar to radical nephrectomy. (medscape.org)
1994) Expanding indications for conservative renal surgery in renal cell carcinoma. (medscape.org)
1969) The results of radical nephrectomy for renal cell carcinoma. (medscape.org)
2004) Changing concepts in the surgical management of renal cell carcinoma. (medscape.org)
2000) Long-term results of nephron sparing surgery for localized renal cell carcinoma: 10-year followup. (medscape.org)
2004) Application of TNM, 2002 version, in localized renal cell carcinoma: is it able to predict different cancer-specific survival probability? (medscape.org)
2005) Elective nephron sparing surgery should become standard treatment for small unilateral renal cell carcinoma: long-term survival data of 216 patients. (medscape.org)
2005) Assessment of surgical margins in renal cell carcinoma after nephron sparing: a comparative study: laparoscopy vs open surgery. (medscape.org)
1989) Conservative surgery for renal cell carcinoma: a single-center experience with 100 patients. (medscape.org)
Licht MR and Novick AC (1993) Nephron sparing surgery for renal cell carcinoma. (medscape.org)
1997) Patterns of tumor recurrence and guidelines for followup after nephron sparing surgery for sporadic renal cell carcinoma. (medscape.org)
Vermooten V (1950) Indications for conservative surgery in certain renal tumors: a study based on the growth pattern of the cell carcinoma. (medscape.org)
Small renal masses (SRM) are defined as contrast-enhancing solid masses detected on diagnostic imaging, with a size of less than or equal to 4cm, corresponding to renal cell carcinoma stage T1a. (e-urol-sci.com)
These tumors corresponds to renal cell carcinoma (RCC) stage T1a. (e-urol-sci.com)
The most common type of kidney cancer is called Renal Cell Carcinoma or RCC. (comprehensive-urology.com)
The therapeutic approach to renal cell carcinoma (RCC) is guided by the probability of cure, which is related directly to the stage or degree of tumor dissemination. (medscape.com)
Surgical resection remains the only known effective treatment for localized renal cell carcinoma, and it also is used for palliation in metastatic disease. (medscape.com)
Renal cell carcinoma is an immunogenic tumor, and spontaneous regressions have been documented. (medscape.com)
The study also revealed increased risk of death due to renal cell carcinoma in patients who did not undergo surgical resection of metastasis. (medscape.com)
[ 18 ] A study by Alt et al found that complete resection of multiple renal cell carcinoma metastases may be associated with long-term survival. (medscape.com)
The treatment of metastatic renal cell carcinoma is problematic, and, whenever possible, patients should be directed to approved and controlled clinical trials. (medscape.com)
This applies as well in the adjuvant treatment of surgically resected renal cell carcinoma, for which no therapy has yet been found to offer survival benefit. (medscape.com)
Go to Renal Cell Carcinoma Treatment Protocols , Clear Cell Renal Cell Carcinoma , and Sarcomatoid and Rhabdoid Renal Cell Carcinoma for complete information on these topics. (medscape.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)

Herr HW (1999) Partial nephrectomy for unilateral renal carcinoma and a normal contralateral kidney: 10-year followup. (medscape.org)
Surgical resection is recommended in selected patients with metastatic renal carcinoma. (medscape.com)
Comparative Genomic Landscape of Urothelial Carcinoma of the Bladder Among Patients of East and South Asian Genomic Ancestry. (moffitt.org)

2004) Safety and efficacy of partial nephrectomy for all T1 tumors based on an international multicenter experience. (medscape.org)
2003) Comparative analysis of laparoscopic versus open partial nephrectomy for renal tumors in 200 patients. (medscape.org)
2004) Laparoscopic partial nephrectomy: evaluation of long-term oncological outcome. (medscape.org)
Lane BR and Gill IS (2007) 5-Year outcomes of laparoscopic partial nephrectomy. (medscape.org)
2007) Comparison of 1,800 laparoscopic and open partial nephrectomies for single renal tumors. (medscape.org)
2002) Does the size of the surgical margin in partial nephrectomy for renal cell cancer really matter? (medscape.org)
2005) Exploring the learning curve, pathological outcomes and perioperative morbidity of laparoscopic partial nephrectomy performed for renal mass. (medscape.org)
1995) Partial nephrectomy: technique, complications and pathological findings. (medscape.org)
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)
In fact, if the tumor is removed in its entirety along with a small margin of kidney tissue while preserving the rest of the kidney that does not have cancer in it (partial nephrectomy), one can achieve the same excellent cure rates. (comprehensive-urology.com)
Performing a partial nephrectomy is technically more challenging and is best performed by experienced urologists who have expertise in cancer operations (urologic oncological surgeons). (comprehensive-urology.com)
Our urologists will determine the size and location of the kidney tumor as well as the patient's overall clinical status, and then will assess the candidacy of each patient to undergo a total or partial nephrectomy. (comprehensive-urology.com)
In each case, all efforts are made to perform a partial nephrectomy if suitable for the specific tumor and patient (remember, not all patients or tumors are suitable for a partial nephrectomy procedure). (comprehensive-urology.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)
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)
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)
Partial or radical nephrectomy may be used, depending on tumor and patient characteristics. (medscape.com)
A standard of care for the treatment of small renal masses is partial nephrectomy. (biomedcentral.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)

At Comprehensive Urology, we offer various treatments to help our patients including robotic surgeries and alternative therapies. (comprehensive-urology.com)
The urologists at Comprehensive Urology are experts in the cancers of the urinary tract (Urologic Oncologic Surgeons) and can best determine the best course of therapy for each individual patient. (comprehensive-urology.com)
In 1961, Schlegel et al first reported the usefulness of sonography in urology, for the detection of renal calculi . (medscape.com)
His expertise is in Robotic Constructive Urology, Renal transplantation, Transurethral Incision of Prostate, Congenital defects, and Genito-urinary fistulas. (medigence.com)
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)
Following medical school, Dr. Sonn completed a 6-year urology residency at Stanford where he developed particular interests in the clinical care of patients with urologic cancers and research in cancer imaging. (stanford.edu)

RN group had larger, more advanced and aggressive tumors at clinical staging and final pathology. (auanet.org)
[3] These tumors also exhibit excellent prognostic outcome following surgery, with 98%-100% 3-year metastases-free survival rate. (e-urol-sci.com)
Although renal tumors are primarily detected on various imaging modalities such as computed tomography (CT), magnetic resonance imaging (MRI), or ultrasound, they do not offer a definitive diagnosis. (e-urol-sci.com)
Fortunately, due to the increased use of imaging techniques (ultrasounds, CT scans, and MRIs) in medical care, a significant number of these tumors are being diagnosed by chance before they have grown to larger sizes, and before they have had a chance to spread to other places. (comprehensive-urology.com)
Source: Journal of Robotic Surgery, Volume 2, Number 3 / September, 2008 Conclusions We report a large, multi-institutional series of RPN for renal tumors, confirming safety and feasibility reported in previous small, single-institution studies. (theroboticsurgeon.com)
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)
There is controversy however about its role for large tumors. (amegroups.org)
In this review, we present the latest evidence on the feasibility of LA for large tumors and analyze the perioperative outcomes. (amegroups.org)
Using PubMed database, we searched for relevant articles on LA for large tumors published between January 2010 and December 2021. (amegroups.org)
LA can be considered for large (≥5 cm) and potentially malignant tumors if the operators have the required technical skills and strict oncological principles are followed. (amegroups.org)

PN provides better preservation of renal function without increasing perioperative morbidity. (auanet.org)
2007) Morbidity and clinical outcome of nephron-sparing surgery in relation to tumour size and indication. (medscape.org)
Development of any postoperative acute kidney injury within 7 days of surgery and morbidity were secondary outcomes. (bvsalud.org)
The treatment decision depends on patient factors such as age and co-morbidity, and tumour factor on radiological imaging, such as tumour size, location, growth rate and biopsy result. (e-urol-sci.com)

In patients requiring segmental venous resection with interposition grafting, the left renal vein (LRV) is an accessible autologous solution. (bvsalud.org)
STUDY DESIGN: We conducted a retrospective analysis of patients undergoing pancreatic resection with PV-SMV reconstruction using LRV between 2002 and 2022. (bvsalud.org)
Surgical resection of a solitary metastasis is recommended in selected patients with good performance status. (medscape.com)

Given that our urologists are highly skilled minimally invasive surgeons (i.e. laparoscopic and robotic surgery) such procedures can often be performed with small incisions while utilizing the most advanced surgical tools and techniques to provide the best outcomes for our patients with the least amount of discomfort and risk. (comprehensive-urology.com)

Small renal masses (SRM) are defined as contrast-enhancing solid masses detected on abdominopelvic imaging, with a size of ≤4 cm. (e-urol-sci.com)
Candidates for active surveillance include selected patients older than 70 years who have asymptomatic renal masses and slow growth documented on serial imaging. (medscape.com)
However laparoscopic surgical management of large adrenal masses is not routinely undertaken due to concerns of oncological compromise in malignancy, technical complexity of the procedure and the greater potential for intraoperative or postoperative complications. (amegroups.org)

An increasing number of localized kidney cancers is being diagnosed in elderly people, raising the issue of which is the optimal surgical management in this subset of patients. (auanet.org)
Nine of 61 (15%) patients experienced grade II or III acute kidney injury, 6 of 9 returning to normal renal function before discharge. (bvsalud.org)
Only 3 of 61 (5%) patients had persistent acute kidney injury caused by complications unrelated to LRV harvesting. (bvsalud.org)
In fact, over 25,000 patients will be diagnosed in the U.S. with kidney cancer this year alone and the incidences seem to be on the rise. (comprehensive-urology.com)
In fact, the majority of patients with early stage kidney cancers are CURED with surgery alone. (comprehensive-urology.com)
When a patient is diagnosed with a kidney cancer, your physician will determine if the tumor is an early stage or an advanced stage cancer by performing tests including blood work, and imaging evaluations including CT scans or MRI's. (comprehensive-urology.com)
Traditionally, the entire kidney was removed surgically (total or radical nephrectomy) in order to remove the cancer. (comprehensive-urology.com)
The advantage of preserving the rest of the kidney is that our patients will have better kidney function long term and will have a much lower chance of developing kidney failure. (comprehensive-urology.com)
The specialist treats a number of conditions some of whom are End-Stage Renal Disease, Kidney Stones, Chronic Kidney Disease, and Polycystic Kidneys, etc. (medigence.com)
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)
Geoffrey Sonn, MD is a board certified urologist who specializes in treating patients with prostate and kidney cancer. (stanford.edu)

The open and laparoscopic approaches have been well described in the literature. (biomedcentral.com)

This review should include oncologic issues, renal functional issues, and potential complications. (medscape.com)

INTERVENTIONS: A laparoscopic radical left nephroureterectomy in the oblique supine lithotomy position was performed. (bvsalud.org)
For the surgical treatment of malignant renal PEComa with vascular invasion, laparoscopic radical nephroureterectomy in the oblique supine lithotomy integrative position has many benefits, as exemplified by our current case. (bvsalud.org)

The aim of this study is to compare surgical, functional and oncological outcomes of par-tial (PN) versus radical nephrectomy (RN) in a multi-institutional cohort of elderly patients from 23 European, US and Asian Institutions (REnal SUrgery in the Elderly - RESURGE - project). (auanet.org)
At 6 months after surgery PN showed higher residual renal function (eGFR 51.6 vs 39.7 ml/min, p=0.001). (auanet.org)
2005) Laparoscopic nephron sparing surgery: evolution in a decade. (medscape.org)
For many patients with aorto-occlusive disease, where stent deployment is not possible, surgery remains the only treatment option available. (biomedcentral.com)
The outcomes analyzed included operative time, blood loss, surgical complications, average length of hospital stay, conversion to open surgery & tumor recurrence. (amegroups.org)

A retrospective analysis of the RESURGE dataset was performed, focusing on patients ≥80 years. (auanet.org)
A large retrospective analysis from a single institution revealed improved cancer-specific survival advantage, even with metastasectomy of more than one lesion. (medscape.com)

2000) Laparoscopic versus open radical nephrectomy: a 9-year experience. (medscape.org)

Since finishing his fellowship, Dr. Sonn has been at Stanford where he applies the skills he gained in residency and fellowship to provide high-quality clinical care to patients with urologic cancers. (stanford.edu)

The Prognostic and Predictive Value of Dihydropyrimidine Dehydrogenase-Related Indicators in Clinical Outcomes of Chemotherapy in Colorectal Cancer Patients: a Systematic Review and Meta-Analysis. (zheln.com)
Comparison of diagnostic performance between CT and MRI for detection of cartilage invasion for primary tumor staging in patients with laryngo- hypopharyngeal cancer: a systematic review and meta-analysis. (zheln.com)
Ureteral and urethral recurrence after radical cystectomy: a systematic review. (zheln.com)
The comparison between total hip arthroplasty and hemiarthroplasty in patients with femoral neck fractures: a systematic review and meta-analysis based on 25 randomized controlled trials. (zheln.com)

No comparisons were possible concerning renal functional outcomes because of non‐homogeneous data reporting. (bjuinternational.com)

Our studies have elucidated unique genomic features of TP5, whilst confirming previous clinical findings that patients harbouring TP5 tend to have worse prognosis. (bjuinternational.com)
[8] AUA advises against RMB for young or healthy patients who are unwilling to accept the uncertainties associated with RMB or older or frail patients who will be managed conservatively regardless of RMB findings. (e-urol-sci.com)

The American Society of Clinical Oncology (ASCO) guidelines recommends considering a biopsy for every SRM identified and it is deemed necessary for patients undergoing ablation therapies before treatment. (e-urol-sci.com)
Dr. Spiess' research interests include novel therapies for advanced renal, bladder and penile cancer. (moffitt.org)

The primary outcome was PV-SMV patency at last follow-up, assessed with postoperative CT scans and analyzed using Kaplan-Meier survival methods that account for variation in follow-up duration. (bvsalud.org)

DIAGNOSIS: Rare renal malignant perivascular epithelioid cell tumor with renal vein cancerous thrombosis. (bvsalud.org)

To investigate the genomic features of tertiary pattern 5 (TP5) on radical prostatectomy specimens in an effort to explain the poor clinical outcomes associated with this disease subtype. (bjuinternational.com)
The 2009 American Urological Association guideline for management of the clinical T1 renal mass recommends reviewing all available treatment options and the associated benefits and risks with the patient. (medscape.com)

60 (92%) ultimately underwent successful reconstruction with harvested LRV graft. (bvsalud.org)
CONCLUSIONS: Autologous LRV graft was a reliable conduit for segmental PV-SMV reconstruction, resulting in a high patency rate and marginal impact on renal function. (bvsalud.org)

Laparoscopic adrenalectomy (LA) is considered the gold standard for benign, smaller secretory and non-secretory adrenal tumours. (amegroups.org)

Malignant renal perivascular epithelioid cell tumor is extremely rare. (bvsalud.org)
There is still a lack of unified diagnostic criteria and treatment guidelines for renal malignant PEComa, especially with vascular invasion. (bvsalud.org)
The final pathological diagnosis was a renal malignant perivascular epithelioid cell tumor. (bvsalud.org)
LESSONS: Renal malignant PEComa is an extremely rare mesenchymal tumor diagnosed mainly based on pathology. (bvsalud.org)

About 25-30% of patients have metastatic disease at diagnosis, and fewer than 5% have a solitary metastasis. (medscape.com)

This procedure may not be curative in all patients but may produce some long-term survivors. (medscape.com)
The procedure was first described in a patient with Cushing's syndrome due to an adrenocortical adenoma. (amegroups.org)

Baseline renal function was similar, with median value close to CKD3 limit (RN vs PN 58.7 vs 60.4 ml/min, p=0.836). (auanet.org)
At a median follow-up time of 39 months, 20% of patients died due to renal cancer, 11% for unrelated causes. (auanet.org)
The median follow-up for patients still alive at the last follow-up was 8.3 years. (theroboticsurgeon.com)

Open, laparoscopic, or robotic surgical techniques may be used. (medscape.com)
Retrograde ("fundus first") dissection is frequently used in open cholecystectomy and although feasible in laparoscopic cholecystectomy (LC) it has not been widely practiced. (biomedcentral.com)
The recommendations not met were using the Shouldice technique for any non-mesh open inguinal herniorrhaphy, using local anesthesia for open repair of reducible inguinal hernias, using lightweight mesh, and avoiding the use of prophylactic antibiotics in laparoscopic herniorrhaphy. (researchgate.net)
Retroperitoneal laparscopic adrenalectomy (RPLA) or transperitoneal laparoscopic adrenalectomy (TPLA) was found to be safe and effective for large tumours (≥5 cm) when compared to open adrenalectomy (OA). (amegroups.org)
Several studies have clearly documented and established its superiority over conventional open adrenalectomy in terms of postoperative recovery, hospital stay and overall costs and patient satisfaction. (amegroups.org)

Effectiveness of perioperative chemotherapy and radical cystectomy in treating bladder cancer. (moffitt.org)
Zinc Supplementation May Reduce the Effects of Oral Mucositis for Patients With Cancer Receiving Either Chemotherapy or Radiotherapy. (zheln.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)
HALA is an excellent compromise in large tumours with anatomical and technical challenges. (amegroups.org)

This study investigates the indications and outcomes of pediatric tracheostomy in a Nigerian teaching hospital finding out whether there is also a ch. (biomedcentral.com)

Active surveillance may be an acceptable approach to delay or avoid further intervention in the patient at high surgical risk. (medscape.com)

The article, published in BJUI Compass , compares and reviews the outcomes of transperineal prostate biopsies with transrectal biopsies performed under local anaesthesia. (bjuinternational.com)
This is the first RNA‐based study to investigate the molecular diversity of TP5 and the first correlating CDKN2B to poorer prognosis in patients with prostate cancer. (bjuinternational.com)
Moving beyond biopsy, I am interested in the use of imaging to select patients who are candidates for prostate cancer focal therapy. (stanford.edu)

However, long-term patency outcomes of the LRV as an interposition conduit in this setting have not been analyzed. (bvsalud.org)

Methods : A retrospective evaluation of data from the ACHQC database between 2013-2021 using 18,641 eligible subjects undergoing elective and emergent hernia repair with 30-day follow-up. (researchgate.net)

OBJECTIVES: The aims of the study were to identify whether left renal vein (LRV) entrapment was more prevalent in IgA nephropathy (IgAN) and Henoch-Schönlein purpura nephritis (HSPN) compared with other types of renal diseases, and the association of LRV entrapment with glomerular incidental IgA and galactose-deficient-IgA1 (Gd-IgA1) deposition. (bvsalud.org)

This includes patient-related factors such as the patient's age and comorbidities, and tumor-related factors such as tumor characteristics on imaging, history of growth, and biopsy results. (e-urol-sci.com)

Anatomy9

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