• 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)
  • He is one of the first surgeons in China to carry out robot-assisted/laparoscopic retroperitoneal lymph node dissection for testicular cancer and ultra-expanded lymph node dissection for bladder cancer. (sysucc.org.cn)
  • To evaluate the impact of indocyanine green (ICG) for assessing ureteric vascularity on the rate of uretero‐enteric stricture formation after robot‐assisted radical cystectomy (RARC) with intracorporeal urinary diversion (ICUD). (bjuinternational.com)
  • The utility of indocyanine green dye (ICG) has evolved significantly to the robotic operations including Robotic Assisted Radical Prostatectomy (RARP). (e-urol-sci.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)
  • No comparisons were possible concerning renal functional outcomes because of non‐homogeneous data reporting. (bjuinternational.com)
  • There were no differences in baseline characteristics and perioperative outcomes including operating time, estimated blood loss, and length of stay. (bjuinternational.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)
  • Comparative analysis of the results of cancer radical retropubic and robot-assisted prostatectomy. (ecuro.ru)
  • Bladder catheter time was 4 days. (espu.org)
  • Median operative time and blood loss were 105 (IQR: 82-120) min and 175 (IQR: 94-250) mL, respectively. (bvsalud.org)
  • Operative time was 40 minutes (35-50). (espu.org)
  • Ischemia is not an independent predictive factor of chronic renal failure after partial nephrectomy in a solitary kidney in patients without pre-operative renal insufficiency. (univ-rennes.fr)
  • Preliminary results of a multicenter study of prostate cancer Analysis of specialized medical care for patients with gross hematuria, renal colic. (ecuro.ru)
  • Barbed suture had lower operating and ischaemia time and less blood loss than non‐barbed suture. (bjuinternational.com)
  • The abstract is reproduced below and you can click on the button to read the full article, which is freely available to all readers for at least 30 days from the time of this post. (bjuinternational.com)
  • OHVIRA (Obstructed HemiVagina and Ipsilateral Renal Anomaly) is a rare female urogenital syndrome. (espu.org)
  • Cases assigned female had more than five times greater likelihood of assigned gender incongruence (95% confidence interval = 1.96-14.92). (e-urol-sci.com)
  • These were cases with 46, XX congenital adrenal hyperplasia, partial androgen insensitivity, mixed or partial gonadal dysgenesis, and micropenis where data about the assigned gender, childhood genital-normalizing surgery, and adult gender could be extracted. (e-urol-sci.com)
  • 11. The first assistant sparing technique robot-assisted partial nephrectomy decreases warm ischemia time while maintaining good perioperative outcomes. (nih.gov)
  • The quest for trifecta comprising warm ischemia time less than 25 minutes, negative surgical margins and no perioperative complications seems to be better accomplished by robotic partial nephrectomy, which is likely to become the new standard for minimally invasive partial nephrectomy. (asmepress.com)
  • Mean Warm Ischemia Time (WIT) was recorded to be 27.28 ± 5.923 minutes. (asmepress.com)
  • Recently there have been several reports indicating that robotic surgery facilitates the resection of the tumour and intracorporeal suturing thus decreasing the warm ischemia time [6-8]. (asmepress.com)
  • As such most current renal tumours are incidentally detected, asymptomatic and quite amendable to nephron-sparing surgery [1]. (asmepress.com)
  • Prepare patients being considered for nephron-sparing surgery (NSS) for possible radical nephrectomy. (medscape.com)
  • 4. Absolok® versus Hem-o-Lok® clips for renorrhaphy during partial nephrectomy for parenchymal renal tumors. (nih.gov)
  • 10. Comparison of perioperative outcomes of robot-assisted partial nephrectomy without renorrhaphy: Comparative outcomes of cT1a versus cT1b renal tumors. (nih.gov)
  • Is Robotic-assisted Partial Nephrectomy an Efficacious and Safe Procedure for Removal of Stage T1 Renal Tumors? (asmepress.com)
  • Usually, only the renal artery is occluded, except in large centrally located tumors, in which the renal vein can be occluded to minimize bleeding and to allow for easier dissection and reconstruction. (medscape.com)
  • Clear cell renal cancer is the most common type of kidney cancer, comprising 80 percent of all malignant tumors found within the kidney. (nih.gov)
  • Renal cell carcinoma, of which clear cell carcinoma is the most common histological subtype (80 to 90 percent), comprises 90 percent of all Kidney tumors. (nih.gov)
  • Clear cell tumors have the propensity to spread hematogenous, with direct extension into the major vessels - namely the renal veins and the inferior vena cava. (nih.gov)
  • [18] While angiomyolipoma is the most common renal neoplasm seen in patients with tuberous sclerosis, clear cell tumors may be seen rarely. (nih.gov)
  • PN represents a suitable surgical approach for small renal tumors in favorable locations. (iospress.com)
  • The presentation and management of renal tumors has changed substantially during the last few decades. (iospress.com)
  • Laparoscopic radical nephrectomy (RN) should be offered to patients with locally advanced tumor growth or in T1 tumors with unfavorable location [ 6 ]. (iospress.com)
  • With this experience, surgeons have naturally started to push the envelope for partial nephrectomy to more complex cT1a tumors, and larger masses (cT1b and T2 tumors). (iospress.com)
  • Appropriately, this is necessary for patients with a solitary kidney, hereditary syndrome, known bilateral tumors, and significant chronic renal disease. (iospress.com)
  • The area of controversy and debate is in the optimal management of patients with cT1b and T2 tumors, normal renal function, and a normal contralateral kidney, and is the focus of the current article [ 6, 8 ]. (iospress.com)
  • 2. Robotic partial nephrectomy with sliding-clip renorrhaphy: technique and outcomes. (nih.gov)
  • 9. Zero ischemia robotic partial nephrectomy: sequential preplaced suture renorrhaphy technique. (nih.gov)
  • 13. R-LESS partial nephrectomy trifecta outcome is inferior to multiport robotic partial nephrectomy: comparative analysis. (nih.gov)
  • 16. 252 robotic partial nephrectomies: evolving renorrhaphy technique and surgical outcomes at a single institution. (nih.gov)
  • 17. Robotic unclamped "minimal-margin" partial nephrectomy: ongoing refinement of the anatomic zero-ischemia concept. (nih.gov)
  • 19. [Perioperative Outcomes in Correlation to the Learning Curve for Robotic Assisted Partial Nephrectomy: The First 109 Cases of our Clinic]. (nih.gov)
  • 18 years with a renal tumour of clinical stage T1 coming for robotic partial nephrectomy. (asmepress.com)
  • A total of 40 patients were included in the study who underwent robotic-assisted partial nephrectomy for renal tumours less than 7 cm in size. (asmepress.com)
  • Though robotic has high costing value, their outcome has superseded cost analysis and is being widely used for its outcome, thus the limitation of laparoscopy has been overcome by a robot. (asmepress.com)
  • As the technique of RAPN (robotic-assisted partial nephrectomy) continues to develop and mature, intraoperative & perioperative outcomes continue to be reported [4]. (asmepress.com)
  • This is especially true in contemporary practice as experience in partial nephrectomy grows, primarily driven by the rise of robotic minimally-invasive surgery. (iospress.com)
  • With a relatively favorable learning curve (25 cases), dissemination of robotic assisted technology and has led to increased use of partial nephrectomy, from 8.6% in 2000 to 27% in 2011 [ 7 ]. (iospress.com)
  • The increase of partial nephrectomies performed was attributable to robotic assisted surgery that increased by 15%, with a concomitant decrease of open surgery by 33% [ 7 ]. (iospress.com)
  • None of the cases was converted to open partial/radical nephrectomy and none had positive surgical margins in the histopathology reports. (asmepress.com)
  • The European Organization for Research and Treatment of Cancer" provided the first Level I evidence that long-term oncologic outcomes between partial nephrectomy and radical nephrectomy were equivalent, allowing partial nephrectomy to become a standard of care for small renal masses [2]. (asmepress.com)
  • Open radical nephrectomy and thrombectomy of vena cava were performed. (bvsalud.org)
  • Comparative analysis of the results of cancer radical retropubic and robot-assisted prostatectomy. (ecuro.ru)
  • The decision to undergo partial nephrectomy (PN) versus radical nephrectomy (RN) for a localized renal mass should take various factors into consideration, including tumor characteristics, patient's health status and preference, and risks and benefits of these each approach. (iospress.com)
  • 1. Sliding-clip technique for renorrhaphy improves perioperative outcomes of open partial nephrectomy. (nih.gov)
  • 6. Systematic Review and Meta-Analysis of Comparative Studies Reporting Perioperative Outcomes of Robot-Assisted Partial Nephrectomy Versus Open Partial Nephrectomy. (nih.gov)
  • 8. Comparison of perioperative outcomes with or without renorrhaphy during open partial nephrectomy: A propensity score-matched analysis. (nih.gov)
  • She underwent whole-abdominal enhanced CT for abdominal pain and was diagnosed with a possible renal AML with tumour thrombus. (bvsalud.org)
  • Surgical options include enucleation with a rim of normal parenchyma, wedge resection, polar nephrectomy, or bench surgery and autotransplantation (ex vivo). (medscape.com)
  • The indication to perform PN has been expanded and RN is no longer the surgical treatment of choice for small, localized renal masses as reflected by current international guidelines [ 3, 6 ]. (iospress.com)
  • Lower the surface and core renal temperature to minimize ischemic damage to the kidney. (medscape.com)
  • Prepare iced slush saline for intraoperative renal cooling in anticipation of arterial occlusion and regional hypothermia. (medscape.com)
  • Detection of clinical stage T1 (≤ 7.0 cm) renal masses has increased in frequency and is now a common clinical scenario for the practising urologist. (asmepress.com)
  • Temporary arterial occlusion and regional hypothermia are often necessary, depending on the size, location, and number of renal masses. (medscape.com)
  • Conversely, RN may be preferred in elderly patients with severe (non-renal related) comorbidities, in patients with an anatomically challenging tumor location, or for larger or locally advanced masses. (iospress.com)
  • The increasing use and quality of cross-sectional imaging has been associated with increased incidence, earlier detection and improved staging of renal masses [ 12 ]. (iospress.com)
  • examining a large cohort of Medicare beneficiaries, increase rates of computed tomography (CT) imaging was associated with a higher risk of nephrectomy, presumably from incidental detection of renal masses, with little change in morality [ 4 ]. (iospress.com)
  • Although open partial nephrectomy is an efficacious procedure, a minimally invasive approach might be more attractive to patients [3]. (asmepress.com)
  • Preliminary results of a multicenter study of prostate cancer Analysis of specialized medical care for patients with gross hematuria, renal colic. (ecuro.ru)
  • It may also better preserve long-term renal function, particularly in patients who may need surgery for a contralateral kidney mass or have pre-existing chronic kidney disease. (iospress.com)
  • Effects of in vivo ischemia on contractile responses of rabbit bladder to field stimulation, carbachol, ATP and KCl. (upstate.edu)
  • Urethra is more sensitive to ischemia than bladder: evidence from an in vitro rat study. (upstate.edu)
  • Chronic kidney disease, renal transplantation, hemodialysis, acquired cystic kidney disease, a history of previous renal cell carcinoma, and co-existing diabetes mellitus have been recognized as potential risk factors associated with an increase in incidence in renal cell carcinoma in population-based studies. (nih.gov)
  • With the availability of robots, even large size tumours have been operated on to preserve the nephrons and with good postoperative outcomes. (asmepress.com)
  • Review interprofessional team strategies for improving care coordination and communication to advance patient-related outcomes in clear cell renal carcinoma. (nih.gov)
  • Several important principles exist for performing NSS for renal cell carcinoma (RCC). (medscape.com)
  • Review the histopathological findings of clear cell renal cancer. (nih.gov)
  • Summarize the role of history taking, physical examination, radiological investigations in the evaluation and management of clear cell renal cancer. (nih.gov)
  • Outline the options available in the management of clear cell renal cancer. (nih.gov)
  • In most cases in which preoperative imaging is optimized and the correct incision is used, partial nephrectomy can be performed in situ. (medscape.com)
  • Early vascular control is the key for minimizing blood loss and for prompting renal hypothermia, when necessary, in cases in which it was not originally planned. (medscape.com)
  • In situations in which complex cystic lesions are encountered, ultrasonography can further characterize the lesion at the time of surgery. (medscape.com)
  • Do not hesitate to use temporary renal artery occlusion and hypothermia, even for relatively small lesions. (medscape.com)
  • Ultrasonography can guide the incision in the renal capsule and identify the shortest and easiest access to the lesion that compromises and sacrifices the least amount of normal parenchyma. (medscape.com)
  • 5. Feasibility of omitting cortical renorrhaphy during robot-assisted partial nephrectomy: a matched analysis. (nih.gov)