• The aim of the study was to explore the feasibility of single position transperitoneal laparoscopic radical nephrectomy (LRN) and high-risk Mayo 0 and 1 tumor thrombectomy and the surgical techniques were described in detail. (biomedcentral.com)
  • Bird VG, Shields JM , Aziz M, De Los Santos R, Ayyathurai R, Ciancio G. Transperitoneal laparoscopic radical nephrectomy for patients with dialysis-dependent end-stage renal disease: An analysis and comparison of perioperative outcome. (downstate.edu)
  • CASE 1: A male in his 60s underwent a right transperitoneal laparoscopic partial nephrectomy procedure for a right renal tumor. (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)
  • Other genetically linked conditions also increase the risk of RCC, including hereditary papillary renal carcinoma, hereditary leiomyomatosis, Birt-Hogg-Dube syndrome, hyperparathyroidism-jaw tumor syndrome, familial papillary thyroid carcinoma, von Hippel-Lindau disease and sickle cell disease. (wikipedia.org)
  • To explore the feasibility of single-position laparoscopic radical nephrectomy (LRN) and tumor thrombectomy for left renal cell carcinoma with high-risk Mayo 0 and 1 tumor thrombus (TT). (biomedcentral.com)
  • All patients with left renal cell carcinoma and venous TT (high-risk Mayo grade 0 and 1) who were performed single-position LRN and tumor thrombectomy were involved. (biomedcentral.com)
  • It is feasible to control left renal vein and partial inferior vena cava through descending colon mesentery in a single position during LRN and tumor thrombectomy for the treatment of high-risk Mayo grade 0 and 1 TT. (biomedcentral.com)
  • Studies have shown that radical nephrectomy and inferior vena cava TT removal for patients with locally advanced renal cancer can effectively improve the prognosis, and the 5-year tumor-specific survival rate is 40-65% [ 2 ]. (biomedcentral.com)
  • The imaging examination of case 3 showed left kidney tumor with retroperitoneal lymphadenopathy, left renal vein TT (Mayo grade 0) and multiple lung metastases. (biomedcentral.com)
  • Rupture of a renal cyst located close to the tumor occurred intraoperatively. (bvsalud.org)
  • 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)
  • 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)
  • Wilms tumor is rare in adults, accounting for only 0.5% of renal lesions. (medscape.com)
  • Gross nephrectomy specimen shows a Wilms tumor pushing the normal renal parenchyma to the side. (medscape.com)
  • Wilms tumor arises from the primitive embryonal renal tissue. (medscape.com)
  • Grossly, Wilms tumor is typically an intrarenal solid or cystic mass, which may displace and, in rare cases, invade the renal collecting system. (medscape.com)
  • The tumor extends into the renal vein in 40% of cases. (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)
  • Perioperative outcomes of robot-assisted nephroureterectomy for upper urinary tract urothelial carcinoma: a multi-institutional series. (wakehealth.edu)
  • Oncologic Outcomes Following Robot-Assisted Laparoscopic Nephroureterectomy with Bladder Cuff Excision for Upper Tract Urothelial Carcinoma. (wakehealth.edu)
  • 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)
  • Comparative Genomic Landscape of Urothelial Carcinoma of the Bladder Among Patients of East and South Asian Genomic Ancestry. (moffitt.org)
  • The purpose of the present investigation was to compare the outcomes of nephrectomy through open and laparoscopic procedures. (urotoday.com)
  • Bird VG, Shields JM , Aziz M, Ayyathurai R, De Los Santos R, Roeter D. Laparoscopic radical nephrectomy for patients with T2 and T3 renal cell carcinoma: evaluation of perioperative outcomes. (downstate.edu)
  • Does nephrometry scoring of renal tumors predict outcomes in patients selected for robot-assisted partial nephrectomy? (wakehealth.edu)
  • 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)
  • Comparative Analysis of Renal Functional Outcomes and Overall Survival of Elderly vs Nonelderly Patients Undergoing Radical Nephrectomy. (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)
  • Voided volume may not impact stone outcomes: Review of a large institutional nephrolithiasis cohort. (ucsf.edu)
  • In this review, we present the latest evidence on the feasibility of LA for large tumors and analyze the perioperative outcomes. (amegroups.org)
  • Effectiveness of perioperative chemotherapy and radical cystectomy in treating bladder cancer. (moffitt.org)
  • Nephrectomy is also performed to treat malignant or benign tumors of the kidney, renovascular hypertention due to uncorrectable renal artery disease, or severe unilateral parenchymal damage from nephrosclerosis, pyelonephritis, reflux, or congenital dysplasia. (urotoday.com)
  • Robotic and laparoscopic partial nephrectomy for T1b tumors. (wakehealth.edu)
  • Dr. Anderson has clinical expertise in robotic prostatectomy for the treatment of prostate cancer, radical cystectomy with orthotopic neobladder for patients with bladder cancer, and partial nephrectomy for the treatment of kidney tumors. (columbia.edu)
  • Large tumors that extend beyond the midline, have vascular extension, or both are relative contraindications, since some surgeons elect to obtain tissue via surgical excision, but this may expose patients to increased surgical risks. (medscape.com)
  • In patients with bilateral Wilms tumors, solitary kidney, or kidney insufficiency, partial nephrectomy is a reasonable consideration. (medscape.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)
  • If it is a high-risk Mayo grade 0 TT or even grade 1 TT, traditionally two steps were utilized including management of the inferior vena cava and removement of the TT, and then nephrectomy after changing the surgical position. (biomedcentral.com)
  • 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)
  • For the treatment of solitary port site recurrence of renal cell carcinoma after a laparoscopic radical/partial nephrectomy, we recommend surgical resection for a good prognosis. (bvsalud.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)
  • After the renal artery was controlled by Hem-o-lok, the left renal vein was dissected through descending colon mesentery. (biomedcentral.com)
  • The left renal vein was divided by EndoGIA for high-risk Mayo grade 0 TT. (biomedcentral.com)
  • For Mayo grade 1 TT, part of the inferior vena cava was blocked by a bulldog clamp after milking the TT into the left renal vein and the inferior vena cava was sutured after complete excision of the TT. (biomedcentral.com)
  • Left renal vein TT is more complicated than right renal vein TT and the length of Mayo grade 0 TT determines the complexity of the surgery. (biomedcentral.com)
  • If it is a low-risk Mayo grade 0 TT, the end of the TT is on the left side of the mesenteric artery, the left renal vein can be fully controlled by traditional approach. (biomedcentral.com)
  • In order to simplify the procedure, we explored the trans-mesocolon approach to fully dissect the left renal vein to the inferior vena cava in single position to treat high-risk Mayo 0-grade and grade 1 TT. (biomedcentral.com)
  • The left renal vein has 3 draining tributaries-namely, the adrenal, gonadal, and posterior lumbar veins. (medscape.com)
  • Xanthogranulomatous pyelonephritis (XGP), first described by Schlagenhaufer in 1916,[1] is a rare, serious, chronic inflammatory disorder of the kidney characterized by a destructive mass that invades the renal parenchyma. (medscape.com)
  • Renal cell carcinoma (RCC) is a kidney cancer that originates in the lining of the proximal convoluted tubule, a part of the very small tubes in the kidney that transport primary urine. (wikipedia.org)
  • Initial treatment is most commonly either partial or complete removal of the affected kidney(s). (wikipedia.org)
  • Nephrectomy is indicated in patients with an irreversibly damaged kidney. (urotoday.com)
  • Nephrectomy is indicated in patients with an irreversibly damaged kidney due to symptomatic chronic infection, calculus disease, or severe traumatic injury. (urotoday.com)
  • In recent years, robot-assisted/laparoscopic surgery has become the first choice for the treatment of kidney cancer with venous TT for minimal invasion. (biomedcentral.com)
  • The kidney biopsy confirmed clear renal cell carcinoma with poorly differentiated and accompanied by necrosis. (biomedcentral.com)
  • The pathology from kidney biopsy demonstrated clear renal cell carcinoma and the patient received 2 cycles of axitinib for neoadjuvant treatment. (biomedcentral.com)
  • Does Sarcopenia Impact Complications and Overall Survival in Patients Undergoing Radical Nephrectomy for Stage III and IV Kidney Cancer? (wakehealth.edu)
  • Transitional cells are the cells that line the bladder and the ureter (the tube that carries the urine from the kidney to the bladder). (usadelaware.com)
  • Transitional cells also line the inside of the kidney or the renal pelvis. (usadelaware.com)
  • Approximately 95% of new bladder cancer diagnosis occurs in the bladder while a minority of transitional cell cancer diagnosis occur in the ureter or kidney (renal pelvis). (usadelaware.com)
  • If too many red blood cells are identified on urinalysis then x-ray imaging of the kidneys and ureters (often called the upper tracts) along with endoscopic evaluation of the bladder (called cystoscopy) are required to rule out the possibility of cancer in the kidney, ureter, or bladder. (usadelaware.com)
  • 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)
  • When it comes to urology, it all started when Ralph Clayman performed the first laparoscopic nephrectomy in 1991 [ 1 ]. (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)
  • In 1961, Schlegel et al first reported the usefulness of sonography in urology, for the detection of renal calculi . (medscape.com)
  • Operative complications occurred in 6 patients in the open group and in 5 patients in laparoscopic group. (urotoday.com)
  • Robot-assisted partial nephrectomy: current status, techniques, and future directions. (wakehealth.edu)
  • If imaging studies demonstrate bilateral disease, nephrectomy is not performed, but biopsy specimens are obtained. (medscape.com)
  • A 60-year-old man visited our hospital to treat a large cystic mass in the pelvis which had been found by abdominal ultrasonography in December 201X. (bvsalud.org)
  • Because these areas are designed to store and move urine these areas (the renal pelvis, the ureter, and the bladder) must be able to fill and then empty. (usadelaware.com)
  • The nephrectomy can be performed through open or laparoscopic procedure. (urotoday.com)
  • Laparoscopic nephrectomy, which is a minimal invasive procedure, is a recommended alternative for open surgery. (urotoday.com)
  • When compared with an open procedure, many surgeons find that laparoscopic nephrectomy offers shorter length of hospital stay, shorter time to oral intake, less pain medication requirement, and faster return to normal activity. (urotoday.com)
  • 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)
  • There were no significant group differences in mean postoperative duration of NPO state for patients receiving open and laparoscopic surgeries (24.6 hours and 28.25 hours, respectively) ( P = .542). (urotoday.com)
  • XGP shares many characteristics with true renal neoplasms in terms of its radiographic appearance and its ability to involve adjacent structures or organs. (medscape.com)
  • At 84 months after surgery, computed tomography (CT) revealed a 10 mm mass in the rectus abdominis muscle at the camera port site used for the partial nephrectomy. (bvsalud.org)
  • At 31 months after surgery, CT revealed a 32 mm mass in the retroperitoneal cavity at the right hand port site used for the laparoscopic nephrectomy. (bvsalud.org)
  • Since the advent of laparoscopic surgery, many procedures have been described and performed with varying success. (springeropen.com)
  • Surgeons should recognize that laparoscopic surgery, like all surgery, carries a risk of morbidity and mortality. (sls.org)
  • We have retrospectively and monocentrally selected patients who underwent laparoscopic nephrectomy from January 2017 to December 2019. (springeropen.com)
  • During the 20th century, most nephrectomies for benign and malignant renal disease were performed by an open approach [2]. (urotoday.com)
  • Current contraindications for LA are adrenocortical carcinomas (ACC) with radiographic evidence of tumour invasion, recurrence of tumour after prior adrenalectomy and severe cardiopulmonary disease ( 4 ). (amegroups.org)
  • Although XGP is rare in the pediatric population, it is found in approximately 16% of pediatric nephrectomy specimens. (medscape.com)
  • Near-infrared fluorescence imaging to facilitate super-selective arterial clamping during zero-ischaemia robotic partial nephrectomy. (wakehealth.edu)
  • Impact of renal function on eligibility for chemotherapy and survival in patients who have undergone radical nephro-ureterectomy. (wakehealth.edu)
  • Since then, laparoscopic nephrectomy has undergone significant development, whether performed trans or retroperitoneally, with or without robot assistance. (springeropen.com)
  • Indocyanine green cannot predict malignancy in partial nephrectomy: histopathologic correlation with fluorescence pattern in 100 patients. (wakehealth.edu)
  • OBJECTIVE: To study the impact of failed IES and other surrogate marker of severe epilepsy on VNS effectiveness in a large cohort with treatment-resistant epilepsy (TRE). (caspasepathway.com)
  • 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)
  • Laparoscopic adrenalectomy (LA) is considered the gold standard for benign, smaller secretory and non-secretory adrenal tumours. (amegroups.org)
  • Between December 2006 and March 2009, 20 patients had laparoscopic nephrectomy and 20 patients had open nephrectomy. (urotoday.com)
  • The Journey and Barriers to Treatment of Patients With Renal Nutcracker Syndrome. (ucsf.edu)
  • Laparoscopic resection of the multilocular cysts was performed, and all cysts were removed almost completely using transrectal ultrasonography. (bvsalud.org)
  • 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)
  • Pattern of metastases in renal cell carcinoma: a single institution study. (wakehealth.edu)
  • The gross appearance of XGP is that of a mass of yellow tissue with regional necrosis and hemorrhage, superficially resembling renal cell carcinoma. (medscape.com)
  • Dr. Spiess' research interests include novel therapies for advanced renal, bladder and penile cancer. (moffitt.org)
  • Most bladder cancers are called transitional cell cancer. (usadelaware.com)
  • The bladder wall is made of a deep muscle and connective tissue layer and on top of this deep muscle and connective tissue layer is a superficial layer including the transitional cell lining and some superficial muscle tissue. (usadelaware.com)
  • Therapeutic Living Donor Nephrectomy For Proximal Ureteral Pathology: A Longitudinal Case Series. (ucsf.edu)
  • XGP occurs in approximately 1% of all renal infections. (medscape.com)
  • He also specializes in the multidisciplinary management of men with testicular cancer, including the use of primary and post-chemotherapy retroperitoneal lymph node dissection. (columbia.edu)
  • Bilateral nephrectomy and long-term dialysis is a treatment option in such cases. (medscape.com)
  • Although Perez et al described successful treatment with partial nephrectomies in 1 patient,[2] bilateral XGP is usually fatal. (medscape.com)
  • The tumour arises from the cells of the proximal renal tubular epithelium. (wikipedia.org)
  • Deziel et al 31,32 reported an incidence of 0.04% postoperative mortality in a series of 77 604 laparoscopic cholecystectomies performed in 4292 hospitals. (sls.org)