Devascularized renal parenchymaMinimally invasiveTransperitonealPartialCohortFeasibilityPerioperativeIndicationsTransperinealBarbed sutureProstatectomy specimensTumorMethodsSystematicCell cancerAdrenalUrolithiasisPathologiesRadiologicalRobotic surgeryClinicalFewer side effectsIntraoperativeAntibioticsUrologyAnatomicalChemotherapyTumorsRecurrenceEvaluateGleasonBiopsyKidneySystemicPostoperative2019CorrelationBiopsiesApproachCancerLateralYearsTimeManagementChronicTechniqueOpenCasesDurationRobotSideDataSafetyTissue
Devascularized renal parenchyma1
- 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)
Minimally invasive5
- Conclusions: Laparoscopic pyelolithotomy can be an effective and reproducible minimally invasive technique for treating urolithiasis in EPK. (bvsalud.org)
- The majority of urologic procedures are carried out using a cystoscope and a minimally invasive approach in a small, constrain- -ed area on older patients with concomitant illnesses. (pulsus.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)
- 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)
- The journal provides a global platform that deals with all extensive works and research related to all areas of minimally invasive surgery, endoscopy, treatment, and diagnosis. (researchgate.net)
Transperitoneal2
- Patients and methods: Three men with EPK (2 left, 1 right) underwent laparoscopic pyelolithotomy through a transperitoneal approach. (bvsalud.org)
- 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)
Partial4
- Partial nephrectomy, which is removal of only the cancer and a small border of normal tissue, is the standard treatment for the smallest cancers however patients will require a radical nephrectomy, or removal of the entire kidney for larger renal cell cancers. (yourcancercare.com)
- Depending on the features of the tumor, partial or radical nephrectomy may be performed. (pulsus.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)
- During the study period, 31 (45.6%) simple nephrectomy, 26 (38.2%) total nephrectomy, 1 (1.5%) partial nephrectomy and 10 (14.7%) nephroureterectomy were performed in our department. (springeropen.com)
Cohort1
- RCs were tested in a consecutive cohort of 645 men undergoing radical prostatectomy with extended pelvic lymph node dissection between 2005 and 2019. (qxmd.com)
Feasibility3
- In this review, we present the latest evidence on the feasibility of LA for large tumors and analyze the perioperative outcomes. (amegroups.org)
- The aim of this study was to analyze the feasibility and the safety of laparoscopic nephrectomy in the treatment of pathologies of the upper urinary tract through the experience of the Urology B department. (springeropen.com)
- The aim of this study is to evaluate the feasibility of laparoscopic nephrectomy, its advantages and especially its complications through the experience of the urology B department of the Ibn Sina hospital. (springeropen.com)
Perioperative2
- In order to deliver the best anesthetic during surgery, a thorough understanding and strategy are needed because the senior population is also at risk for perioperative problems. (pulsus.com)
- Perioperative blood transfusion increased morbidity and surgical site infection, according to another study that included 2,934 patients who underwent radical cystectomy [ 3 ]. (pulsus.com)
Indications3
- 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)
- Indications for nephrectomy were dominated by renal tumor (33.82%) followed by lithiasis (16.17%) and non-functioning kidney (16.17%) at the same rank. (springeropen.com)
- all surgical indications taken together, over 3 years from January 2017 to December 2019, were excluded from our study patients with incomplete records. (springeropen.com)
Transperineal2
- The article, published in BJUI Compass , compares and reviews the outcomes of transperineal prostate biopsies with transrectal biopsies performed under local anaesthesia. (bjuinternational.com)
- To evaluate the performance of risk calculators (RCs) predicting lymph node invasion (LNI) and extraprostatic extension (EPE) in men undergoing transperineal MRI/TRUS-fusion template saturation biopsy (TTSB) and conventional systematic transrectal TRUS-guided biopsy (SB). (qxmd.com)
Barbed suture1
- The renal pelvis was closed with a 3/0 running barbed suture. (bvsalud.org)
Prostatectomy specimens4
- 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)
- INTRODUCTION: The objective of this current study was to compare the histological findings of 12-core transrectal ultrasound (TRUS) guided prostate biopsy results with that of corresponding radical prostatectomy specimens. (kocaelimj.org)
- The diagnostic ability of biopsy cores, cancer locations and the histological findings particularly Gleason grades of 12-core biopsies were compared with that of radical prostatectomy specimens. (kocaelimj.org)
- However about 71% of these cases was bilateral disease on radical prostatectomy specimens. (kocaelimj.org)
Tumor2
- One patient who had 50-gene panel only also had his metastatic site (esophagus) of his tumor tested with FoundationOne. (cancerindex.org)
- The outcomes analyzed included operative time, blood loss, surgical complications, average length of hospital stay, conversion to open surgery & tumor recurrence. (amegroups.org)
Methods2
- 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)
- METHODS: This retrospective trial consisted of 52 consecutive patients who underwent radical prostatectomy. (kocaelimj.org)
Systematic1
- to apply a new evidence-gathering methodology, called reverse systematic review (RSR), to analyze the influence of different continence classification criteria on urinary continence rates among open (RRP), laparoscopic (LRP) and robotic (RARP) radical prostatectomy. (qxmd.com)
Cell cancer5
- Treatment for renal cell cancer is tailored to each individual and may include surgery, precision cancer medicines, immunotherapy and/or chemotherapy. (yourcancercare.com)
- Radiation therapy is not typically used for the treatment of renal cell cancer. (yourcancercare.com)
- Patients with early stage renal cell cancer are curable with surgical removal of the cancer. (yourcancercare.com)
- The following are simplified definitions of the various stages of renal cell cancer. (yourcancercare.com)
- The usual course of action for Renal Cell Cancer is nephrectomy (RCC). (pulsus.com)
Adrenal4
- The incidence of adrenal myelolipoma is 0.08 to 0.2% of autopsy cases and 0.06% of patients operated. (journalajrru.com)
- We report here the case of a 41 years old patient with a large right adrenal myelolipoma. (journalajrru.com)
- Laparoscopic adrenalectomy (LA) is considered the gold standard for benign, smaller secretory and non-secretory adrenal tumours. (amegroups.org)
- 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)
Urolithiasis2
- We demonstrate the step-by-step technique of the laparoscopic approach for treating urolithiasis in EPK. (bvsalud.org)
- China has a large population and complex geographical environment, which is lead to a large number of urolithiasis patients. (qxmd.com)
Pathologies1
- 43 years old patient without any notable pathologies in anamnesis. (doctorsmedicalopinion.com)
Radiological2
- The radiological outcomes and surgical management. (journalajrru.com)
- Data collection was carried out on an operating sheet summarizing the clinical, biological and radiological parameters of the different patients. (springeropen.com)
Robotic surgery3
- Robot-assisted nephrectomy has become more and more common throughout the years since robotic surgery was first applied to the surgical profession. (pulsus.com)
- He has a particular interest in cancer imaging, MRI-Ultrasound fusion targeted prostate biopsy, prostate cancer focal therapy, and robotic surgery for prostate and kidney cancer. (stanford.edu)
- Searching for a better definition of robotic surgery: is it really different from laparoscopy? (researchgate.net)
Clinical6
- 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)
- 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)
- 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)
- 40 years old patient with clinical history that is consistent with Hashimoto's thyroiditis. (doctorsmedicalopinion.com)
- 15 years old patient presented with clinical syndrome of fever, fatigue, and diarrhea. (doctorsmedicalopinion.com)
- This finding is suggestive of a relatively gaze-specific hyposensitivity in patients with chronic schizophrenia, a finding that is in line with their clinical symptomatology and that may be associated with a hypoactive STS. (checkpointinhibitor.com)
Fewer side effects1
- The goal of this trial was to treat prostate cancer with fewer side effects than surgery or radiation. (stanford.edu)
Intraoperative1
- analysis of the relationship between the time of blood transfusion and outcomes revealed that intraoperative blood transfusion significantly raised the risk of cancer recurrence and mortality, whereas postoperative transfusion did not [ 4 ]. (pulsus.com)
Antibiotics2
- 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)
- The antibiotics used for prophylaxis during surgery may influence the rate of surgical site infections. (biomedcentral.com)
Urology1
- When it comes to urology, it all started when Ralph Clayman performed the first laparoscopic nephrectomy in 1991 [ 1 ]. (springeropen.com)
Anatomical1
- HALA is an excellent compromise in large tumours with anatomical and technical challenges. (amegroups.org)
Chemotherapy3
- She underwent sigmoidectomy and was then treated with chemotherapy, with substantial regression of the liver metastasis. (doctorsmedicalopinion.com)
- 9 months after the begininig of the chemotherapy she underwent surgical excision of some of the liver metastasis and radio-frequency ablation of additional metastasis. (doctorsmedicalopinion.com)
- Following surgery, she received systemic chemotherapy combined with local intra arterial chemotherapy. (doctorsmedicalopinion.com)
Tumors4
- Large tumors of a size greater than 7 cm should be removed. (journalajrru.com)
- There is controversy however about its role for large tumors. (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)
Recurrence3
- These cancer cells cannot be treated with surgery alone and require systemic treatment to decrease the chance of cancer recurrence. (yourcancercare.com)
- However, in a prior analysis that examined 2,060 patients who underwent radical cystectomy, blood transfusion was substantially related to worse 5-year recurrence-free survival, cancer-specific survival, and overall survival. (pulsus.com)
- Later on, disorders showed up sporadically, and 15 days ago, as a result of backache recurrence, the patient decided to carry out diagnostic deepening performing a new lumbosacral magnetic resonance and an electromyographic examination. (doctorsmedicalopinion.com)
Evaluate1
- syndrome, and evaluate any correlation of these levels with MS.\n\nMethods: Forty-six healthy and 82 MS patients were enrolled. (checkpointinhibitor.com)
Gleason1
- These scores were well correlated with corresponding radical prostatectomy Gleason scores. (kocaelimj.org)
Biopsy4
- More accurate prostate biopsy enables better decision making about treatment options such as deciding between active surveillance and surgery. (stanford.edu)
- Moving beyond biopsy, I am interested in the use of imaging to select patients who are candidates for prostate cancer focal therapy. (stanford.edu)
- All patients had 12-core prostate biopsy (lateral and far lateral biopsies from apical, mid and basal prostate tissue for each half of prostate as a total of 12 locations) that was performed by a single physician. (kocaelimj.org)
- Unilateral disease on biopsy was mostly associated with bilateral cancer on corresponding radical prostatectomy specimen. (kocaelimj.org)
Kidney4
- The kidney was identified in the retroperitoneum and the renal pelvis exposed after removal of the perirenal adipose tissue. (bvsalud.org)
- Results: For the first time, a laparoscopic technique for treating stones in the ectopic kidney is demonstrated in detail. (bvsalud.org)
- Some patients with early stage cancer already have small amounts of cancer that have spread outside the kidney. (yourcancercare.com)
- Geoffrey Sonn, MD is a board certified urologist who specializes in treating patients with prostate and kidney cancer. (stanford.edu)
Systemic1
- More advanced cancers that cannot be treated with surgery can only be treated with systemic therapy. (yourcancercare.com)
Postoperative3
- All patients were stone free at the postoperative CT scan with a mean follow-up of 3.3 months (1-6 months). (bvsalud.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)
- The postoperative follow-up was straightforward in 53 (77.94%) patients with an average hospital stay of 3.6 days. (springeropen.com)
20191
- We have retrospectively and monocentrally selected patients who underwent laparoscopic nephrectomy from January 2017 to December 2019. (springeropen.com)
Correlation1
- Contrary to earlier research, several studies emphasized the little correlation between blood transfusion and outcomes associated with cancer [ 5 ]. (pulsus.com)
Biopsies1
- A total of 35 patients were found to have unilateral cancer according to TRUS biopsies. (kocaelimj.org)
Approach2
- While further research is needed to strengthen the existing guidelines, a standardized approach will facilitate this effort while aiming to reduce negative patient outcomes. (researchgate.net)
- In 1993, Gaur proposed the retro-peritoneal (RP) approach to perform laparoscopic nephrectomy [ 4 ]. (springeropen.com)
Cancer2
- 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)
- One type creates a new, individualized treatment for each patient by removing some of the person's immune cells, altering them genetically to kill cancer, and then infusing them back into the bloodstream the other uses precision medications to enhance the immune systems response to the cancer. (yourcancercare.com)
Lateral1
- During nephrectomy, patients are frequently positioned in the lateral decubitus position, putting them at risk for pressure sores, nerve injury, or venous congestion. (pulsus.com)
Years4
- Mean patient age was 52.6 years (44-58). (bvsalud.org)
- Renorrhaphy techniques significantly evolved over the years, improving outcomes. (bjuinternational.com)
- The average age of our patients was 57.8 years. (springeropen.com)
- We included in our study 68 patients including 39 women and 29 men whose median age was 57.8 ± 14 years (Table 1 ). (springeropen.com)
Time1
- The operative consequences of this technique remain simple, less painful, and the recovery time is shorter than open surgery. (springeropen.com)
Management2
- Particularly in an emergency, robot docking may interfere with patient assessment and quick management. (pulsus.com)
- We observed 36 patients during this pandemic, gathering data on stricture management. (journalajrru.com)
Chronic1
- Histological examination of the nephrectomies carried out in our department revealed mainly chronic non-specific pyelonephritis in 24 (35.3%) patients, followed by renal cell carcinoma in 23 (33.82%) patients and urothelial carcinoma in 9 (13.2%) patients. (springeropen.com)
Technique1
- Laparoscopic nephrectomy appears to be an efficient and reliable technique. (springeropen.com)
Open2
- 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 procedure should ideally be converted to open surgery if local invasion is suspected intraoperatively with potentially compromised resection margins. (amegroups.org)
Cases3
- The renal pelvis was opened, and the stones were identified and retrieved with forceps in 2 cases and with a flexible nephroscope in 1 case. (bvsalud.org)
- Stones were in the renal pelvis in 2 cases and in the inferior calyx in 1 case. (bvsalud.org)
- Prompt intervention remains vital for improved outcomes in female urethral stricture cases. (journalajrru.com)
Duration1
- To maximize surgical outcomes, anesthesiologists need to take into account a variety of parameters in addition to providing proper anesthetics, such as age, co-morbidities, functional status, duration of operation, anticipated blood loss, and surgical scope. (pulsus.com)
Robot2
- Tissue damage during robot docking could result from patient movement [ 1 ]. (pulsus.com)
- Since then, laparoscopic nephrectomy has undergone significant development, whether performed trans or retroperitoneally, with or without robot assistance. (springeropen.com)
Side1
- After an attempt to replace thyroid function with thyroid hormone in pills (Eutirox), the patient had reported multiple symptoms which might be suggestive for adverse side effects of Eutirox (double vision, tachycardia, disturbance of sleep, outbursts of anger). (doctorsmedicalopinion.com)
Data1
- No comparisons were possible concerning renal functional outcomes because of non‐homogeneous data reporting. (bjuinternational.com)
Safety1
- The pandemic's impact on healthcare necessitated cautious surgical planning, while strict protocols ensured patient and staff safety. (journalajrru.com)
Tissue1
- About half of the patients have overall tissue distensions up to 350% or more, with potential high regional variations. (researchgate.net)