• citation needed] A total nephrectomy is the removal of at least the entire kidney, whereas a 'radical nephrectomy' also includes at least some perinephric fat, possibly including Gerota's fascia, and usually also the ipsilateral adrenal gland. (wikipedia.org)
  • For patients that have large masses that have imperative indications for partial nephrectomy -- such as a decreased eGFR [estimated glomerular filtration rate] or some other indication that would make them dialysis dependent if they underwent a radical nephrectomy -- using a neoadjuvant approach can make them amenable to a partial nephrectomy and allow them to conserve more renal function and avoid dialysis dependence or some other complication from chronic kidney disease. (medpagetoday.com)
  • Thus, Hakimi explained, these patients faced the risk of dialysis dependence if they underwent radical nephrectomy. (medpagetoday.com)
  • Only two patients had a greater than 50% reduction in their eGFR, and only one patient was dialysis dependent, and that patient underwent a radical nephrectomy. (medpagetoday.com)
  • Retrospective studies suggest that partial nephrectomy (PN) provides improved survival compared to radical nephrectomy (RN), even when performed electively. (auanet.org)
  • A 38-year-old patient with ALS diagnosed with a left renal mass of mitotic origin was scheduled for radical nephrectomy after an evaluation. (springeropen.com)
  • Herein, we describe our experience with thoracic segmental spinal anesthesia in a patient with ALS posted for radical nephrectomy. (springeropen.com)
  • However, partial nephrectomy can be technically challenging because of intraoperative hemorrhage, which limits the ability to identify the tumor margin and may necessitate the conversion to open surgery or radical nephrectomy. (biomedcentral.com)
  • During this stressful situation, it is imperative for the surgeon to have an organized approach to management of hemorrhage, as delayed management could lead to prolonged ischemic times, iatrogenic positive surgical margins from inadequate visualization, conversion to open surgery, or radical nephrectomy. (biomedcentral.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)
  • 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)
  • Compared with a partial nephrectomy, a radical nephrectomy, which is when the entire kidney is removed, is appropriate for larger tumors that have grown beyond the kidney's boundaries or when the cancer has invaded nearby structures. (curetoday.com)
  • Additionally, greater than 95% of our radical nephrectomies in 2014 were performed using laparoscopy, sparing our patients a larger painful incision through the ribs and potentially weeks or months of recovery. (bidmc.org)
  • Depending on the features of the tumor, partial or radical nephrectomy may be performed. (pulsus.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)
  • 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)
  • Intermediate-term oncologic results after laparoscopic radical nephrectomy for locally advanced renal cell carcinoma are similar to those of open nephrectomy. (urologytimes.com)
  • Traditionally, most T3 lesions have been treated with open radical nephrectomy, with 5-year survival rates in the 40% to 80% range. (urologytimes.com)
  • MRI confirmed these findings, and the patient ultimately required a laparoscopic radical nephrectomy for definitive treatment. (canjurol.com)
  • Results of the research investigated 30 subjects that underwent partial or radical nephrectomy. (ojp.gov)
  • Between December 2006 and March 2009, 20 patients had laparoscopic nephrectomy and 20 patients had open nephrectomy. (urotoday.com)
  • However, Bercowsky et al reported that the technical difficulty and associated complications of the procedure negated any benefits over open nephrectomy. (medscape.com)
  • The role of cytoreductive nephrectomy (CN) in treatment of locally advanced or metastatic renal cell carcinoma (mRCC) in the era of targeted therapies (TT) is still not clearly defined. (muni.cz)
  • In a study, the Selection for Cytoreductive Nephrectomy (SCREEN) score demonstrated superiority in predicting first-year mortality among patients with metastatic kidney cancer compared with an IMDC model. (renalandurologynews.com)
  • 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)
  • In addition to reductions in tumor size and RENAL scores, Hakimi and his colleagues reported that 34.6% of patients had a partial response to treatment, 65.4% achieved stable disease, 34.6% had tumors downstaged on imaging, and 92.3% achieved negative margins. (medpagetoday.com)
  • Treatment outcome of laparoscopic partial nephrectomy in patients with renal tumors of moderate to high complexity]. (bvsalud.org)
  • To investigate the treatment outcome of laparoscopic partial nephrectomy in the patients with renal tumors of moderate to high complexity (R.E.N.A.L. score 7-10). (bvsalud.org)
  • In the study, 186 patients with a renal score of 7-10 renal tumors who underwent laparoscopic partial nephrectomy in Peking University Third Hospital from February 2016 to April 2021 were selected. (bvsalud.org)
  • Laparoscopic partial nephrectomy is safe and effective in the treatment of renal tumors with R.E.N.A.L. score of 7-10. (bvsalud.org)
  • The adoption of robotic assistance has contributed to the increased utilization of partial nephrectomy for the management of renal tumors. (biomedcentral.com)
  • Postchemotherapy excision of the tumor is indicated in patients with bilateral tumors, tumors that extended beyond the midline and have shrunk, and tumors with vascular extension. (medscape.com)
  • 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)
  • Currently, many patients who are diagnosed with primary tumors that originate inside the kidney are treated surgically. (scienceblog.com)
  • Preserving kidney function has been clearly demonstrated to maximize quality of life and length of life for patients with kidney tumors," Dr. Cadeddu said. (scienceblog.com)
  • Demographic, clinical and imaging characteristics are used to risk-stratify patients, and nomograms exist that combine these characteristics into composite models to classify tumors preoperatively. (ahrq.gov)
  • CT is an excellent modality for detecting tumors anywhere in the body, but it has the disadvantage of ionizing radiation, which may become problematic in screening asymptomatic patients and at-risk relatives. (medscape.com)
  • A multi-institutional report of peri-operative and functional outcomes after robot-assisted partial nephrectomy in patients with a solitary kidney. (wakehealth.edu)
  • Cadeddu, JA 2020, ' Re: A Multi-Institutional Report of Peri-Operative and Functional Outcomes after Robot-Assisted Partial Nephrectomy in Patients with a Solitary Kidney ', Journal of Urology , vol. 203, no. 1, pp. 13. (elsevierpure.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)
  • Simple Summary: The treatment of metastatic renal cell carcinoma is traditionally initiated with the removal of the diseased kidney with the tumor in many patients. (muni.cz)
  • The present paper analyses a large cohort of patients, and the results indicate that primary tumor removal should still be strongly considered in patients who are treated with targeted therapies. (muni.cz)
  • The patient had had a large tumor and the operation was initially successful, but the patient died fifteen days later. (wikipedia.org)
  • SAN DIEGO -- Use of neoadjuvant axitinib (Inlyta) resulted in significant reductions in tumor size and complexity, enabling partial nephrectomy in a cohort of patients with highly complex renal masses in whom the procedure would ordinarily not be feasible, according to an interim analysis from a small phase II trial. (medpagetoday.com)
  • The primary outcome was reduction in longest tumor diameter based on imaging criteria and achievement of partial nephrectomy. (medpagetoday.com)
  • Prior to partial nephrectomy in patients with renal masses, volume-rendering of contrast-enhanced axial CT images , obtained using a high-iodine-concentration contrast medium, helps calculate the centrality index, an indicator of resection difficulty based on tumor size and position. (mdct.net)
  • Reducing the risk of hemorrhage during robotic partial nephrectomy begins with reviewing the preoperative imaging for renal vasculature and tumor anatomy, with a focus on accessory vessels and renal tumor proximity to the renal hilum. (biomedcentral.com)
  • During partial nephrectomy, in which part of the kidney is removed for a renal tumor, hemorrhage can be particularly troublesome because the kidney is a well perfused organ and renal cell carcinomas are associated with increased vascularity [ 1 ]. (biomedcentral.com)
  • Gross nephrectomy specimen shows a Wilms tumor pushing the normal renal parenchyma to the side. (medscape.com)
  • It is often considered for patients with advanced kidney cancer who require removal of the kidney and the tumor thrombus within the vein. (curetoday.com)
  • Researchers conducting this phase 3 trial in multiple sites around the country are examining the use of the immunotherapy Opdivo in patients with kidney cancer at two different points: before surgery, to possibly shrink the tumor, thereby reducing the amount of tissue to be removed during nephrectomy, and after surgery, to increase survival. (curetoday.com)
  • While photodynamic therapy can be used to treat cancer by applying laser light to a tumor after a drug is injected into the body, its side effects can often be painful and troublesome to patients. (curetoday.com)
  • Partial nephrectomy is the removal of part of the kidney, usually because of a tumor, while sparing the remainder from damage or removal. (bidmc.org)
  • It typically is performed if the renal tumor is less than 7-cm or the patient has only one kidney. (bidmc.org)
  • The standard treatment is usually a partial nephrectomy, where the surgeon removes the tumor and some surrounding tissue via open or laparascopic surgery," said Dr. Cadeddu. (scienceblog.com)
  • Preoperative patient and tumor (imaging) characteristics are used to stratify the risk of benign versus malignant disease, and indolent versus aggressive cancers. (ahrq.gov)
  • [ 2 , 3 ] CNS hemangioblastoma (Lindau tumor) is the most commonly recognized manifestation of VHL and occurs in 40% of patients. (medscape.com)
  • A right nephrectomy with resection of the mass demonstrated a malignant solitary fibrous tumor. (medscape.com)
  • Some factors such as individual treatment strategy, according to the histology of the primary tumor, plan of treatment strategies carried out in a multidisciplinary manner, risk-benefit of radiotherapy, assessment of the degree of spinal instability, improvement in communication and referral between specialists in oncology showed an increase in the survival of these patients. (bvsalud.org)
  • According to the results of this retrospective study, patients who underwent CN and subsequently were treated with TT had better outcomes compared to patients treated with upfront TT. (muni.cz)
  • Nephrectomy has been the standard of care for metastatic renal cell carcinoma for 20 years, but now that targeted therapies have improved outcomes substantially, the question is whether all patients should have nephrectomy as well as targeted therapy. (ascopost.com)
  • The purpose of the present investigation was to compare the outcomes of nephrectomy through open and laparoscopic procedures. (urotoday.com)
  • Outcomes of Laparoscopic Partial Nephrectomy in Patients Continuing As" by D. A. Leavitt, M. Keheila et al. (hofstra.edu)
  • We evaluate perioperative outcomes among patients continuing aspirin and those in whom treatment is stopped preoperatively. (hofstra.edu)
  • A retrospective study revealed no significant difference in 36-month progression-free survival and renal function outcomes in patients with small renal masses. (renalandurologynews.com)
  • The FDA granted Welireg a priority review after it showed promising outcomes for patients with pretreated advanced renal cell carcinoma. (curetoday.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)
  • Acute/chronic pain management: Proposals should explore the osteopathic approaches to acute and chronic pain management, emphasizing treatments and patient outcomes. (osteopathic.org)
  • In recent years, the advent of targeted therapy has transformed the outcomes of patients with metastatic RCC although little evidence is available on its effectiveness on this subset of patients. (scirp.org)
  • In an article available online in the journal Cancer , Dr. Jeffrey Cadeddu, professor of urology and radiology at UT Southwestern Medical Center, reported the outcomes of more than 200 patients who were treated with radiofrequency ablation (RFA). (scienceblog.com)
  • NSCLC patients treated in California, as well as the influence of facility American College of Surgeons Commission on Cancer (CoC) accreditation on long-term outcomes. (cdc.gov)
  • however unlike volume, the relationship between CoC accreditation and patient outcomes has not been well studied. (cdc.gov)
  • The CoC is a conglomerate of over 50 organizations that focus on improving oncologic outcomes and quality of life for cancer patients [10-13]. (cdc.gov)
  • Traditionally, partial nephrectomy had been performed via an open approach but there has been a steady trend toward a minimally invasive approach [ 2 ]. (biomedcentral.com)
  • As partial nephrectomy is increasingly performed with a minimally invasive approach, control of intraoperative hemorrhage can be more challenging than simple manual compression of the renal parenchyma with suturing, as can be done in open surgery. (biomedcentral.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 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)
  • We also specialize in outpatient, minimally invasive urologic procedures, which can offer patients benefits, such as faster recovery times and minimal scarring, compared to traditional surgeries. (southernhillshospital.com)
  • During the surgery, the first partial nephrectomy and renal reconstruction had no complications, allowing Kolon to continue and successfully perform the second contralateral partial nephrectomy and renorrhaphy under the same general anesthesia. (chop.edu)
  • Nephrectomy poses risks for complications such as blood loss, infection, pulmonary embolism, and heart problems and may delay necessary systemic treatment for weeks. (ascopost.com)
  • Operative complications occurred in 6 patients in the open group and in 5 patients in laparoscopic group. (urotoday.com)
  • A patient has to stay in the hospital between 2 and 7 days depending on the procedure and complications. (wikipedia.org)
  • Six of the 26 patients had Clavien grade III-IV surgical complications after partial nephrectomy, including urine leaks in four patients. (medpagetoday.com)
  • Additionally, the complications of organ resection have more impact on patients. (spandidos-publications.com)
  • Considering the complications of multi-organ resection, whether nephrectomy or other organ resection is required remains to be elucidated. (spandidos-publications.com)
  • The patients were followed-up, and their postoperative hemoglobin , creatinine , complications , and length of hospital stay recorded. (bvsalud.org)
  • 4 This may be reflective of the stable rates of patients presenting with advanced and metastatic cancer, a changing biology of kidney cancer, or the overtreatment of indolent lesions with resultant complications of that treatment. (ahrq.gov)
  • Patients diagnosed or with suspicion of colorectal cancer or adenoma, inflammatory bowel disease, late complications to colon diverticulosis, colostomy reversal or other diagnoses requiring colorectal resection. (who.int)
  • This guide will help you get ready for your nephrectomy (surgery to remove your kidney) or adrenalectomy (surgery to remove your adrenal glands) at MSK. (mskcc.org)
  • In the surgery arm, sunitinib was initiated 3 to 6 weeks after nephrectomy. (ascopost.com)
  • Radiofrequency ablation by an interventional radiologist can be considered as an alternative for small lesions in carefully selected patients who are not candidates for surgery. (medscape.com)
  • The mean patient age was 46.85 years in the group receiving open surgery and 48.15 years in the group receiving laparoscopy, with no significant group difference. (urotoday.com)
  • Mean length of hospitalization was significantly longer for patients receiving open surgery than for patients receiving laparoscopy (4.9 days versus 3.45 days, respectively) ( P = .004). (urotoday.com)
  • Laparoscopic nephrectomy, which is a minimal invasive procedure, is a recommended alternative for open surgery. (urotoday.com)
  • The surgery is performed with the patient under general anesthesia. (wikipedia.org)
  • Such alternatives include renal embolization for those who are poor candidates for surgery, or partial nephrectomy if possible. (wikipedia.org)
  • Pain medication is often given to the patient after the surgery because of pain at the site of the incision. (wikipedia.org)
  • Patients who have had open surgery will have to stay in hospital longer than those who have had laparoscopic surgery. (wikipedia.org)
  • The results are based on an analysis of patients with complex biopsy-proven clear cell renal cell carcinoma in the single-arm PADRES (Prior Axitinib as a Determinant of Outcome of Renal Surgery) trial . (medpagetoday.com)
  • Renal Cancer Surgery for Patients without Preexisting Chronic Kidney Disease: Is there a Survival Benefit for Elective Partial Nephrectomy? (auanet.org)
  • Hemorrhage during surgery is a patient safety concern and a source of stress for surgeons. (biomedcentral.com)
  • This makes recovery after surgery even more convenient for our patients. (umc.edu)
  • According to the American Cancer Society, surgery is the most common treatment for patients with kidney cancer, and most people with early-stage disease (meaning stages 1, 2 and 3) can be cured with this approach. (curetoday.com)
  • The primary goal of kidney cancer surgery is to remove or treat the cancer effectively while preserving kidney function and providing the best possible outcome and quality of life for the patient. (curetoday.com)
  • They are also preferred for patients who desire a less invasive approach, smaller scars, reduced postoperative pain and quicker recovery compared to open surgery. (curetoday.com)
  • In particular, it is suitable for patients who may not be eligible for traditional surgery due to medical conditions or poor overall health. (curetoday.com)
  • Genomics may ultimately play an important role in determining recurrence risk in patients who undergo surgery for localized kidney cancer, according to Brian Rini, MD, of Cleveland Clinic. (urologytimes.com)
  • Patients resume normal eating as they recover in the first day after surgery or soon thereafter. (bidmc.org)
  • Pain is managed immediately with an intravenous patient controlled analgesia pump, which is removed and replaced by pills the day after surgery. (bidmc.org)
  • Priming the immune system with nivolumab before surgery, then continuing nivolumab, did not improve recurrence-free survival in patients with high-risk renal cell carcinoma. (eurekalert.org)
  • Patients with high-risk renal cell carcinoma (RCC) were randomized in an open label design to surgery alone versus priming the immune system with nivolumab prior to full or partial removal of the kidney followed by additional nivolumab, an approach strongly supported by patient advocates. (eurekalert.org)
  • Surgery with observation is the standard of care for patients with localized disease. (eurekalert.org)
  • Between February 2017 and June 2021, 819 patients were randomized to perioperative nivolumab (n=404) or surgery alone (n=415). (eurekalert.org)
  • Robot-assisted nephrectomy has become more and more common throughout the years since robotic surgery was first applied to the surgical profession. (pulsus.com)
  • Lithotripsy can allow some patients with kidney stones to avoid surgery. (sclhealth.org)
  • During surgery it was confirmed that patient had sustained injury to the loop of the small bowel in the right hypogastric area. (hindawi.com)
  • CONCLUSIONS: Seven out of 10 patients undergoing routine MIS procedures report constipation symptoms, which may represent a target for preoperative interventions to reduce LOS after surgery. (kumc.edu)
  • With surgery, there is a 5 percent to 10 percent risk of bleeding and an associated need for transfusion, as well as an increased chance of readmission for the patient. (scienceblog.com)
  • In patients who are not in a septic state and who have been evaluated on an outpatient basis, the author's preference is to use an oral antibiotic until surgery, at which point IV antibiotics may be administered. (medscape.com)
  • Shah and colleagues, in a retrospective analysis of 37 patients with XGP treated with either with either open (n=20) or laparoscopic nephrectomy (n=17), found that laparoscopic surgery was associated with lower mean blood loss, a shorter mean hospital stay, and a lower complication rate. (medscape.com)
  • Conversion to open surgery was necessary in one laparoscopic nephrectomy patient. (medscape.com)
  • The study was carried out to exhaust the scientific literature regarding surgery associated with radiotherapy in patients suffering from metastatic spinal cord compression and to assist in the decision of oncology physicians and professionals in choosing the best treatment for the patient. (bvsalud.org)
  • The researchers carried out a descriptive study using bibliometric and scientometric methods and found that the combination of surgery with postoperative radiotherapy is effective and more efficient than these alone for the treatment of patients affected by metastatic neurological compression. (bvsalud.org)
  • The Kidney Cancer Risk Equation for predicting post-nephrectomy ESKD builds on the ubiquitous Kidney Failure Risk Equation and is easy to use, according to investigators. (renalandurologynews.com)
  • In a laparoscopic nephrectomy, the surgeon makes two or three small incisions close to the bellybutton and uses a special camera called a laparoscope to view the internal organs and guide the procedure. (mayoclinic.org)
  • This procedure may not be curative in all patients but may lead to long-term survival in some cases. (medscape.com)
  • The nephrectomy can be performed through open or laparoscopic procedure. (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)
  • So we showed that in this complex cohort of patients, axitinib can be used to cytoreduce masses and enable partial nephrectomy in a highly specific cohort of patients with imperative indications for the procedure," Hakimi concluded, adding that accrual for the trial is ongoing, with a targeted enrollment of 5o patients. (medpagetoday.com)
  • Excluding patients with new baseline GFR2, age, gender, and procedure (PN versus RN) were associated with NRCS (all p≤0.001) on multivariable analysis. (auanet.org)
  • Robotic partial nephrectomy controls cancer equally as well as the traditional open procedure. (bidmc.org)
  • Of the 208 patients who underwent the RFA procedure, 160 were diagnosed with renal cell carcinoma, a type of kidney cancer that is slow-growing but malignant and able to spread easily to other organs. (scienceblog.com)
  • Surgical resection is recommended in selected patients with metastatic RCC. (medscape.com)
  • Surgical resection of a solitary metastasis is recommended in selected patients with good performance status. (medscape.com)
  • The study also revealed increased risk of death from RCC in patients who did not undergo surgical resection of metastasis. (medscape.com)
  • The patient received complete resection of the liposarcoma and the right kidney was preserved. (spandidos-publications.com)
  • Surgical resection has been the treatment of choice because of superior patient survival compared with traditional immunotherapy. (scirp.org)
  • Our results demonstrate that targeted therapy can be efficacious in some patients where surgical resection is not suitable or possible. (scirp.org)
  • To save RL from undergoing two rounds of anesthesia, Kolon planned bilateral partial nephrectomies. (chop.edu)
  • If imaging studies demonstrate bilateral disease, nephrectomy is not performed, but biopsy specimens are obtained. (medscape.com)
  • Two patients had bilateral obstruction from two different causes.Results: Twenty-nine open surgical procedures were carried out. (bvsalud.org)
  • In addition, "19 of 26 patients were able to undergo partial nephrectomy," Hakimi told MedPage Today . (medpagetoday.com)
  • Two patients did not undergo further treatment. (scirp.org)
  • Robotic partial nephrectomy has become increasingly more common, yet there's a lack of consensus among urologists. (asianage.com)
  • To our knowledge, a comprehensive safety checklist does not exist to guide surgeons on the management of hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
  • A treatment safety checklist for the management of hemorrhage during robotic partial nephrectomy was collaboratively developed based on prior experiences with intraoperative hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
  • Safely performing robotic partial nephrectomy is dependent on attention to prevention of hemorrhage and rapid response to the challenge of intraoperative bleeding. (biomedcentral.com)
  • Preparation is essential for maximizing the chance of success during robotic partial nephrectomy. (biomedcentral.com)
  • Series on robotic partial nephrectomy report a reasonable blood loss (Table 1 ). (biomedcentral.com)
  • Thus, the existing literature does little to educate surgeons on how to deal with bleeding during robotic partial nephrectomy while clamped. (biomedcentral.com)
  • Table 1 Selected reports from 2009-2012 of estimated blood loss during robotic partial nephrectomy with hilar clamping. (biomedcentral.com)
  • The goal of this manuscript is to educate robotic surgeons in factors to minimize hemorrhage during robotic partial nephrectomy. (biomedcentral.com)
  • We then developed a safety and management checklist for "hemorrhage while clamped" during robotic partial nephrectomy. (biomedcentral.com)
  • Since that time, the authors have performed a total of over 1500 robotic partial nephrectomies. (biomedcentral.com)
  • Robotic partial nephrectomy utilizes an operating telescope and thin, specialized instruments placed in the abdomen through 3-4 "keyhole" incisions, each 1cm. (bidmc.org)
  • A 65-year-old female presented to clinic requesting follow up for a history of right robotic partial nephrectomy done at an outside institution 2 years prior. (canjurol.com)
  • In the modern era of targeted therapy, some patients with metastatic renal cell carcinoma may be able to forgo nephrectomy and be treated with sunitinib (Sutent) alone, according to results of the phase III CARMENA trial reported during the Plenary Session at the 2018 ASCO Annual Meeting. (ascopost.com)
  • Sunitinib alone is noninferior to nephrectomy followed by sunitinib in some intermediate- and poor-risk patients with metastatic renal cell carcinoma. (ascopost.com)
  • Randomized Phase III Trial of High-Dose Interleukin-2 versus Subcutaneous Interleukin-2 and Interferon in Patients with Metastatic Renal Cell Carcinoma," Journal of Clinical Oncology, Vol. 23, No. 1, 2005, pp. 133-141. (scirp.org)
  • 1 The median overall survival was 18.4 months for patients treated with targeted therapy using sunitinib vs 13.9 months for those treated with nephrectomy followed by sunitinib-the current standard of care. (ascopost.com)
  • ESMO 2023: Does stopping VEGFR TKI treatment and continuing immunotherapy influence the survival of patients on combination therapy? (actionkidneycancer.org)
  • We evaluated factors associated with non-renal cancer-related survival (NRCS) after PN or RN for patients with preoperative GFR ≥60ml/min/1.73m 2 . (auanet.org)
  • Investigators believe their study is the first to demonstrate the adverse impact of LVI on overall survival in patients with surgically treated renal cell carcinoma. (renalandurologynews.com)
  • According to SRTR, for both kidney and liver patients, getting a transplant faster has the largest impact on survival after wait listing. (umc.edu)
  • At a planned interim analysis, the trial showed no difference in recurrence-free survival (RFS) between arms in a population of patients that included both clear cell and non-clear cell subtypes, and was stopped early. (eurekalert.org)
  • Perioperative nivolumab did not improve recurrence-free survival in patients with renal cell carcinoma and at high risk for recurrence," said Dr. Allaf . (eurekalert.org)
  • Of the 4 patients who underwent targeted therapy, the median follow up was 33 months with a median progression free survival of 16 months. (scirp.org)
  • R. I. Fisher, S. A. Rosenberg and G. Fyfe, "Long-Term Survival Update for High-Dose Recombinant Interleukin-2 in Patients with Renal Cell Carcinoma," The Cancer Journal From Scientific American, Vol. 6, Suppl. (scirp.org)
  • Those patients had three- and five-year survival rates of more than 95 percent. (scienceblog.com)
  • We sought to evaluate the relationship of hospital volume for lobectomy on cancer-specific survival in NSCLC patients treated in California, as well as the influence of Committee on Cancer (CoC) accreditation. (cdc.gov)
  • MATERIALS AND METHODS: 430 consecutive cases of laparoscopic partial nephrectomy performed between January 2012 and October 2014 were reviewed. (hofstra.edu)
  • The retrospective study, presented by Monish Aron, MD, a clinical fellow in advanced laparoscopic urology at the Cleveland Clinic, represents one of the largest series to date specifically evaluating laparoscopic nephrectomy for higher-stage renal masses. (urologytimes.com)
  • Because recovery includes frequent checkups at our transplant clinics, we offer follow-up care at our main campus in Jackson, and, for kidney transplant patients, at UMMC Grenada and our transplant clinic in Biloxi. (umc.edu)
  • Laparoscopic nephrectomy is a routine technique, which may have associated morbidity. (isciii.es)
  • [ 14 ] The increased use of hand-assisted laparoscopic nephrectomy may allow a reasonable compromise between technical feasibility and acceptable patient morbidity. (medscape.com)
  • Nephrectomy is also performed for the purpose of living donor kidney transplantation. (wikipedia.org)
  • A patient with end-stage renal disease was consented with particular attention to the uncertainty of the underlying donor disease process and long-term outcome of the reconstruction. (bmj.com)
  • CONCLUSIONS: Laparoscopic partial nephrectomy is safe and effective among patients on chronic antiplatelet therapy who require perioperative aspirin for cardio-protection. (hofstra.edu)
  • CONCLUSIONS: Preference regarding the use of a chaperone is primarily influenced by gender of both the patient and the provider. (kumc.edu)
  • This is the first time a healthy kidney has been removed via this method, though it has been done in the past for nephrectomies carried out due to pathology. (wikipedia.org)
  • Urinary incontinence is a common sequel in patients operated on for some pathology of the exstrophy-epispadias complex. (espu.org)
  • We present the case of three patients with pathology of the exstrophy-epispadias complex. (espu.org)
  • Evaluation of lower urinary tract pathology and voiding dysfunction may be important in these patients. (medscape.com)
  • CARMENA enrolled 450 patients from September 2009 to September 2017 to determine whether upfront nephrectomy is necessary before sunitinib treatment. (ascopost.com)
  • Nephrectomy may be more appropriate for low-volume disease, and initiating therapy with sunitinib alone may be more appropriate for high-volume disease as initial therapy. (ascopost.com)
  • Patients were randomized 1:1 to receive nephrectomy followed by sunitinib or sunitinib alone. (ascopost.com)
  • Two patients were commenced on Sunitinib, one received Pazopanib and one received Temsirolimus. (scirp.org)
  • Thoracic segmental spinal anesthesia may be a viable alternative to general anesthesia in upper abdominal surgeries in ALS patients. (springeropen.com)
  • Thoracic segmental spinal anesthesia was planned for the patient. (springeropen.com)
  • Our experience with thoracic segmental spinal anesthesia for nephrectomy in this ALS has been satisfactory. (springeropen.com)
  • In some cases, a patient's condition may worsen during treatment delay, and the patient may be unable to tolerate systemic treatment. (ascopost.com)
  • The American Urological Association guideline for management of clinically localized sporadic renal masses suspicious for RCC in adults recommends reviewing all available treatment options and the associated benefits and risks with the patient. (medscape.com)
  • The treatment of metastatic RCC is problematic, so whenever possible, patients should be directed to approved and controlled clinical trials. (medscape.com)
  • We report the use of EVNP to assess graft perfusion quality following indication nephrectomy and back-bench arterial reconstruction in a case of renal artery stenosis, unamenable to endovascular treatment. (bmj.com)
  • As the treatment landscape continues to grow for kidney cancer, patients and their caregivers should be aware of the various clinical trials currently being conducted - particularly those they can possibly join. (curetoday.com)
  • In kidney cancer, treatment sometimes involves nephrectomy, which is the removal of part or all of the kidney. (curetoday.com)
  • At 5 years from CCH injection, curvature and plaque volume were associated with patient satisfaction in the treatment of their Peyronie's disease. (urologytimes.com)
  • In the first article of this series, Nilay Gandhi, MD, explains the treatment and management of patients with advanced/metastatic prostate cancer and details the options for androgen deprivation therapy. (urologytimes.com)
  • In our case, the patient had a satisfactory outcome with medical treatment. (isciii.es)
  • Nephrectomy is the criterion standard of treatment for XGP. (medscape.com)
  • Introduction: For a range of kidney abnormalities, including both neoplastic and nonneoplastic disorders, nephrectomy is a popular surgical treatment. (who.int)
  • Two patients are awaiting definitive surgical treatment. (bvsalud.org)
  • The EAU Annual Congress 2019 achieved the Patients Included™ status. (uroweb.org)
  • DESIGN, SETTING, AND PARTICIPANTS: In this serial cross-sectional study, adult patients with CKD that did not require dialysis, defined as a persistent estimated glomerular filtration rate less than 60 mL/min/1.73 m2 or a urine albumin-creatinine ratio of 30 mg/g or higher for at least 90 days, were identified in 2-year cross-sections from January 1, 2012, to December 31, 2019. (cdc.gov)
  • Philadelphia, September 8 - The ECOG-ACRIN Cancer Research Group (ECOG-ACRIN) will present data from PROSPER RCC (EA8143), the first randomized phase 3 trial of neoadjuvant immunotherapy in patients with kidney cancer. (eurekalert.org)
  • About 25-30% of patients have metastatic disease at diagnosis, and fewer than 5% have a solitary metastasis. (medscape.com)
  • Patients had a median age of 69 years and a median follow-up of 12 months. (medpagetoday.com)
  • Median age was 59 years and 60% of patients were male. (auanet.org)
  • Patients on chronic aspirin therapy were stratified into two groups, on-aspirin and off-aspirin, based on perioperative status of aspirin use. (hofstra.edu)
  • With many surgical options available to treat patients with kidney cancer, it is important for patients to make informed discussions with the care team to understand what approach may be best for a patient's disease type and stage. (curetoday.com)
  • A laparascopic partial nephrectomy involves doctors accessing the organ through several small incisions in a patient's abdomen. (scienceblog.com)
  • Nephrectomy is indicated in patients with an irreversibly damaged kidney due to symptomatic chronic infection, calculus disease, or severe traumatic injury. (urotoday.com)
  • Active surveillance may be an acceptable approach to delay or avoid further intervention in the patient at high surgical risk. (medscape.com)
  • During the 20th century, most nephrectomies for benign and malignant renal disease were performed by an open approach [2]. (urotoday.com)
  • Laparoscopic nephrectomy is performed through transperitoneal or retroperitoneal approach. (urotoday.com)
  • With surgical techniques applicable to many stages of kidney cancer, it is important for patients to discuss these options with their cancer team to select the best approach for their disease. (curetoday.com)
  • Now that laparoscopic nephrectomy is the criterion standard in many regions, this approach can be entertained depending on the individual surgeon's skill level. (medscape.com)
  • When use of the laparoscopic approach is being entertained, the patient and his or her family should be informed that a conversion rate of nearly 50% can be expected. (medscape.com)
  • Patients with kidney cancer who have metastasis when the cancer is first diagnosed account for about 20% of all kidney cancers worldwide. (ascopost.com)
  • This study is also enrolling patients with non-small cell lung, triple-negative breast, colorectal, head and neck cancer and bladder cancers. (curetoday.com)
  • This trial will specifically look at the different doses of laser light to be used in therapy for patients with persistent kidney and ureter cancers. (curetoday.com)
  • 4 While renal cell carcinoma only represents 2% of adult cancers, it is among the most lethal, with approximately 35% of patients dying within 5 years of diagnosis. (ahrq.gov)
  • Patients were stratified as intermediate or poor risk according to Memorial Sloan Kettering Cancer Center (MSK) criteria. (ascopost.com)
  • The median interval between initial curative nephrectomy and re-presentation with pancreatic metastases w as 12.5 years. (scirp.org)
  • Fourteen patients underwent nephrectomy for neoplastic conditions such as Wilm'stumor and renal cell carcinoma (RCC). (who.int)
  • The spine is the most frequent area of bone metastasis in patients with systemic neoplastic disease. (bvsalud.org)
  • DK-patient consent, arterial reconstruction, manuscript review. (bmj.com)
  • She began a planned 12-week course of chemotherapy to be followed by partial versus total nephrectomies. (chop.edu)
  • Radiotherapy and chemotherapy are an important adjuvant method for these patients. (spandidos-publications.com)
  • Nephrectomy for renal cell carcinoma is rapidly being modified to allow partial removal of the kidney. (wikipedia.org)
  • Prospective Randomized Trial of Interferon Alfa-2a Plus Vinblastine versus Vinblastine Alone in Patients with Advanced Renal Cell Cancer," Journal of Clinical Oncology, Vol. 17, No. 9, 1999, pp. 2859-2867. (scirp.org)
  • The first planned nephrectomy was performed by the German surgeon Gustav Simon on August 2, 1869, in Heidelberg. (wikipedia.org)
  • Surgeon on-call examined patient but did not find any signs and symptoms of acute abdominal condition. (hindawi.com)
  • This phase 1 study was created to determine the highest dose of the investigational immunotherapy drug CDX-1140 that can be given safely to patients. (curetoday.com)
  • The study enrolled patients with metastatic clear cell renal cell carcinoma at the time of diagnosis. (ascopost.com)
  • Laparoscopic nephrectomy: Not just for localized renal cell carcinoma? (urologytimes.com)
  • Methodology used in this study included thirty randomly selected patients who underwent nephrectomy for renal cell carcinoma (RCC) had their images independently reviewed by engineers. (ojp.gov)
  • K. Chiu, A. Razack and A. Maraveyas, "Targeted Therapy in the Management of Elderly Patients with Pancreatic Metastases from Renal Cell Carcinoma," Journal of Cancer Therapy , Vol. 4 No. 9B, 2013, pp. 15-21. (scirp.org)
  • Phase III Trial of Interferon Alfa-2a with or without 13-Cis-Retinoic Acid for Patients with Advanced Renal Cell Carcinoma," Journal of Clinical Oncology, Vol. 18, No. 16, 2000, pp. 2972-2980. (scirp.org)
  • Comparative Genomic Landscape of Urothelial Carcinoma of the Bladder Among Patients of East and South Asian Genomic Ancestry. (moffitt.org)
  • 8 However, the deaths due to renal cell carcinoma are driven by the failure of systemic treatments in metastatic (later stage) patients. (ahrq.gov)
  • On the first postoperative day patient complained of nausea and vomitus which was interpreted as side effect of general anesthesia. (hindawi.com)
  • We conducted this study to examine the range of lesions found in the nephrectomy specimens obtained and to ascertain the distribution of these lesions by age and sex. (who.int)
  • All nephrectomy specimens received during 5 years were included. (who.int)
  • Histopathological evaluation of nonneoplastic nephrectomy specimens must be thoroughly considered, particularly in unusual circumstances such as RRL, where a preoperative erroneous initial impression of a malignant lesion such as angiomyolipoma or liposarcoma is possible. (who.int)
  • Soumya B. M, Devi Rajkumari Jayshree, Kulkarni Sriharsha, Kulkarni Vardendra G . Histomorphological Analysis of Nephrectomy Specimens: Experience at a Tertiary Care Institute. (who.int)
  • only 2 patients required surgical intervention for local progression or symptoms. (medscape.com)
  • Patients may present with ocular signs and/or symptoms due to retinal hemorrhage, retinal detachment, glaucoma, or uveitis. (medscape.com)
  • Patients may present with neurologic symptoms such as headaches, ataxia, and blindness. (medscape.com)