7,387 results match your criteria Nephrectomy Partial


Pre-operative factors that predict trifecta and pentafecta in robotic assisted partial nephrectomy.

J Robot Surg 2019 Apr 16. Epub 2019 Apr 16.

Department of Urology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.

To prospectively evaluate factors that predict achievement of trifecta and pentafecta following robotic-assisted partial nephrectomy (RAPN). Clinical variables of 330 RAPNs performed for a single renal tumor were analyzed for association with post-operative trifecta and pentafecta achievement. Trifecta was defined as warm ischemia time (WIT) ≤ 25 min, negative surgical margins, and no post-operative complications ≥ Clavien grade 3. Read More

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http://dx.doi.org/10.1007/s11701-019-00958-7DOI Listing

The Impact of Obesity in Patients Undergoing Robotic Partial Nephrectomy.

J Endourol 2019 Apr 16. Epub 2019 Apr 16.

Icahn School of Medicine at Mount Sinai, Urology, New York, New York, United States ;

Introduction/background: As the prevalence of obesity increases worldwide, an increasing proportion of surgical candidates have an elevated BMI, with associated metabolic syndrome. Yet there exists limited evidence regarding the effect of elevated BMI on surgical outcomes in robotic surgeries. We examined whether obese patients had worse perioperative outcomes and postoperative renal function following robotic partial nephrectomies (RPNs). Read More

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http://dx.doi.org/10.1089/end.2019.0018DOI Listing

Rising Serum Uric Acid Level Is Negatively Associated with Survival in Renal Cell Carcinoma.

Cancers (Basel) 2019 Apr 15;11(4). Epub 2019 Apr 15.

Department of Urology, University of California at San Diego, La Jolla, CA, 92093, USA.

To investigate the association of serum uric acid (SUA) levels along with statin use in Renal Cell Carcinoma (RCC), as statins may be associated with improved outcomes in RCC and SUA elevation is associated with increased risk of chronic kidney disease (CKD). Retrospective study of patients undergoing surgery for RCC with preoperative/postoperative SUA levels between 8/2005-8/2018. Analysis was carried out between patients with increased postoperative SUA vs. Read More

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http://dx.doi.org/10.3390/cancers11040536DOI Listing

A rare and overlooked mechanical complication of partial nephrectomy: Accelerated hypertension due to renal artery stenosis.

Turk Kardiyol Dern Ars 2019 Apr;47(3):235-238

Department of Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Secondary hypertension accounts for 5% to 10% of all hypertensive cases, and renal artery stenosis is one of the most common causes of secondary hypertension. Although atherosclerotic vascular disease and fibromuscular dysplasia are the leading causes of renal artery stenosis, there are other, rare etiologies, such as vasculitis and trauma. A partial nephrectomy is the standard of care treatment option for early stage renal carcinoma patients. Read More

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http://dx.doi.org/10.5543/tkda.2018.26199DOI Listing

Current status of urology surgical training in Europe: an ESRU-ESU-ESUT collaborative study.

World J Urol 2019 Apr 13. Epub 2019 Apr 13.

Department of Urology, La Paz University Hospital, Madrid, Spain.

Purpose: To determine the current status of surgical training amongst European Urology Residents, including their satisfaction with training and their confidence in performing procedures.

Methods: A 23-item survey was distributed to the 15th European Urology Residents Education Programme (EUREP) 2017 participants. An analysis of demographics, workload, training resources, surgical exposure, surgical caseload, satisfaction and confidence in performing each procedure was performed. Read More

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http://link.springer.com/10.1007/s00345-019-02763-1
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http://dx.doi.org/10.1007/s00345-019-02763-1DOI Listing
April 2019
1 Read

Oncologic outcomes in patients treated with endoscopic robot assisted simple enucleation (ERASE) for renal cell carcinoma: Results from a tertiary referral center.

Eur J Surg Oncol 2019 Apr 4. Epub 2019 Apr 4.

Department of Urology, University of Florence, Unit of Oncologic Minimally-Invasive Urology and Andrology, Careggi Hospital, Florence, Italy. Electronic address:

Introduction: Open Simple Enucleation (OSE) has been demonstrated to be an oncologically safe alternative to standard partial nephrectomy. We assessed the mid-term oncologic outcomes and predictors of disease recurrence in patients treated with Endoscopic Robot-Assisted Simple Enucleation (ERASE) verified through a standardized reporting system at a single institution.

Material And Methods: The clinical data of patients treated with ERASE for renal cell carcinoma at our Institution from January 2012 to September 2018 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.ejso.2019.03.045DOI Listing

The ERUS Curriculum for Robot-assisted Partial Nephrectomy: Structure Definition and Pilot Clinical Validation.

Eur Urol 2019 Apr 9. Epub 2019 Apr 9.

ORSI Academy, Melle, Belgium; Department of Urology, Onze Lieve Vrouw Hospital, Aalst, Belgium.

Background: No validated training program for robot-assisted partial nephrectomy (RAPN) exists.

Objective: To define the structure and provide a pilot clinical validation of a curriculum for robot-assisted partial nephrectomy (RAPN).

Design, Setting, And Participants: A modified Delphi consensus methodology involving 27 experts defined curriculum structure. Read More

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http://dx.doi.org/10.1016/j.eururo.2019.02.031DOI Listing
April 2019
1 Read

Preoperative C-reactive protein/albumin ratio predicts outcome of surgical papillary renal cell carcinoma.

Future Oncol 2019 Apr 12. Epub 2019 Apr 12.

Department of Urology, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Institute of Urology Nanjing University, Jiangsu, PR China.

Aim: To evaluate the prognostic values of some preoperative inflammation-based factors including C-reactive protein/albumin ratio (CRP/Alb) and platelet level in papillary renal cell carcinoma (PRCC).

Materials & Methods: A total of 108 PRCC patients underwent partial or radical nephrectomy were retrospectively analyzed. The prognostic values were determined with Kaplan-Meier analysis, univariate and multivariate COX regression models. Read More

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http://dx.doi.org/10.2217/fon-2018-0611DOI Listing
April 2019
1 Read

Long-term oncological outcomes of cystic renal cell carcinoma according to the Bosniak classification.

Int Urol Nephrol 2019 Apr 12. Epub 2019 Apr 12.

Urology Department, Rennes University Hospital, Rennes, France.

Objectives: To evaluate the prognostic role of the Bosniak classification on the long-term oncological outcomes of cystic renal cell carcinomas.

Material And Method: In a national multicentric retrospective study, we included patients treated surgically for localized cystic RCC from 2000 to 2010. Patients with a follow-up of less than 4 years, benign tumors, and ablative treatments were excluded. Read More

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http://dx.doi.org/10.1007/s11255-019-02085-6DOI Listing
April 2019
1 Read

The Simplified PAdua REnal (SPARE) nephrometry system: a novel classification of parenchymal renal tumors suitable for partial nephrectomy.

BJU Int 2019 Apr 9. Epub 2019 Apr 9.

Department of Urology, University of Federico II of Naples, Italy.

Objective: Nephrometry systems provide important information for treatment planning, patient counseling and comparison between different partial nephrectomy (PN) series. RENAL and PADUA classification are the most popular and widely used nephrometry systems. Objective of the study are: (1) to simplify the original PADUA classification of renal tumors generating a new system able to predict equally or better the risk of overall complications in patients undergoing PN; and (2) to test if the addition of contact surface area (CSA) parameter improves the accuracy of the original and new simplified PADUA classification. Read More

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http://dx.doi.org/10.1111/bju.14772DOI Listing
April 2019
1 Read

Effect of Diabetes Mellitus on Acute Kidney Injury after Minimally Invasive Partial Nephrectomy: A Case-Matched Retrospective Analysis.

J Clin Med 2019 Apr 5;8(4). Epub 2019 Apr 5.

Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea.

Postoperative acute kidney injury (AKI) is still a concern in partial nephrectomy (PN), even with the development of minimally invasive technique. We aimed to compare AKI incidence between patients with and without diabetes mellitus (DM) and to determine the predictive factors for postoperative AKI. This case-matched retrospective study included 884 patients with preoperative creatinine levels ≤1. Read More

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http://dx.doi.org/10.3390/jcm8040468DOI Listing
April 2019
1 Read

ROBOT-ASSISTED PARTIAL NEPHRECTOMY AND BILATERAL PYELOLITHOTOMY IN ECTOPIC PELVIC KIDNEYS.

Urology 2019 Apr 5. Epub 2019 Apr 5.

Urology Unit, ASST Spedali Civili, Brescia, Italy, Department of Medical and Surgical Specialties, Radiological Science and Public Health, University of Brescia, Piazzale Spedali Civili n.1 25121 Brescia Italy. Electronic address:

Objective: To show how to perform a robot-assisted partial nephrectomy and bilateral pyelolithotomy in ectopic pelvic kidneys. This is a congenital abnormality of position and rotation frequently associated with urolithiasis. Renal cell carcinoma is a very rare event in pelvic kidneys. Read More

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http://dx.doi.org/10.1016/j.urology.2019.03.025DOI Listing
April 2019
3 Reads

Factors influencing the feasibility of segmental artery clamping during retroperitoneal laparoscopic partial nephrectomy.

Urology 2019 Apr 5. Epub 2019 Apr 5.

Department of Urology, First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China.

Objectives: To investigate factors that may predict successful precise segmental artery clamping during retroperitoneal laparoscopic partial nephrectomy (LPN) for treatment of T1 kidney tumor.

Patients And Methods: Patients with clinical T1 tumors (n = 248) who received retroperitoneal LPN from June 2012 through February 2018 were reviewed, including demographics and clinical features. However, only 225 cases (90. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00904295193032
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http://dx.doi.org/10.1016/j.urology.2019.03.024DOI Listing
April 2019
2 Reads

Magnetic resonance imaging characteristics and changes in hemostatic agents after partial nephrectomy.

Int Urol Nephrol 2019 Apr 6. Epub 2019 Apr 6.

Department of Urology, Tepecik Training and Research Hospital, Güney Mahallesi, 1140/1. Sk. No:1, Yenişehir, Konak, 35180, Izmir, Turkey.

Purpose: To evaluate the characteristics of images generated by magnetic resonance imaging (MRI) and changes in the mass-like lesion (MLL) during the follow-up of patients who underwent partial nephrectomy (PN) with the intra-operative use of hemostatic agents (HAs).

Methods: The records of patients who had undergone PN in our clinic due to renal mass between January 2013 and August 2018 were retrospectively reviewed. Our study included 47 patients who were administered one or more HAs during the PN and who received diffusion and dynamic MRI at the post-operative 2nd/4th Queryand 12th month. Read More

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http://link.springer.com/10.1007/s11255-019-02141-1
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http://dx.doi.org/10.1007/s11255-019-02141-1DOI Listing
April 2019
3 Reads

What's new in robotic partial nephrectomy.

Arch Esp Urol 2019 04;72(3):283-292

General Surgery and Urology. OLV Hospital. Belgium.

Objective: Robot assisted partial nephrectomy (RAPN) is a minimally invasive option for patients with small renal masses undergoing partial nephrectomy. In this review we provide an update on the oncological safety and renal functional outcomes following RAPN. We also discuss the novel techniques and technological advances that have contributed to the outcomes of RAPN. Read More

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April 2019
3 Reads

Distinctive clinicopathological features of Von Hippel-Lindau-associated hereditary renal cell carcinoma: A single-institution study.

Oncol Lett 2019 May 1;17(5):4600-4606. Epub 2019 Mar 1.

Department of Urology, Peking University First Hospital, Beijing 100034, P.R. China.

Von Hippel-Lindau (VHL) disease is a genetic syndrome that involves the development of tumors in numerous organs. The kidney is one of the most frequently affected organs, and patients with VHL and renal tumors require repeated nephrectomy. The present study aimed to further determine the clinicopathological characteristics of patients with VHL-associated renal cell carcinoma (RCC), which may allow more rational clinical treatment decisions. Read More

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http://dx.doi.org/10.3892/ol.2019.10091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6444392PMC
May 2019
2 Reads

Partial versus radical nephrectomy in very elderly patients: a propensity score analysis of surgical, functional and oncologic outcomes (RESURGE project).

World J Urol 2019 Apr 1. Epub 2019 Apr 1.

Division of Urology, VCU Health, 1200 East Broad st, Richmond, VA, 23298, USA.

Purpose: To compare the outcomes of PN to those of RN in very elderly patients treated for clinically localized renal tumor.

Patients And Methods: A purpose-built multi-institutional international database (RESURGE project) was used for this retrospective analysis. Patients over 75 years old and surgically treated for a suspicious of localized renal with either PN or RN were included in this database. Read More

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http://link.springer.com/10.1007/s00345-019-02665-2
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http://dx.doi.org/10.1007/s00345-019-02665-2DOI Listing
April 2019
6 Reads

Sutureless laparoscopic partial nephrectomy using fibrin gel reduces ischemia time while preserving renal function.

Arch Ital Urol Androl 2019 Mar 29;91(1):30-34. Epub 2019 Mar 29.

Department of Urology, Santa Chiara Regional Hospital, Trento.

Objectives: We evaluated the efficacy of sutureless laparoscopic partial nephrectomy (LPN), using a fibrin gel in order to minimize renal ischemia time and preserve kidney function.

Materials And Methods: Nineteen patients (mean age 58.3 ± 7. Read More

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http://dx.doi.org/10.4081/aiua.2019.1.30DOI Listing
March 2019
2 Reads

Contemporary North-American Assessment of Robot-assisted Surgery Rates and Total Hospital Charges for Major Surgical Uro-oncological Procedures.

J Endourol 2019 Mar 30. Epub 2019 Mar 30.

University of Montreal Health Center, Cancer Prognostics and Health Outcomes Unit, Montreal, Quebec, Canada.

Background: The role of robot-assistance is increasingly gaining importance among all major surgical uro-oncological procedures (MSUPs). However, contemporary analyses showed that total hospital charges (THCGs) related to robot-assisted procedures exceed those of open procedures. Based on increasing familiarity with robot-assisted surgery, we postulated that THCGs may have decreased over the past half-decade. Read More

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http://dx.doi.org/10.1089/end.2018.0840DOI Listing
March 2019
2 Reads

Vascularized Parenchymal Mass Preserved with Partial Nephrectomy: Functional Impact and Predictive Factors.

Eur Urol Oncol 2019 Feb 14;2(1):97-103. Epub 2018 Jul 14.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:

Background: Percentage parenchymal mass preserved (PPMP) is a key determinant of functional outcomes after partial nephrectomy (PN); however, predictors of PPMP have not been defined.

Objective: To provide a comprehensive analysis of the functional impact of and potential predictive factors for PPMP.

Design, Setting, And Participants: We analyzed data for 464 patients managed with PN at our center with necessary studies to determine vascularized parenchymal mass and function preserved within the operated kidney. Read More

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http://dx.doi.org/10.1016/j.euo.2018.06.009DOI Listing
February 2019
2 Reads

Frailty and Greater Health Care Resource Utilization Following Major Urologic Oncology Surgery.

Eur Urol Oncol 2019 Feb 6;2(1):21-27. Epub 2018 Jul 6.

Department of Urology, Weill Cornell Medicine-New York Presbyterian Hospital, New York, NY, USA.

Background: In the setting of value-based care, it is critical to improve our understanding of surgical risk and greater health care resource utilization (HRU) as it relates to frailty.

Objective: To evaluate the impact of frailty on HRU and surgical morbidity in urologic oncology surgery using the five-item frailty index.

Design, Setting, And Participants: A retrospective cohort study was conducted using subjects from the 2012-2016 American College of Surgeons National Surgical Quality Improvement Program who underwent radical cystectomy or minimally invasive or open radical prostatectomy, radical nephrectomy, or partial nephrectomy. Read More

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http://dx.doi.org/10.1016/j.euo.2018.06.005DOI Listing
February 2019
1 Read

Development and Internal Validation of a Nomogram for Predicting Renal Function after Partial Nephrectomy.

Eur Urol Oncol 2019 Feb 14;2(1):106-109. Epub 2018 Jul 14.

Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH, USA. Electronic address:

Loss of renal function can be a clinically impactful event after partial nephrectomy (PN). We aimed to create a model to predict loss of renal function in patients undergoing PN. Data for 1897 consecutive patients who underwent PN with warm ischemia between 2008 and 2017 were extracted from our institutional database. Read More

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http://dx.doi.org/10.1016/j.euo.2018.06.015DOI Listing
February 2019
2 Reads

Parenchymal Mass Preserved after Partial Nephrectomy and "Global Renal Damage": Two Faces of the Same Coin.

Eur Urol Oncol 2019 Feb 18;2(1):104-105. Epub 2019 Jan 18.

Division of Urology, Department of Oncology, School of Medicine, University of Turin San Luigi Hospital, Orbassano, Turin, Italy.

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http://dx.doi.org/10.1016/j.euo.2018.12.001DOI Listing
February 2019
2 Reads

Does GFR at Discharge After Partial Nephrectomy Predict Long-Term GFR Stability?

J Endourol 2019 Mar 30. Epub 2019 Mar 30.

Montefiore Medical Center, Urology , 1200 waters place , Bronx, New York, United States , 10461 ;

Introduction: Being able to predict GFR plateau after partial nephrectomy (Pnx) is an important goal in providing patients with a confident projection of maintained renal function. As such, in an ethnically and socioeconomically diverse, inner city cohort of patients undergoing Pnx, we compared pre-op and day of discharge GFR (DC) to that of long-term GFR measured at 12-18 months to evaluate post-operative GFR stability.

Methods: 162 patients who had undergone minimally invasive Pnx at a single institution between 2010-2016 were reviewed. Read More

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http://dx.doi.org/10.1089/end.2018.0869DOI Listing
March 2019
2 Reads

Association of Partial versus Radical Nephrectomy with Subsequent Hypertension Risk Following Renal Tumor Resection.

J Urol 2019 Feb 12:101097JU0000000000000171. Epub 2019 Feb 12.

Departments of Urology, Mayo Clinic , Rochester , Minnesota.

Purpose: We investigated the risks of new onset and worsened hypertension after radical vs partial nephrectomy.

Materials And Methods: Using a national administrative database of privately and Medicare insured patients we performed a retrospective cohort study of 9,207 and 4,686 patients who underwent radical and partial nephrectomy, respectively, for a renal mass between January 1, 2007 and December 31, 2016. One to one propensity score matching was done to balance the surgical groups based on patient demographics, baseline comorbidities, current medications and surgery year. Read More

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http://dx.doi.org/10.1097/JU.0000000000000171DOI Listing
February 2019
1 Read

Efficacy of axitinib in patients with metastatic renal cell carcinoma refractory to nivolumab therapy.

Jpn J Clin Oncol 2019 Mar 29. Epub 2019 Mar 29.

Department of Urology, Tokyo Women's University Hospital, Tokyo, Japan.

We reviewed the clinical efficacy of axitinib after nivolumab treatment failure in six patients with metastatic renal cell carcinoma (RCC); the patients had received nivolumab treatment following vascular endothelial growth factor receptor (VEGFR) inhibitors. Most had undergone radical nephrectomy; five had clear-cell carcinoma and acquired cystic disease-associated carcinoma. The patients were finally diagnosed with progressive disease during nivolumab treatment. Read More

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http://dx.doi.org/10.1093/jjco/hyz040DOI Listing
March 2019
1 Read
1.747 Impact Factor

Chondroid and osseous metaplasia in an incidental type II papillary renal cell carcinoma with extensive solid areas: an unraveled molecular character.

Authors:
Ayesha Ahmed

Pan Afr Med J 2018 13;31:26. Epub 2018 Sep 13.

Department of Pathology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia.

Chondroid and osseous metaplasia in a Type II Papillary renal cell carcinoma (PRCC) with extensive solid areas is a complex histological combination that has not been reported before. A 21 years old male presented with a comminuted fracture of right femur. On hematological investigations he was found to have low RBC count and hemoglobin. Read More

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http://dx.doi.org/10.11604/pamj.2018.31.26.16137DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6430846PMC
April 2019
1 Read

[Surgical treatment for inflammatory myofibroblastic tumor in genito-urinary system: a study of 15 cases].

Zhonghua Yi Xue Za Zhi 2019 Mar;99(12):947-949

Department of Head and Neck Surgery, Sun Yat-sen University Cancer Center, Guangzhou 510060, China.

To present 15 cases of inflammatory myofibroblastic tumor (IMT) in genitor-urinary system, and analyze the characteristics, diagnosis and treatment of the disease. The diagnostic and therapeutic process of 15 confirmed cases admitted to Sun Yat-sen University Cancer Center between March 2009 and September 2017 were retrospectively analyzed. Of the total cases, 11 cases were diagnosed with cystic IMT with a maximum diameter of 1. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.12.014DOI Listing
March 2019
2 Reads

Sunitinib Rechallenge After Other Targeted Therapies in Metastatic Renal Cell Carcinoma Patients: A Single-Center, Retrospective Study.

Clin Drug Investig 2019 Mar 26. Epub 2019 Mar 26.

National Institute of Oncology, Rath Gy. u. 7-9, 1122, Budapest, Hungary.

Background: Sunitinib is still one of the standard therapies in metastatic renal cell carcinoma (mRCC). Despite the benefit of sunitinib resistance will develop in the majority of patients. Most of them receive multiple sequential therapies during the course of disease. Read More

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http://dx.doi.org/10.1007/s40261-019-00778-5DOI Listing
March 2019
1 Read

[Two Cases of Pancreatectomy for Pancreatic Metastasis from Renal Cell Carcinoma].

Gan To Kagaku Ryoho 2019 Mar;46(3):561-563

Dept. of Surgery, Japan Community Healthcare Organization(JCHO)Osaka Hospital.

Metastasis of renal cell carcinoma to the pancreas is a relatively rare condition. We encountered 2 such cases. The first case was a 72-year-old man who underwent a left nephrectomy owing to left renal cancer in 2005. Read More

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March 2019
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OUTCOMES OF PARTIAL AND RADICAL NEPHRECTOMY IN OCTOGENARIANS - A MULTICENTER INTERNATIONAL STUDY (RESURGE).

Urology 2019 Mar 23. Epub 2019 Mar 23.

Division of Urology, VCU Health, Richmond, VA, USA. Electronic address:

Objectives: To analyze the outcomes of partial nephrectomy (PN) and radical nephrectomy (RN) in octogenarian patients.

Methods: The RESURGE (REnal SUrgery in the Eldely) multi-institutional database was queried to identify patients ≥80 years old who had undergone a PN or RN for a renal tumor. Multivariable binary logistic regression estimated the association between type of surgery and occurrence of complications. Read More

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http://dx.doi.org/10.1016/j.urology.2019.03.009DOI Listing
March 2019
2 Reads

Surgical treatment for renal masses in the elderly: analysis of oncological, surgical and functional outcomes.

Int Braz J Urol 2019 Mar 20;45. Epub 2019 Mar 20.

Department of Urology, Medical University of Warsaw, Warsaw, Poland.

Purpose: Radical treatment in elderly patients with renal tumor remains debatable due to uncertainties regarding the risk of surgical complications, risk of end-stage renal disease (ESRD) and survival benefit. The aim of the study was to assess outcomes of radical treatment for renal cancer in elderly patients.

Materials And Methods: This retrospective analysis enrolled 507 consecutive patients treated with partial or radical nephrectomy due to renal mass. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0310DOI Listing
March 2019
1 Read

Mixed reality computed tomography-based surgical planning for partial nephrectomy using a head-mounted holographic computer.

Int J Urol 2019 Mar 25. Epub 2019 Mar 25.

Department of Urology, Tokyo Medical and Dental University, Tokyo, Japan.

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http://dx.doi.org/10.1111/iju.13954DOI Listing
March 2019
1 Read

Tumor Enucleation is Appropriate During Partial Nephrectomy: Against.

Eur Urol Focus 2019 Mar 22. Epub 2019 Mar 22.

Department of Urology, Mayo Clinic, Rochester, MN, USA. Electronic address:

Tumor enucleation has been proposed as an alternative approach during partial nephrectomy. While enucleation is a useful technique in select patients, there are insufficient data to advocate for its use on a routine basis. Read More

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http://dx.doi.org/10.1016/j.euf.2019.03.010DOI Listing
March 2019
1 Read

Elevated Serum Anion Gap in Adults with Moderate Chronic Kidney Disease Increases Risk for Progression to End Stage Renal Disease.

Am J Physiol Renal Physiol 2019 Mar 25. Epub 2019 Mar 25.

Medicine, University of California, San Francisco, United States.

Background: Acid retention associated with reduced GFR exacerbates nephropathy progression in partial nephrectomy models of CKD and might be reflected in CKD patients with reduced eGFR by increased anion gap (AG).

Methods: We explored the presence of AG and its association with CKD in 14,924 adults, aged ≥20 years and eGFR≥15ml/min/1.73m, enrolled in the National Health and Nutrition Examination Survey III, 1988-1994 using multivariable regression analysis. Read More

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http://dx.doi.org/10.1152/ajprenal.00496.2018DOI Listing
March 2019
1 Read

Editorial Comment on Navigation of IQQA three-dimensional reconstruction technique in precise laparoscopic or robotic assisted laparoscopic partial nephrectomy for renal hilar tumors.

Authors:
Ahmed Ghazi

J Endourol 2019 Mar 23. Epub 2019 Mar 23.

University of Rochester, 6927, Rochester, New York, United States ;

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http://dx.doi.org/10.1089/end.2019.0210DOI Listing
March 2019
1 Read

External validation of the updated Leibovich prognostic models for clear cell and papillary renal cell carcinoma in an Asian population.

Urol Oncol 2019 Mar 22. Epub 2019 Mar 22.

Department of Urology, Singapore General Hospital, Singapore.

Purpose: The Leibovich model was updated to prognosticate oncological outcomes in postnephrectomy nonmetastatic renal cell carcinoma (RCC) for each major histological subtype including clear cell (ccRCC), papillary (papRCC), and chromophobe RCC. We evaluated its performance in an independent population of predominantly Asian patients from Singapore.

Materials And Methods: Nine hundred and forty two binephric patients with nonmetastatic unilateral RCC treated with radical/partial nephrectomy from 1990 to 2015 from Singapore were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.urolonc.2019.02.014DOI Listing
March 2019
1 Read
2.768 Impact Factor

Near-infrared Fluorescence Imaging with Indocyanine Green in Robot-assisted Partial Nephrectomy: Pooled Analysis of Comparative Studies.

Eur Urol Focus 2019 Mar 20. Epub 2019 Mar 20.

Division of Urology, VCU Health System, Richmond, VA, USA. Electronic address:

Context: The use of near-infrared fluorescence (NIRF) imaging was described to facilitate selective clamping during robot-assisted partial nephrectomy (RAPN).

Objective: To perform a systematic review and cumulative analysis of available studies comparing the outcomes of RAPN with or without use of this technology (NIRF).

Evidence Acquisition: A systematic review of the literature was performed to identify relevant studies up to December 2018 through PubMed and EMBASE databases. Read More

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http://dx.doi.org/10.1016/j.euf.2019.03.005DOI Listing
March 2019
1 Read

Intraoperative ICG-fluorescence imaging for robotic-assisted urologic surgery: current status and review of literature.

Int Urol Nephrol 2019 Mar 22. Epub 2019 Mar 22.

Department of Urology, Wake Forest Baptist Medical Center, Winston-Salem, NC, 27157-1094, USA.

Purpose: With the availability of near-infrared fluorescence (NIRF) imaging using indocyanine green dye (ICG) to the robotic platform, utility of this imaging technology has evolved significantly across the board for ablative and reconstructive procedures. Herein, we describe the potential indications of indocyanine green for both oncologic and non-oncologic applications in robot-assisted laparoscopic urologic surgery.

Methods: A narrative mini-review was performed in November 2018 using PubMed, Scopus, EMBASE, and Web of Science databases utilizing the following search phrase: "indocyanine green fluorescence robotic surgery" resulting in 104 articles of which 30 articles had urologic-pertinent applications. Read More

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http://dx.doi.org/10.1007/s11255-019-02126-0DOI Listing
March 2019
1 Read

Evaluation of Venous Stenosis Angioplasty in a Murine Arteriovenous Fistula Model.

J Vasc Interv Radiol 2019 Mar 19. Epub 2019 Mar 19.

Vascular and Interventional Radiology Translational Laboratory, Department of Radiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905; Department of Biochemistry and Molecular Biology Mayo Clinic, Rochester, Minnesota; Department of Radiology, Vascular and Interventional Radiology, Mayo Clinic, 200 First St SW, Rochester, Minnesota, 55905. Electronic address:

Purpose: To develop a clinically relevant model of percutaneous transluminal angioplasty (PTA) of venous stenosis in mice with arteriovenous fistula (AVF); to test the hypothesis that there is increased wall shear stress (WSS) after PTA; and to histologically characterize the vessels.

Materials And Methods: Thirteen C57BL/6J male mice, 6-8 weeks old, underwent partial nephrectomy to create chronic kidney disease. Twenty-eight days later, an AVF was created from the right external jugular vein to the left carotid artery. Read More

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http://dx.doi.org/10.1016/j.jvir.2018.11.032DOI Listing
March 2019
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A comparison of outcomes for standard and multiplex partial nephrectomy in a solitary kidney: The National Cancer Institute experience.

Urol Oncol 2019 Mar 19. Epub 2019 Mar 19.

Urologic Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.

Objectives: To study the short and intermediate surgical, renal functional, and oncologic outcomes of multiplex partial nephrectomy (mPN) and standard partial nephrectomy (sPN) in the setting of a solitary kidney.

Patients And Methods: Review of a prospectively maintained database of patients undergoing solitary kidney partial nephrectomy at our institution was performed. Patients were stratified into 2 cohorts: mPN-where 3 or more renal tumors were resected and sPN-where 1 or 2 tumors were resected. Read More

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http://dx.doi.org/10.1016/j.urolonc.2019.02.015DOI Listing
March 2019
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Robotic partial nephrectomy after pazopanib treatment in a solitary kidney with segmental vein thrombosis.

Int Braz J Urol 2019 Feb 10;45. Epub 2019 Feb 10.

Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland OH, USA.

Objective: To demonstrate our surgical technique of robotic partial nephrectomy (RPN) in a patient with a solitary kidney who received neoadjuvant Pazopanib, highlighting the multidisciplinary approach.

Materials And Methods: In our video, we present the case of 77-year-old male, Caucasian with 6.6cm left renal neoplasm in a solitary kidney. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0240DOI Listing
February 2019
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Robot-assisted Partial Nephrectomy for Complex (PADUA Score ≥10) Tumors: Techniques and Results from a Multicenter Experience at Four High-volume Centers.

Eur Urol 2019 Mar 18. Epub 2019 Mar 18.

Onze-Lieve-Vrouw Hospital, Aalst, Belgium; OLV Robotic Surgery Institute Academy, Melle, Belgium.

Background: Robot-assisted partial nephrectomy (RAPN) represents a widely accepted minimally invasive alternative to open and laparoscopic surgery for the treatment of clinically localized renal tumors.

Objective: To assess the feasibility of RAPN in a contemporary series of patients with highly complex tumors (PADUA score ≥10) treated at four high-volume robotic surgery institutions.

Design, Setting, And Participants: Data from a prospectively maintained multi-institutional database on patients subjected to RAPN between 2010 and 2017 were reviewed. Read More

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http://dx.doi.org/10.1016/j.eururo.2019.03.006DOI Listing
March 2019
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13.938 Impact Factor

[Cystic nephroma : a rare kidney neoplasm].

Rev Med Liege 2019 Mar;74(3):125-128

Service d'Urologie, CHU Liège, Belgique.

Cystic nephroma is a rare kidney neoplasm belonging to the entity of cystic tumours. It is a slow-growing tumour, which develops insidiously, sometimes reaching a considerable size. The diagnosis is more often accidental (except for mass syndrome in children). Read More

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March 2019
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Robot-assisted versus open partial nephrectomy: comparison of outcomes. A systematic review.

Minerva Urol Nefrol 2019 Mar 18. Epub 2019 Mar 18.

Department of Urology, OLV, Aalst, Belgium.

Introduction: Robot-assisted partial nephrectomy (RAPN) is increasingly used for the surgical management of renal masses. Aim of this study was to analyze the available literature regarding the outcomes of RAPN compared to those of open partial nephrectomy (OPN).

Evidence Acquisition: A literature search was performed up to October 2018 using PubMed, MEDLINE and Embase. Read More

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https://www.minervamedica.it/index2.php?show=R19Y9999N00A190
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http://dx.doi.org/10.23736/S0393-2249.19.03391-5DOI Listing
March 2019
8 Reads

Impact of routine imaging in the diagnosis of recurrence for patients with localized and locally advanced renal tumor treated with nephrectomy.

World J Urol 2019 Mar 20. Epub 2019 Mar 20.

Department of Urology, Rennes University Hospital, Rennes, France.

Objective: Modalities of surveillance to detect recurrence after nephrectomy for localized or locally advanced renal tumor are not standardized. The aim was to assess the impact of surveillance scheme on oncological outcomes.

Methods: Patients treated for localized or locally advanced renal tumor with total or partial nephrectomy between 2006 and 2010 in an academic institution were included retrospectively. Read More

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http://dx.doi.org/10.1007/s00345-019-02724-8DOI Listing
March 2019
6 Reads

Comparison of long-term outcomes of laparoscopic and robot-assisted laparoscopic partial nephrectomy.

Kaohsiung J Med Sci 2019 Apr 19;35(4):238-243. Epub 2019 Mar 19.

Department of Urology, Ege University Medical Faculty Hospital, Bornova, İzmir, Turkey.

In this study, we compared the long-term oncological and functional outcomes of laparoscopic partial nephrectomy (LPN) and robot-assisted laparoscopic partial nephrectomy (RAPN) performed in the treatment of renal tumors. The data of 142 patients (RAPN = 71, LPN = 71) were evaluated. Demographic data, perioperative and postoperative outcomes, long-term (5-year) overall survival (OS) and cancer-specific survival (CSS) rates of the patients were compared between the two groups. Read More

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http://dx.doi.org/10.1002/kjm2.12038DOI Listing
April 2019
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[Clinical analysis of 8 cases of the mixed epithelial and stromal tumour family of kidney].

Zhonghua Yi Xue Za Zhi 2019 Mar;99(10):771-774

National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

To investigate the diagnosis and treatment of the mixed epithelial and stromal tumour family of kidney. Eight cases of the mixed epithelial and stromal tumour family of kidney were retrospectively analyzed. Before operation, radiologic evaluation was performed in all cases, including CT and MRI scan. Read More

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2019.10.013DOI Listing
March 2019
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