• PURPOSE: Renal function outcomes between radical nephroureterectomy (RNU) and nephron-sparing surgery (NSS) for upper tract urothelial carcinoma (UTUC) patients are not well established. (bvsalud.org)
  • Effectiveness of perioperative chemotherapy and radical cystectomy in treating bladder cancer. (moffitt.org)
  • 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)
  • Gross nephrectomy specimen shows a Wilms tumor pushing the normal renal parenchyma to the side. (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)
  • Both resections had free margins and the median tumor size was 2.5 (1.5-3.5) cm. (bvsalud.org)
  • Robotic surgery is a minimally invasive option for removing the tumor. (somerseturological.com)
  • He has done his Advanced Fellowship in Endourology and Robotic Surgery from the University of Miami, USA. (edtreatmentindia.com)
  • A Diplomat of the American Board of Urology, Dr. Dave completed further fellowship training in advanced robotically-assisted laparoscopic surgery and has extensive experience in performing surgery using the DaVinci robotic surgical system . (somerseturological.com)
  • For a detailed look at Dr. Dave's outcomes for patients undergoing robotic radical prostetectomy for prostate cancer, please refer to the outcomes tab on our website. (somerseturological.com)
  • For patients diagnosed with adrenal tumors ( Figure 1 ), laparoscopic and robotic adrenalectomy provides patients with a safe and minimally invasive technique for removal of an adrenal mass. (ufl.edu)
  • METHODS: In February 2020, two patients underwent a robotic SP partial nephrectomy for malignancy combined with a cholecystectomy and a left inguinal hernia repair respectively. (bvsalud.org)
  • [ 3 ] In the presence of bilateral Wilms tumors, solitary kidney, or renal insufficiency, partial nephrectomy is a reasonable consideration. (medscape.com)
  • The surgeon controls 2-3 multi-jointed robotic instruments to accomplish the tasks of dissection, cauterization, cutting and suturing ( Figure 5 ). (ufl.edu)
  • Laparoscopic Donor Nephrectomy Sabharwal A, Kumar Anant. (edtreatmentindia.com)
  • In select patients with very larger tumors, laparoscopic and robotic adrenalectomy may not be feasible and therefore open adrenalectomy may be required. (ufl.edu)
  • Laparoscopic and robotic adrenalectomy requires patients undergo a general anesthesia. (ufl.edu)
  • Trocar configuration for laparoscopic and robotic adrenalectomy (courtesy of Intuitive Surgical Inc, Sunnyvale, CA). (ufl.edu)
  • Dr. Dave has performed over 650 robotic procedures encompassing the entire range of major urologic surgeries that can be performed with the daVinci Robotic Surgical System. (somerseturological.com)
  • If imaging studies demonstrate bilateral disease, nephrectomy is not performed, but biopsy specimens are obtained. (medscape.com)
  • A multifocal growth pattern is found in up to 90% of the specimens after nephroureterectomy. (urology-textbook.com)
  • The NWTS-4 study showed an 8% local recurrence rate following partial nephrectomy for patients with bilateral disease. (medscape.com)
  • CONCLUSIONS: The robotic SP approach facilitates the completion of combined surgical procedures in multiple abdominal quadrants through a single 25mm incision. (bvsalud.org)
  • With the robotic technique, the da Vinci S Surgical Robotic System is assembled to the trocars prior to commencing the operation ( Figure 3 ). (ufl.edu)
  • Partial nephrectomy may be feasible in only 10%-15% of patients, as most tumors are too large at initial diagnosis. (medscape.com)
  • Estimated blood loss was 200 (150-250) mL, while the total warm ischemia time was 15 minutes for the right partial nephrectomy and 53 minutes for the left partial nephrectomy. (bvsalud.org)
  • RESULTS: Both procedures were successfully completed with one robotic docking and without the need for conversion. (bvsalud.org)
  • Once a decision has been made to proceed with surgery, the patient must be carefully counseled on all options available, including open partial nephrectomy, open or laparoscopic radical nephrectomy, percutaneous procedures such as cryoablation and thermal ablation, and observation. (medscape.com)
  • Specific risks that require careful and complete discussion during informed consent for robotic-assisted partial nephrectomy include bleeding, infection, urinary leak, acute kidney injury secondary to ischemia, the likelihood and implication of positive oncologic margins, bowel injury, and significant vascular injury. (medscape.com)
  • Robot-assisted partial nephrectomy requires an emphasis on the team approach to surgery. (medscape.com)
  • 20] . Because of the multifocal nature of these tumors and the consequent high risk of ipsilateral recurrence after partial resection, the kidney and the entire ureter, including the intramural portion and the ureteric orifice, should be removed. (medscape.com)
  • 2. Holding Strength of a Hem-o-lok/Lapra-Ty clip Combination on Sutures Used During Partial Nephrectomy. (nih.gov)
  • 6. Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding- clip renorrhaphy. (nih.gov)
  • V1086: Zero ischemia laparoscopic partial nephrectomy. (auanet.org)
  • Yet, it is a surrogate marker of post partial-nephrectomy (PN) glomerular filtration rate (GFR) impairment. (bvsalud.org)
  • We compared the outcomes of robotic-assisted partial nephrectomy (RPN) and open partial nephrectomy (OPN) using contemporary data to respond to unmet clinical needs. (bvsalud.org)
  • Robot-assisted laparoscopic nephroureterectomy is a minimally invasive surgery for upper urinary tract urothelial carcinoma (UTUC). (medscape.com)
  • A flank incision is used for kidney exposure, followed by a pyelotomy and resection of the renal pelvis tumor. (medscape.com)
  • These factors should be personalized to each patient and each tumor and should include a discussion of the possibility of conversion to open or laparoscopic radical nephrectomy and the renal functional implications thereof. (medscape.com)
  • this possibility makes thorough cystoscopy and bladder tumor resection mandatory prior to planned surgical intervention. (medscape.com)
  • In a female patient, we performed a robotic anatrophic nephron-sparing surgery for complete intrarenal tumor in the renal sinus through the avascular line. (auanet.org)
  • Minilaparoscopy vs. standard laparoscopic donor nephrectomy: compariĀ¬son of safety, efficacy and cosmetic outcomes in a randomized clinical trial. (ac.ir)
  • This study was conducted to compare safety, efficacy and cosmetic outcome between standard laparoscopic live donor nephrectomy (sLDN) and mini-laparoscopic donor nephrectomy (mLDN) in a randomized clinical trial. (ac.ir)
  • From March 2012 to June 2013, 100 consecutive kidney donors were randomly assigned to two equal groups for laparoscopic donor nephrectomy. (ac.ir)
  • Although the open approach has traditionally been described for distal ureteral resection, early reports of success with both the laparoscopic and robotic techniques indicate that these may be feasible options in the future. (medscape.com)
  • Mazeman reported that the incidence of regional failure was similar for 246 patients treated by nephroureterectomy compared with 44 patients treated by distal ureterectomy. (medscape.com)
  • In addition, robotic instruments are well suited for the dissection of the distal ureter and bladder cuff, which are difficult to access in the close confines of the pelvic cavity. (medscape.com)
  • 5. Intravesical sealing of the distal ureter in nephroureterectomy. (nih.gov)
  • Comparative Series of Laparoscopic or Hand-assisted Laparoscopic Versus Open Nephroureterectomy for Upper-tract Transitional Cell Carcinoma. (medscape.com)
  • Abstract: Introduction: We present, and discuss the operative steps, mistakes made, and the important lessons learnt during robot-assisted radical nephroureterectomy with bladder cuff excision, performed for transitional cell carcinoma in a patient with horseshoe kidney. (vattikutifoundation.com)
  • Initial Experience Teaching Robot-Assisted Radical Prostatectomy to surgeons-in-training: Can Training be Evaluated and Standardized? (mdanderson.org)
  • To present a robotic nephron-sparing approach for intrarenal sinus tumors, through the avascular BrodelĀ“s line, replicating the open conventional approach. (auanet.org)
  • The pathology reported a renal clear cell carcinoma, Furhman grade 2 with negative resection margins of 0.7 mm. (auanet.org)
  • 1. Management of adverse events related to endoscopic resection of upper gastrointestinal neoplasms: Review of the literature and recommendations from experts. (nih.gov)
  • St. Zdislava Hospital is the largest centre of robotic surgery in the Czech Republic. (bookimed.com)
  • The purpose of this study is to determine if TAR-200, an investigational drug-delivery system, is safe and tolerable in patients with muscle-invasive bladder cancer (MIBC) between diagnosis and radical cystectomy (RC).For information about this clinical trial here at USC or to see if you qualify, contact Ileana Aldana by email at [email protected] or by phone at (323) 865-0702 for more information. (keckmedicine.org)
  • The master controls take input from the surgeon's finger and thumb and translate the operator's movements in real time to the robotic arms and EndoWrist instruments. (medscape.com)
  • Optimal use of versatility of da Vinci Xi system, enables the port placement and switching the robotic instruments and camera between the four ports, according to the comfort of the operating surgeon. (vattikutifoundation.com)
  • It is essential to exclude the presence of concurrent proximal ureteral or renal pelvis disease, which would necessitate a complete nephroureterectomy. (medscape.com)
  • In a large Surveillance, Epidemiology, and End Results (SEER) cohort, UTUC stage and grade migration toward more aggressive disease has been observed over time in patients undergoing nephroureterectomy. (medscape.com)
  • Nephrectomy process under general anesthesia. (bookimed.com)
  • So far, the experienced team has performed over 4,000 robotic operations. (bookimed.com)
  • 8. [Retroperitoneoscopic radical nephrectomy for renal cancer--a report of 43 cases]. (nih.gov)
  • METHODS: A monocentric retrospective 8-year study included all consecutive cases of PKT-LD, excluding ureteroneocystomy anastomosis and homolateral nephrectomy. (bvsalud.org)