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Nephrectomy laparoscopic

Tobias A Wagner-Altendorf, Klaus-Peter Wandinger, Alex Frydrychowicz, Axel S Merseburger, Thomas F Münte
Paraneoplastic autoimmune encephalopathic syndromes have been described most often in association with small cell lung cancer or breast cancer, tumours of the ovaries, testes, lymphoma and thymoma. Antibodies associated with paraneoplastic encephalopathies are, among others, anti-Hu, anti-Ma2 and, in part, anti-N-methyl-D-aspartate(NMDA)-receptor antibodies. Here, we present the case of a 72-year-old patient hospitalised due to progressive cognitive decline and disorientation. Diagnostic workup revealed paraneoplastic anti-amphiphysin associated limbic encephalitis on the basis of an aortic angiosarcoma with metastases to kidney, muscle and bones...
March 14, 2019: BMJ Case Reports
Kaushal Goyal, Abhishek Kumar Singh, Ujwal Kumar, Raghuveer Machiraju, S J Rizvi
Dear editor, we have read with great interest the article by Takayasu Hirose et al. entitled "Safety and Efficacy of Retroperitoneoscopic Living Donor Nephrectomy: Comparison of Early Complication, Donor and Recipient Outcome with Hand-Assisted Laparoscopic Living Donor Nephrectomy". Analysis of functional result of their series demonstrated that both RPLDN and HALDN procedures were well tolerated with minimal complication rates with similar results and incidence of graft dysfunction. We would like to congratulate the authors on their article and respectfully submit these comments...
March 14, 2019: Journal of Endourology
Moira H D Bruintjes, Esmee V van Helden, Marjan de Vries, Lieke Wirken, Andrea Wm Evers, Henriët van Middendorp, Heinrich Kloke, Frank C H d'Ancona, Johan F Langenhuijsen, Monique A H Steegers, Michiel C Warlé
Chronic postsurgical pain (CPSP) following laparoscopic donor nephrectomy (LDN) is a disregarded topic. In this cross-sectional study, all consecutive patients who underwent a LDN at the Radboudumc (2003-2016) were approached for participation. Five hundred and twelve living kidney donors were included and asked to complete two questionnaires, including the Mc Gill Pain questionnaire and the RAND Short Form-36 Health Status Inventory (RAND SF-36) regarding their health-related quality of life (HRQoL). The mean prevalence of CPSP following LDN was 5...
March 14, 2019: American Journal of Transplantation
Ji Li, Yabin Zou, Bin Wang, Xiangwei Meng, Xun Sun
RATIONALE: Primary renal lymphoma (PRL) is a rare malignancy due to the absence of lymphatic tissues in the kidney, and patients with PRL have been reported to have a poor prognosis due to its rapid invasiveness and limited treatment strategies. Colon cancer is the third most common cancer, and has a high mortality rate. Both malignant diseases predominantly affected elderly men; however, a case with concomitant occurrence of the 2 cancers is extremely rare. PATIENT CONCERNS: A 78-year-old male patient with abdominal pain came to our hospital...
March 2019: Medicine (Baltimore)
Edmund Chiong, Zhijiang Zang
No abstract text is available yet for this article.
March 10, 2019: International Journal of Urology: Official Journal of the Japanese Urological Association
Bum Sik Tae, Byeong Jo Jeon, Nam Cheol Kim, Hoon Choi, Jae Hyun Bae, Jae Young Park
Purpose: In this study, we described our initial experience and analyze the learning curve of segmental renal artery branch clamping with hand-assisted laparoscopic partial nephrectomy (PN) using special instruments. Materials and Methods: We conducted a retrospective review of consecutive cases of hand-assisted laparoscopic PN (LPN) between May 2015 and April 2018. Patient demographics, tumor characteristics, perioperative details, postoperative complications, and warm ischemic time for segmental artery branch clamping were included in our analysis...
March 2019: Investigative and Clinical Urology
Yubo Yang, Ping Han, Xin Wei
Trocar site hernia is a rare complication after laparoscopic surgery. The incidence of trocar hernia is rarer in retroperitoneal approach of urologic laparoscopy. We report a case of trocar site hernia after retroperitoneal laparoscopic partial nephrectomy.
February 26, 2019: Urology
Kan Liu, Baojun Wang, Xin Ma, Hongzhao Li, Yu Zhang, Jinlong Li, Yuanxin Yao, Lu Tang, Yundong Xuan, Aitao Guo, Xu Zhang
BACKGROUND This article presents our experience in managing a rare kidney tumor - reninoma - by analyzing a relatively large series of cases from a single center. MATERIAL AND METHODS Nine cases of reninoma were reviewed. Clinical manifestations, imaging examinations, laboratory examinations, perioperative data, and pathological findings were summarized. A 58.8-month follow-up was performed to evaluate patient survival and recrudescence. RESULTS The main clinical manifestations were hypertension, hypokalemia, headache, dizziness, nausea, vomiting, palpation, and sweating...
March 1, 2019: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Se Young Choi, Han Jung, Dalsan You, In Gab Jeong, Cheryn Song, Bumsik Hong, Jun Hyuk Hong, Hanjong Ahn, Choung-Soo Kim
OBJECTIVES: To compare the functional outcomes of open, laparoscopic, and robot-assisted partial nephrectomy (OPN, LPN, and RAPN, respectively) using diethylene triamine penta-acetic acid (DTPA). METHODS: We identified 610 patients who underwent partial nephrectomy for renal cell carcinoma (285 open partial nephrectomy [OPN], 96 laparoscopic partial nephrectomy [LPN], and 229 robot-assisted partial nephrectomy [RAPN]) with preoperative and postoperative DTPA within 1 year...
February 28, 2019: Journal of Surgical Oncology
Weijin Fu, Qin Bing, Zeng JingJing, Lu Lijian, Xie Zhibin, Ding Qijian, Cheng Jiwen
To analyze the clinical characteristics, treatment modalities and outcomes of adult renal solitary fibrous tumors (SFT) treated at a single institution. Demographic, diagnostic, surgical, and pathological findings of patients who had undergone radical nephrectomy (RN) due to renal SFT were collected from the database of a single institution and were retrospectively reviewed. Ten patients (6 men and 4 women) were diagnosed with renal SFT in our institution between January 1, 2000 and December 31, 2016. The mean age was 50...
February 2019: Medicine (Baltimore)
Zhamshid Okhunov, Shoaib Safiullah, Roshan Patel, Samuel Juncal, Harwood Garland, Nikta R Khajeh, Jeremy Martin, Taylor Capretz, Courtney Cottone, Mark L Jordan, Elspeth McDougall, Ralph V Clayman, Jaime Landman
OBJECTIVE: To identify differences and potential deficiencies in urology residency training programs in the United States as they are perceived by residents/recent graduates and program directors. MATERIALS AND METHODS: A 45-question and 38-question survey was sent to chief residents/recent graduates and program directors, respectively, at all 120 US urology programs regarding prior medical education, urologic training curricula, and perceived surgical proficiency, among other topics...
February 22, 2019: Journal of Surgical Education
Cem Yucel, Volkan Ulker, Erdem Kisa, Gokhan Koc, Yusuf O Ilbey
Aim To investigate the effects of the additional presence of nephrolithiasis on the results of laparoscopic simple nephrectomy in patients with severe hydronephrotic non-functional kidneys. Patients and methods A total of 43 patients in whom severe hydronephrosis had been determined on spiral computerized tomography, who had a renal function of lower than 10% according to the dimercaptosuccinic acid (DMSA) renal scintigraphy, and who had undergone a laparoscopic simple nephrectomy due to persistent renal pain and/or recurrent urinary tract infection and/or unresolved hypertension with multidrug treatment, were included in the study...
December 13, 2018: Curēus
Inès Dominique, Charles Dariane, Cyril Fourniol, Thomas Le Guilchet, Sophie Hurel, Eric Fontaine, Eric Mandron, Francois Audenet, Arnaud Mejean, Marc Olivier Timsit
Background: The aim of this work was to assess the clinical relevance of a systematic postoperative Doppler-ultrasound (DU) after complex partial nephrectomy (PN). Materials and methods: All patients who underwent open, laparoscopic or robotic PN from 2014 to 2017 at our institution were included. Postoperative hemorrhagic complications (HCs) were defined as the occurrence of blood transfusion, hemorrhagic shock, arterial embolization, or re-hospitalization for hematoma...
January 2019: Therapeutic Advances in Urology
Ahmet Bindayi, Riccardo Autorino, Umberto Capitanio, Nicola Pavan, Maria Carmen Mir, Alessandro Antonelli, Toshio Takagi, Riccardo Bertolo, Tobias Maurer, Koon Ho Rha, Jean Alexandre Long, Bo Yang, Luigi Schips, Estevão Lima, Alberto Breda, Estefania Linares, Antonio Celia, Cosimo De Nunzio, Ryan Dobbs, Sunil Patel, Zachary Hamilton, Andrew Tracey, Alessandro Larcher, Carlo Trombetta, Carlotta Palumbo, Kazunari Tanabe, Thomas Amiel, Ali Raheem, Gaelle Fiard, Chao Zhang, Roberto Castellucci, Joan Palou, Stephen Ryan, Simone Crivellaro, Francesco Montorsi, Francesco Porpiglia, Ithaar H Derweesh
BACKGROUND: Partial nephrectomy (PN) in elderly patients is underutilized with concerns regarding risk of complications and potential for poor outcomes. OBJECTIVE: To evaluate quality and functional outcomes of PN in patients >75 yr using trifecta as a composite outcome of surgical quality. DESIGN, SETTING, AND PARTICIPANTS: Multicenter retrospective analysis of 653 patients aged >75 yr who underwent PN (REnal SURGery in Elderly [RESURGE] Group)...
February 21, 2019: European Urology Focus
Feiya Yang, Qiang Zhou, Xuesong Li, Nianzeng Xing
BACKGROUND: Retroperitoneal laparoscopic radical and partial nephrectomy (RLRN and RLPN) have become the preferred modes of management for renal malignancy. One of the most critical steps in the RLRN and RLPN process is to seek and control the renal pedicle. The current study focuses on introducing methods and techniques that can help quickly and accurately identify the renal pedicle vessels during RLRN and RLPN. METHODS: RLRNs and RLPNs were performed for 292 cases in our hospital from November 2014 to January 2017...
February 22, 2019: World Journal of Surgical Oncology
Harshit Garg, Deviprasad Tiwari, Brusabhanu Nayak, Prabhjot Singh, Siddharth Yadav, Rajeev Kumar, Amlesh Seth, Rishi Nayyar, Premnath Dogra
Background: Nephron-sparing surgery (NSS) is the standard of care for small renal masses whenever feasible. This study aims to evaluate the perioperative outcomes of NSS performed by open (open partial nephrectomy [OPN]) or laparoscopic (laparoscopic PN [LPN]) or robotic (robotic PN [RPN]) approach over the past 6 years and to study the correlation of histopathological grade of renal cell carcinoma with the RENAL score. Materials and Methods: A retrospective analysis of prospectively collected data of all patients who underwent NSS was done...
February 18, 2019: Journal of Minimal Access Surgery
Sergey Gautier, Artem Monakhov, Igor Miloserdov, Sergey Arzumanov, Olga Tsirulnikova, Konstantin Semash, Timur Dzhanbekov
With the presence of organ shortage, living donors remain important sources of grafts, especially for pediatric recipients. Laparoscopic nephrectomy has become the gold standard for living donors. Additionally, laparoscopic partial liver procurement in living donors has proven its safety and feasibility in the latest studies. We have combined both approaches to perform a simultaneous liver-kidney transplantation in a pediatric patient from the same living donor. Our experience of laparoscopic left lateral sectionectomy and laparoscopic nephrectomy in living donors was the basis for adapting to this procedure...
February 15, 2019: American Journal of Transplantation
Toru Tonooka, Nobuhiro Takiguchi, Atsushi Ikeda, Hiroaki Soda, Isamu Hoshino, Nami Sato, Yousuke Iwatate, Yoshihiro Nabeya
We report a case of synchronous cancer of the kidney and ascending colon that was resected concurrently using roboticassisted partialnephrectomy and laparoscopic ileocecalresection. A man in his 70s was diagnosed as having renaland ascending colon cancers. Thus, simultaneous resection was planned. First, robotic partial nephrectomy was performed via a transabdominalapproach by the urologicalsurgeon. After changing the position from semi-lateraldecubitus to supine, severalports were added and laparoscopic ileocecal resection was performed...
January 2019: Gan to Kagaku Ryoho. Cancer & Chemotherapy
Fuxi Song, Chunmiao Ye, Feng Qi, Ping Zhang, Xuexiang Wang, Yanfeng Lü, Alejandro Fernandez-Escobar, Chao Zheng, Liang Li
The authors have retracted this article.
February 13, 2019: BMC Anesthesiology
Taishi Okuno, Kazuyuki Yahagi, Yu Horiuchi, Yu Sato, Tetsu Tanaka, Keita Koseki, Akira Osanai, Motoi Yokozuka, Sumio Miura, Kengo Tanabe
Severe aortic stenosis (AS) is considered as an independent risk factor for perioperative cardiac complications of non-cardiac surgery. Surgical aortic valve replacement should be considered before non-cardiac surgery in patients with symptomatic severe AS. However, recently, transcatheter aortic valve replacement (TAVR) has emerged as an alternative approach for selected AS patients. We sought to determine the safety and efficacy of TAVR in preparation for major non-cardiac surgery. From our retrospective database, seven patients who underwent TAVR in preparation for major non-cardiac surgery were identified, and their clinical and hemodynamic data were collected...
February 13, 2019: Cardiovascular Intervention and Therapeutics
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