Article of the Week: Frozen Section During Partial Nephrectomy: Does it Predict Positive Margins? (bjuinternational.com)
To investigate the clinical utility of frozen section (FS) analysis performed during partial nephrectomy (PN) and its influence on intra-operative management. (bjuinternational.com)
Conventional wisdom with regards to partial nephrectomy (PN) is that a minimal tumour-free margin is sufficient to achieve adequate cancer clearance, minimises loss of normal renal parenchyma and avoids local tumour recurrence [1]. (bjuinternational.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)
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)
The advent of laparoscopy and robot-assisted laparoscopy offers a minimally invasive procedure that allows more precise treatment while significantly reducing pain, shortening the hospital stay, and minimizing complications. (nwurology.com)
Northwest Urology, LLC is a leader in the use of the daVinci Robot for minimally invasive urologic surgeries. (nwurology.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)
Robotic assisted2
The utility of indocyanine green dye (ICG) has evolved significantly to the robotic operations including Robotic Assisted Radical Prostatectomy (RARP). (e-urol-sci.com)
The implementation of robotic-assisted laparoscopic surgery alleviated several of these challenges. (basicmedicalkey.com)
Cystectomy1
Effectiveness of perioperative chemotherapy and radical cystectomy in treating bladder cancer. (moffitt.org)
RARP1
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)
Normal renal1
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)
We provide the latest in urological services including Da Vinci Robotic Prostatectomy for prostate cancer, Laser Prostatectomy and UROLIFT prostate surgery for enlarged prostates, Percutaneous Tibial Nerve Stimulation and Bladder Botox for the Overactive bladder syndrome. (staffordshireurologyclinic.co.uk)
Urinary6
Postoperative urinary continence tends to recover early since robot-assisted radical prostatectomy has been introduced, but the results of the procedure are still not satisfactory. (auanet.org)
Various modifications of pelvic floor reconstruction during radical prostatectomy, including pelvic floor structure preservation with nerve-sparing technique, have been reported for the purpose of early recovery of urinary continence. (auanet.org)
We modified the previously reported Milan vas deferens sling technique by adding reinforcement of under-anastomosis layers during robot-assisted radical prostatectomy, which significantly accelerates early recovery of postoperative urinary continence in cases without nerve-sparing. (auanet.org)
x000D_ Despite a small sample size in the single-institution study, this sling technique may improve early urinary continence recovery after robot-assisted radical prostatectomy even without nerve-sparing. (auanet.org)
For kidney cancers in the lining of the urinary transport system (renal pelvis, ureter), a ureteroscope is used to inspect the lining of the kidneys and ureters and to perform a biopsy of any tumors. (nwurology.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)
Outcomes1
No comparisons were possible concerning renal functional outcomes because of non‐homogeneous data reporting. (bjuinternational.com)
Reconstruction3
STUDY DESIGN: We conducted a retrospective analysis of patients undergoing pancreatic resection with PV-SMV reconstruction using LRV between 2002 and 2022. (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)
Kidney4
Kidney cancers are often detected when the patient undergoes an imaging study (CT scan, MRI, etc.) for symptoms unrelated to kidney disease. (nwurology.com)
CT scan, MRI, ultrasonography, angiography and a renal scan may be performed to determine the presence of a kidney tumor. (nwurology.com)
Kidney Transplant Removal of a donor kidney with nephrectomy and ureterectomy followed by transplantation of the donor kidney into the recipient's iliac fossa. (nursekey.com)
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)
3] present interesting data from an expert uro-pathology service, on a consecutive cohort of patients undergoing PN. (bjuinternational.com)
Pelvis1
The ureteric bud divides and branches forming the collecting system (renal pelvis, infundibulae, calyces, and tubules) for urine drainage. (esur2023.com)
Surgery2
On the contrary, laparoscopic surgery offered some unique technical challenges such as a two-dimensional view, difficult to manipulate instruments that lacked multiplanar articulation, and decreased surgeon autonomy. (basicmedicalkey.com)
Robot-assisted procedures are beginning to find their place in adrenal surgery. (basicmedicalkey.com)
Visualization1
Intravenous Pyelogram A radiologic procedure in which intravenous (IV) dye is injected to assist in the visualization of renal structure. (nursekey.com)
Vascular3
There is still a lack of unified diagnostic criteria and treatment guidelines for renal malignant PEComa, especially with vascular invasion. (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)
Absolute contraindications for RA include infiltrative adrenal masses, invasion into surrounding vascular structures or significant involvement of adjacent organs, and large tumors precluding effective use of the robot. (basicmedicalkey.com)
Urology2
In 1961, Schlegel et al first reported the usefulness of sonography in urology, for the detection of renal calculi . (medscape.com)
We are the largest collaboration of private urology specialists in the county with specialist NHS practices at the University Hospital of North Staffordshire encompassing all aspects of urological care. (staffordshireurologyclinic.co.uk)
Consecutive1
x000D_ Between October 2015 and July 2016, consecutive 35 patients who underwent robot-assisted radical prostatectomy without nerve-sparing at our institution with a single surgeon were investigated. (auanet.org)
Patients5
In patients requiring segmental venous resection with interposition grafting, the left renal vein (LRV) is an accessible autologous solution. (bvsalud.org)
China has a large population and complex geographical environment, which is lead to a large number of urolithiasis patients. (qxmd.com)
3] in this month's issue of BJU International suggest that frozen section results from the tumour bed of patients undergoing a PN may be both unreliable and result in subsequent inconsistent management decisions by the operating surgeon. (bjuinternational.com)
Additionally, patients may undergo computer tomography (CT), contrast enhanced CT, or magnetic resonance imaging with use of functional radiotracers such as 123 I-metaiodobenzylguanidine or 111 In-DTPA-pentetreotide. (basicmedicalkey.com)
When caring for patients undergoing genitourinary surgeries, the perianesthesia nurse should understand the anatomic location and normal function of this system for effective care. (nursekey.com)
Invasion1
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)
Tumors1
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)
Open2
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)
When compared to open adrenalectomy, laparoscopic adrenalectomy (LA) has been shown to have lower intraoperative blood loss, lower postoperative pain scores, shorter length of stay, and better longer-term cosmesis. (basicmedicalkey.com)
Diagnosed mainly1
LESSONS: Renal malignant PEComa is an extremely rare mesenchymal tumor diagnosed mainly based on pathology. (bvsalud.org)
Cancer1
Dr. Spiess' research interests include novel therapies for advanced renal, bladder and penile cancer. (moffitt.org)
Study2
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)
A larger study is needed to confirm its efficacy. (auanet.org)
Patient2
General contraindications include inability to safely undergo anesthesia due to other medical comorbidities or active physiologic imbalances such as uncorrected coagulopathy that would place the patient at high risk of mortality. (basicmedicalkey.com)
When a patient is suspected to have a pheochromocytoma, they should undergo confirmatory testing. (basicmedicalkey.com)
Lack1
This was most likely because of increased operating room cost and lack of access to the surgical robots. (basicmedicalkey.com)