8,037 results match your criteria Nephrectomy Partial


Assessing the Association of Surface-Intermediate-Base Margin Score with Perioperative Outcomes and Parenchymal Volume Preserved during Partial Nephrectomy.

Urol Int 2020 Jul 7:1-8. Epub 2020 Jul 7.

Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey.

Introduction: The present study aimed to compare the assessment of volume preservation and perioperative outcomes during partial nephrectomy (PN), according to the surface-intermediate-base (SIB) score.

Methods: This prospective study included 80 patients diagnosed with renal cell carcinoma who underwent PN for a renal mass from 2014 to 2017. SIB score was macroscopically evaluated immediately after the surgery. Read More

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http://dx.doi.org/10.1159/000508798DOI Listing

Comparison of valve-less and standard insufflation on pneumoperitoneum-related complications in robotic partial nephrectomy: a prospective randomized trial.

J Robot Surg 2020 Jul 6. Epub 2020 Jul 6.

Swedish Medical Center, 1101 Madison St, Suite 1400, Seattle, WA, 98104, USA.

To prospectively compare standard and valve-less insufflation systems on pneumoperitoneum-related complications in robotic-assisted laparoscopic partial nephrectomy. A prospective randomized controlled trial was conducted during a 1.5-year period to compare insufflation-related complications in partial nephrectomy surgery by a single surgeon. Read More

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http://dx.doi.org/10.1007/s11701-020-01117-zDOI Listing

Impact of short warm ischemic time on longitudinal kidney function and survival rate after partial nephrectomy for renal cell carcinoma in patients with pre-existing chronic kidney disease stage III: A multi-institutional propensity score-matched study.

Eur J Surg Oncol 2020 Jun 17. Epub 2020 Jun 17.

Department of Urology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea. Electronic address:

Purpose: It remains unclear whether a short warm ischemic time (WIT) improves long-term renal function after partial nephrectomy (PN) for patients with pre-existing chronic kidney disease (CKD). We evaluated renal function after PN according to WIT duration in patients with stage III CKD.

Materials And Methods: We identified 277 patients with stage III CKD who underwent PN during 2004-2017. Read More

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http://dx.doi.org/10.1016/j.ejso.2020.06.016DOI Listing

Cerebral carbon dioxide embolism after kidney cancer laparoscopic surgery with full neurological recovery: A case report.

Medicine (Baltimore) 2020 Jul;99(27):e20986

Department of Radiology, Peking University Third Hospital, Haidian District.

Rationale: Cerebral carbon dioxide embolism (CCDE) is a rare cause of stroke and is a recognized life-threatening complication.CCDE may result from direct intravascular CO2 insufflation during surgery. Due to the lack of typical clinical manifestations, the disease is often missed or mistaken for another condition. Read More

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http://dx.doi.org/10.1097/MD.0000000000020986DOI Listing

Development of a Novel Scoring System Quantifies Opportunities to Reduce Surgery for Benign Renal Neoplasms: A Retrospective Quality Improvement Analysis within the MUSIC KIDNEY Collaborative.

J Urol 2020 Jul 6:101097JU0000000000001238. Epub 2020 Jul 6.

IHA Urology, St. Joseph Mercy Hospital, Ann Arbor, Michigan.

Purpose: Non-malignant pathology (NMP) has been reported in 15-20% of surgeries for cT1 renal masses (cT1RM). We seek to identify opportunities for improvement in avoiding surgery for NMP.

Materials And Methods: MUSIC-KIDNEY started collecting data in 2017. Read More

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http://dx.doi.org/10.1097/JU.0000000000001238DOI Listing

Acute confusion post liver transplantation: HE or not HE, that is the question.

Hepatology 2020 Jul 6. Epub 2020 Jul 6.

AW Morrow Gastroenterology and Liver Centre, Australian National Liver Transplant Unit, Royal Prince Alfred Hospital, Camperdown, Australia.

A 45-year-old woman underwent uncomplicated orthotopic LT from a deceased donor for decompensated liver cirrhosis from hepatitis C [Model for End-stage Liver Disease (MELD) 16]. Although virologic clearance was achieved 18 months prior, the patient had three hospitalisations for West-Haven grade III HE that were precipitated by infection, despite long-term lactulose and rifaximin. The patient was listed for LT for the indication of recurrent HE and was prioritised due to the incidental finding of a 14mm right renal cell carcinoma (RCC). Read More

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http://dx.doi.org/10.1002/hep.31452DOI Listing

Image-Guided Pediatric Surgery Using Indocyanine Green (ICG) Fluorescence in Laparoscopic and Robotic Surgery.

Front Pediatr 2020 17;8:314. Epub 2020 Jun 17.

Pediatric Surgery Unit, Federico II University of Naples, Naples, Italy.

Indocyanine green (ICG)-guided near-infrared fluorescence (NIRF) has been recently adopted in pediatric minimally invasive surgery (MIS). This study aimed to report our experience with ICG-guided NIRF in pediatric laparoscopy and robotics and evaluate its usefulness and technique of application in different pediatric pathologies. ICG technology was adopted in 76 laparoscopic and/or robotic procedures accomplished in a single division of pediatric surgery over a 24-month period (January 2018-2020): 40 (37 laparoscopic, three robotic) left varicocelectomies with intra-operative lymphography; 13 (10 laparoscopic, three robotic) renal procedures: seven partial nephrectomies, three nephrectomies, and three renal cyst deroofings; 12 laparoscopic cholecystectomies; five robotic tumor excisions; three laparoscopic abdominal lymphoma excisions; three thoracoscopic procedures: two lobectomies and one lymph node biopsy for suspected lymphoma. Read More

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http://dx.doi.org/10.3389/fped.2020.00314DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311575PMC

Re: Do Patients with Stage 3-5 Chronic Kidney Disease Benefit from Ischaemia-sparing Techniques During Partial Nephrectomy?

Eur Urol 2020 Jul 2. Epub 2020 Jul 2.

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

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http://dx.doi.org/10.1016/j.eururo.2020.06.012DOI Listing

Assessment of advanced peri-operative outcomes to identify the true learning curve of robotic-assisted partial nephrectomy.

Urology 2020 Jun 30. Epub 2020 Jun 30.

Department of Urology, Mayo Clinic, Jacksonville, FL. Electronic address:

Objectives: To evaluate the learning curve of robotic-assisted partial nephrectomy (RAPN) as it pertains to operative time (OT) and advanced peri-operative variables such as achievement of trifecta, post-operative complications, 30-day readmission rates (RR), warm ischemia time (WIT) and functional volume loss (FVL).

Methods: We evaluated 418 consecutive RAPN performed by a single surgeon between February 2008 and April 2019. Multivariable log-log regression models were used to evaluate the associations between case number and continuous outcomes (OT, WIT, FVL). Read More

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http://dx.doi.org/10.1016/j.urology.2020.06.031DOI Listing

Small renal masses in Latin-American population: characteristics and prognostic factors for survival, recurrence and metastasis - a multi-institutional study from LARCG database.

BMC Urol 2020 Jul 2;20(1):85. Epub 2020 Jul 2.

A.C. Camargo Cancer Center, Rua Antônio Prudente 211, Liberdade, São Paulo, 01509-010, Brazil.

Background: To evaluate demographic, clinical and pathological characteristics of small renal masses (SRM) (≤ 4 cm) in a Latin-American population provided by LARCG (Latin-American Renal Cancer Group) and analyze predictors of survival, recurrence and metastasis.

Methods: A multi-institutional retrospective cohort study of 1523 patients submitted to surgical treatment for non-metastatic SRM from 1979 to 2016. Comparisons between radical (RN) or partial nephrectomy (PN) and young or elderly patients were performed. Read More

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http://dx.doi.org/10.1186/s12894-020-00649-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7331283PMC

Renal artery angiography in pediatric trauma using a national data set.

J Pediatr Urol 2020 May 31. Epub 2020 May 31.

University of Texas Southwestern Department of Urology, USA.

Introduction: With limited pediatric renal trauma management literature, treatment pathways for children have been extrapolated from the adult population. A shift to non-operative management has led to higher renal preservation rates; however, characterization of endovascular intervention in the pediatric trauma population is lacking.

Objective: This study uses the National Trauma Data Bank (NTDB), to evaluate renal outcomes after use of renal artery angiography. Read More

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http://dx.doi.org/10.1016/j.jpurol.2020.05.155DOI Listing

Influence of border-age on survival of sporadic renal cell carcinoma: young adults versus octogenarians.

Int Urol Nephrol 2020 Jun 30. Epub 2020 Jun 30.

Department of Urology, Istanbul Medeniyet University Goztepe Training and Research Hospital, Eğitim Mahallesi, Dr. Erkin Cd., Kadıköy, 34722, Istanbul, Turkey.

Purpose: To compare the effects of two border-age groups: young adults and octogenarians on survival of sporadic renal cell carcinoma (RCC).

Methods: We reviewed the records of 1619 patients that underwent radical or partial nephrectomy due to RCC between January 2004 and December 2018 in two high-volume centers. Patients were divided into two groups based on their age: ≤ 40 years old (group 1) and ≥ 80 years old (group 2). Read More

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http://dx.doi.org/10.1007/s11255-020-02552-5DOI Listing

Kidney ventrally rotation technique in retroperitoneal robot-assisted partial nephrectomy for posterior hilar tumor: technical feasibility and preliminary results.

World J Surg Oncol 2020 Jun 30;18(1):148. Epub 2020 Jun 30.

Department of Urology, The Forth Medical Center of the PLA General Hospital, No. 51 Fucheng Rd, Haidian District, Beijing, 100048, China.

Purpose: The retroperitoneal robotic assisted partial nephrectomy (RAPN) is suitable for tumors locating on the posterior side of the kidney. However, the posterior hilar tumor poses an additional surgical challenge due to the special location and poor tumor exposure. We developed a novel kidney ventrally rotation technique to overcome this difficulty during retroperitoneal RAPN and evaluated its efficacy in a retrospective case-control comparative study. Read More

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http://dx.doi.org/10.1186/s12957-020-01928-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325664PMC

Combined Robotic Surgery for Double Renal Masses and Prostate Cancer: Myth or Reality?

Medicina (Kaunas) 2020 Jun 26;56(6). Epub 2020 Jun 26.

Department of Surgical and Biomedical Sciences, Urology Clinic of Perugia, Perugia University, 06100 Perugia, Italy.

With the widespread use of imaging modalities performed for the staging of prostate cancer, the incidental detection of synchronous tumors is increasing in frequency. Robotic surgery represents a technical evolution in the treatment of solid tumors of the urinary tract, and it can be a valid option in the case of multi-organ involvement. We reported a case of synchronous prostate cancer and bifocal renal carcinoma in a 66-year-old male. Read More

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http://dx.doi.org/10.3390/medicina56060318DOI Listing

Patient-Reported Quality of Life and Convalescence after Minimally Invasive Kidney Cancer Surgery.

Urology 2020 Jun 27. Epub 2020 Jun 27.

Beth Israel Deaconess Medical Center, Division of Urology; Boston, MA. Electronic address:

Objective: To better characterize recovery after minimally invasive kidney surgery, we present a study describing patient-reported health-related quality of life (HRQOL) following minimally invasive radical nephrectomy (RN) and partial nephrectomy (PN).

Methods: Patients who underwent minimally invasive PN or RN for renal cancer were invited to enroll in a prospective, patient-reported HRQOL study using the Convalescence and Recovery Evaluation (CARE) instrument and Short Form-12 (SF-12). Patients completed questionnaires at baseline, 2, 4, 8 and 12 weeks after surgery. Read More

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http://dx.doi.org/10.1016/j.urology.2020.06.020DOI Listing

Pilot experience of simultaneous robotic-assisted partial nephrectomy for bilateral renal tumors-single center analysis.

Asian J Endosc Surg 2020 Jun 29. Epub 2020 Jun 29.

Department of Urology, Osaka City University Graduate School of Medicine, Osaka, Japan.

Introduction: Bilateral renal tumors accounts for approximately 3% of renal tumors. However, surgical treatment methods for bilateral renal tumors have not yet been established. It is imperative to balance the need for curative surgery with the goal of maximal functional preservation in patients with bilateral synchronous renal tumors. Read More

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http://dx.doi.org/10.1111/ases.12831DOI Listing

Oncologic and Functional Outcomes of Radical and Partial Nephrectomy in pT3a Pathologically Upstaged Renal Cell Carcinoma: A Multi-institutional Analysis.

Clin Genitourin Cancer 2020 May 11. Epub 2020 May 11.

University of California San Diego, La Jolla, CA. Electronic address:

Background: The efficacy of partial nephrectomy (PN) in setting of pT3a pathologic-upstaged renal cell carcinoma (RCC) is controversial. We compared oncologic and functional outcomes of radical nephrectomy (RN) and PN in patients with upstaged pT3a RCC.

Patients And Methods: This was a multicenter retrospective analysis of patients with cT1-2N0M0 RCC upstaged to pT3a postoperatively. Read More

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http://dx.doi.org/10.1016/j.clgc.2020.05.002DOI Listing

Neoadjuvant Therapy for Locally Advanced Renal Cell Carcinoma.

Urol Clin North Am 2020 Aug 11;47(3):329-343. Epub 2020 Jun 11.

Department of Urology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1373, Houston, TX 77030, USA. Electronic address:

There has been strong interest in using neoadjuvant therapy to decrease recurrence rates and facilitate surgical resection in locally advanced renal cell carcinoma. To date, no evidence exists to support improvement in oncologic outcomes with neoadjuvant therapy. Likewise, although targeted therapies have shown efficacy in tumor downsizing, this does not often translate to downstaging. Read More

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http://dx.doi.org/10.1016/j.ucl.2020.04.010DOI Listing

[Adherent Perinephric Fat: a prognosis and influence of perioperative results of organ-sparing procedures in localized kidney parenchyma tumors].

Urologiia 2020 Jun(3):98-102

Institute of Uronephrology and Reproductive Health, FGAOU VO I.M. Sechenov First Moscow State Medical University, Moscow, Russian.

The results of recently published articles on the etiology and pathogenesis of "Adherent Perinephric Fat" (APF) are presented in the review. The current possibilities for predicting the presence of APF based on clinical data and imaging methods are highlighted, as well as the to an influence of ARF on perioperative results of organ-sparing procedures using various surgical approaches in patients with localized kidney parenchyma tumors. Read More

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Should A Drain Be Routinely Required After Transperitoneal Robotic Partial Nephrectomy?

J Endourol 2020 Jun 27. Epub 2020 Jun 27.

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

Introduction Closed drains have traditionally been placed after partial nephrectomy due to risks of bleeding and urine leak. We sought to study the safety of a non-routine drain (NRD) protocol following transperitoneal robotic partial nephrectomy (RPN). Patients and Methods From a multi-institutional database, we have analyzed the data of 904 patients who underwent RPN. Read More

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http://dx.doi.org/10.1089/end.2020.0325DOI Listing

Evaluation of Interactive Virtual Reality as a Preoperative Aid in Localizing Renal Tumors.

J Endourol 2020 Jun 27. Epub 2020 Jun 27.

University of California Irvine, 8788, Urology, Irvine, California, United States;

Introduction: A detailed understanding of renal tumor anatomy is required to perform partial nephrectomy. We evaluated the utility of a computed tomography (CT) based, interactive virtual reality (iVR) display to assist surgeons' understanding of the precise location of the renal tumor.

Methods: CT scans and iVR models of 11 patients with a mean R. Read More

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http://dx.doi.org/10.1089/end.2020.0234DOI Listing

Unplanned Conversion from Minimally Invasive to Open Kidney Surgery: The Impact of Robotics.

J Endourol 2020 Jun 27. Epub 2020 Jun 27.

Cleveland Clinic, 2569, Glickman Urologic and Kidney Institute, Cleveland, Ohio, United States.

Purpose: Unplanned conversion from minimally invasive surgery (MIS) to open surgery is a significant challenge, though the frequency of conversion for robotic and laparoscopic kidney surgery is not well described. We aimed to compare rates of conversion for robotic versus laparoscopic kidney surgery.

Methods: The National Cancer Database was used to identify patients who underwent robotic or laparoscopic partial nephrectomy (PN), radical nephrectomy (RN), or nephroureterectomy (NU) from 2010-2014. Read More

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http://dx.doi.org/10.1089/end.2020.0357DOI Listing

Simplified PADUA Renal (SPARE) Nephrometry Scoring System: External Validation, Interobserver Variability, and Comparison with RENAL and PADUA in a Single-center Robotic Partial Nephrectomy Series.

Eur Urol Focus 2020 Jun 23. Epub 2020 Jun 23.

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

Background: The RENAL (radius [R], exophytic/endophytic [E], nearness to collecting system/sinus [N], anterior/posterior [A], and location relative to polar lines [L]) and the PADUA (preoperative aspects and dimensions used for an anatomical classification) scores help in quantifying tumor complexity. However, nephrometry scoring systems have low interobserver variability. To simplify and improve score reproducibility, a new Simplified PADUA Renal (SPARE) scoring system was introduced. Read More

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http://dx.doi.org/10.1016/j.euf.2020.05.016DOI Listing

Central Role for Adipocyte Na,K-ATPase Oxidant Amplification Loop in the Pathogenesis of Experimental Uremic Cardiomyopathy.

J Am Soc Nephrol 2020 Jun 25. Epub 2020 Jun 25.

Departments of Medicine, Surgery, and Biomedical Sciences, Joan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia

Background: Oxidative stress in adipocyte plays a central role in the pathogenesis of obesity as well as in the associated cardiovascular complications. The putative uremic toxin indoxyl sulfate induces oxidative stress and dramatically alters adipocyte phenotype . Mice that have undergone partial nephrectomy serve as an experimental model of uremic cardiomyopathy. Read More

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http://dx.doi.org/10.1681/ASN.2019101070DOI Listing

Therapeutic Effect of Adipose Derived Mesenchymal Stem Cell Transplantation in Reducing Restenosis in a Murine Angioplasty Model.

J Am Soc Nephrol 2020 Jun 25. Epub 2020 Jun 25.

Vascular and Interventional Radiology Translational Laboratory, Department of Radiology, Mayo Clinic, Rochester, Minnesota

Background: Percutaneous transluminal angioplasty (PTA) is the first line of treatment for stenosis in the arteriovenous fistula (AVF) created to provide access for hemodialysis, but resenosis still occurs. Transplants of adipose-derived mesenchymal stem cells (AMSCs) labeled with green fluorescent protein (GFP) to the adventitia could reduce pro-inflammatory gene expression, possibly restoring patency in a murine model of PTA for venous stenosis.

Methods: Partial nephrectomy of male C57BL/6J mice induced CKD. Read More

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http://dx.doi.org/10.1681/ASN.2019101042DOI Listing

Renal metastasis from primary hepatocellular carcinoma: a case report.

Int Cancer Conf J 2020 Jul 25;9(3):141-145. Epub 2020 Mar 25.

Department of Urology, Graduate School of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551 Japan.

We report a rare case of renal metastasis from primary hepatocellular carcinoma (HCC). A mass in the right kidney of a 71-year-old man was detected by follow-up computed tomography (CT) for HCC. He was diagnosed as having primary HCC 18 years ago and had undergone partial hepatectomy, transarterial chemoembolization, and pulmonary segmentectomy for primary HCC and its metastasis over 10 years. Read More

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http://dx.doi.org/10.1007/s13691-020-00409-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297933PMC

Partial nephrectomy can be a successful treatment option for renal epithelioid angiomyolipoma: a case report and literature review.

Acta Med Litu 2020 ;27(1):33-38

Urology Centre, Vilnius University Hospital Santaros Klinikos, Vilnius, Lithuania.

Background: Renal epithelioid angiomyolipoma is a rare tumour which involves kidneys in most cases. It is known for its aggressive behaviour as a significant number of cases have been associated with metastatic epithelioid angiomyolipoma. Usually, radical treatment with systemic therapy is recommended. Read More

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http://dx.doi.org/10.6001/actamedica.v27i1.4264DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305809PMC
January 2020

Surveillance post-radiofrequency ablation for small renal masses: Recurrence and followup.

Can Urol Assoc J 2020 Jun 16. Epub 2020 Jun 16.

Department of Surgery, Division of Urology, McMaster University, Hamilton, ON, Canada.

Introduction: Small renal masses (SRMs), enhancing tumors <4 cm in diameter, are suspicious for renal cell carcinoma (RCC). The incidence of SRMs have risen with the increased quality and frequency of imaging. Partial nephrectomy is widely accepted as a nephron-sparing approach for the management of clinically localized RCC, with a greater than 90% disease-specific survival for stage T1a. Read More

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http://dx.doi.org/10.5489/cuaj.6374DOI Listing

Shared decision-making for the management of small renal masses - development and acceptability testing of a novel patient decision aid.

Can Urol Assoc J 2020 Jun 16. Epub 2020 Jun 16.

Division of Urology, University of Ottawa, Ottawa, ON, Canada.

Introduction: Shared decision-making incorporates patient's values and preferences to achieve high-quality decisions. The objective of this study was to develop an acceptable patient decision aid to facilitate shared decision-making for the management of small renal masses (SRMs).

Methods: The International Patient Decision Aids Standards were used to guide an evidence-based development process. Read More

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http://dx.doi.org/10.5489/cuaj.6575DOI Listing

On-clamp versus purely off-clamp robot-assisted partial nephrectomy in solitary kidneys: comparison of perioperative outcomes and chronic kidney disease progression at two high- volume centers.

Minerva Urol Nefrol 2020 Jun 22. Epub 2020 Jun 22.

Department of Urology, Regina Elena National Cancer Institute, Rome, Italy.

Background: Minimal literature describes the impact of hilar control on the progression to chronic kidney disease (pCKD) after robotic partial nephrectomy (RPN) in solitary kidneys (SK). The aim of this study was to compare purely off-clamp (ocRPN) vs on-clamp robotic partial nephrectomy (onRPN) in SK and to identify predictors of pCKD at two high-volume centers.

Methods: Between December 2013 and October 2019, 54 patients with SK underwent ocRPN and onRPN for renal tumors at two institutions. Read More

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http://dx.doi.org/10.23736/S0393-2249.20.03795-9DOI Listing

Upstaging to pT3a in Patients Undergoing Partial or Radical Nephrectomy for cT1 Renal Tumors: A Systematic Review and Meta-analysis of Outcomes and Predictive Factors.

Eur Urol Focus 2020 Jun 19. Epub 2020 Jun 19.

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

Context: Predictors of upstaging from cT1 to pT3a renal masses are poorly inquired, and this remains an area of controversial findings.

Objective: To evaluate predictors and outcomes of upstaging from cT1 to pT3a in patients undergoing surgical removal of a renal tumor.

Evidence Acquisition: A systematic literature search was performed to identify relevant articles using three electronic engines (PubMed, Embase, and Web of Science). Read More

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http://dx.doi.org/10.1016/j.euf.2020.05.013DOI Listing

Canadian Update on Surgical Procedures (CUSP) Urology Group consensus for intraoperative hemostasis during minimally invasive partial nephrectomy.

Can Urol Assoc J 2020 Jun 9. Epub 2020 Jun 9.

Center for Outcomes Research, Houston Methodist Hospital, Medical Center, Houston, TX, United States.

Introduction: Partial nephrectomy remains the gold standard in the management of small renal masses. However, minimally invasive partial nephrectomy (MIPN) is associated with a steep learning curve, and optimal, standardized techniques for time-efficient hemostasis are poorly described. Given the relative lack of evidence, the goal was to describe a set of actionable guiding principles, through an expert working panel, for urologists to approach hemostasis without compromising warm ischemia or oncological outcomes. Read More

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http://dx.doi.org/10.5489/cuaj.6579DOI Listing

Long-term outcomes after radical or partial nephrectomy for T1a renal cell carcinoma: A population-based study.

Can Urol Assoc J 2020 Jun 16. Epub 2020 Jun 16.

Division of Urology, Departments of Surgery and Surgical Oncology, Princess Margaret Cancer Centre, University Health Network and the University of Toronto, Toronto, ON, Canada.

Introduction: The benefit of partial nephrectomy (PN) compared to radical nephrectomy (RN) for T1a renal cell carcinoma (RCC) remains uncertain, with observational studies conflicting with level 1 evidence. Therefore, the purpose of this population-based study was to compare long-term outcomes in patients undergoing PN or RN for T1a RCC.

Methods: We studied 5670 patients in Ontario, Canada undergoing PN or RN for T1a RCC. Read More

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http://dx.doi.org/10.5489/cuaj.6343DOI Listing

Managing the unexpected: Carcinosarcoma of the kidney parenchyma A case with the longest follow-up.

Urologia 2020 Jun 20:391560320930439. Epub 2020 Jun 20.

Department of Urology, Policlinico San Martino Hospital, University of Genoa, Genoa, Italy.

Introduction: We present the management of the second reported case of carcinosarcoma of the kidney parenchyma with malignant degeneration of both epithelial and mesenchymal components.

Case Report: A 36-year-old woman came to our attention for an incidental sonographic finding of a lesion in the lower pole of the left kidney. A contrasted computed tomography scan confirmed the presence of a 50 × 52 mm contrasted lesion in the left lower kidney pole. Read More

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http://dx.doi.org/10.1177/0391560320930439DOI Listing

Correlation between preoperatively predicted and postoperatively observed renal function using an imaging-based approach: A retrospective cohort study.

Oncol Lett 2020 Jul 4;20(1):501-508. Epub 2020 May 4.

Department of Urology, Qilu Hospital of Shandong University, Jinan, Shandong 250012, P.R. China.

The aim of the present study was to preoperatively predict renal function following partial nephrectomy (PN) using an imaging-based approach and to examine the correlation between preoperatively predicted and postoperatively observed renal function in the study cohort. A total of 128 consecutive patients who underwent PN between May 2015 and March 2018 and had available clinical data were included in this study. A hand-scripting method was used to estimate the defected volume (Vdef) from preoperative computerized tomography scans, whereas a cylindrical method was used to obtain preoperative renal volume (Vpre). Read More

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http://dx.doi.org/10.3892/ol.2020.11584DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285876PMC

Trocar site recurrence after robotic partial nephrectomy to treat of renal cell carcinoma.

Urol Ann 2020 Apr-Jun;12(2):112-115. Epub 2020 Apr 14.

Department of Urology, Division of Urologic Oncology, West Virginia University, Morgantown, West Virginia, USA.

Introduction: Wound seeding during surgical excision of malignant tumor is known problem in the oncologic surgery. Trocar site recurrence (TSR) is well described in laparoscopic oncologic surgery. Little has been reported about TSR after robotic partial nephrectomy (RPN) performed for renal cell carcinoma (RCC). Read More

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http://dx.doi.org/10.4103/UA.UA_121_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292431PMC

Single-layered versus multiple-layered wound closure for flank incision: Results of a prospective, randomized, double-blinded multicenter study.

BJU Int 2020 Jun 21. Epub 2020 Jun 21.

Department of Urology, University Hospital Manheim, Mannheim, Germany.

Objective: To compare the incidence of postoperative flank bulges between patients with multiple-layer closure and single superficial-layer closure after retroperitoneal surgery via open flank incision.

Patients And Methods: The study was a randomized controlled, patient- and assessor-blinded, multicenter trial. Between May 2015 and February 2017, 225 patients undergoing flank incision were randomized 1:1 to a multiple-layered closure (SIMULAC-I) and a single superficial layered closure (SIMULAC-II) group. Read More

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http://dx.doi.org/10.1111/bju.15148DOI Listing

Single-port robotic-assisted partial nephrectomy: initial clinical experience and lessons learned for successful outcomes.

J Robot Surg 2020 Jun 20. Epub 2020 Jun 20.

Department of Urology, Icahn School of Medicine at Mount Sinai, One Gustave Levy Place, Box 1272, New York, NY, 10029, USA.

The Intuitive Surgical DaVinci SP ("Single Port") robotic platform was approved in 2014, but, recently, there has been a dissemination of the technology with multiple urological procedures successfully adapted to this robot. There are some important differences from prior models. We aimed to share our early outcomes and lessons learned for performing successful single-port robotic-assisted partial nephrectomy (SP-RAPN). Read More

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http://dx.doi.org/10.1007/s11701-020-01106-2DOI Listing

Prediction of pentafecta achievement following laparoscopic partial nephrectomy: Implications for robot-assisted surgery candidates.

Surg Oncol 2020 Jun 7;33:32-37. Epub 2020 Jan 7.

Department of Urology/State Key Laboratory of Kidney Diseases, Chinese PLA General Hospital/PLA Medical School, Beijing, China. Electronic address:

Background: In clinical practice, objective basis for the choice between laparoscopic partial nephrectomy (LPN) and robot-assisted partial nephrectomy (RAPN) is scarce. To evaluate surgical outcomes, assess the individual benefit from LPN to RAPN, which can guide clinical decision-making.

Methods: Patients underwent LPN or RAPN for a localized renal mass in our center between Jan 2013 and Dec 2016 were included. Read More

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http://dx.doi.org/10.1016/j.suronc.2020.01.004DOI Listing
June 2020
3.270 Impact Factor

Prognostic Factors for Surgical Margin Status and Recurrence in Partial Nephrectomy.

Int J Clin Pract 2020 Jun 18:e13587. Epub 2020 Jun 18.

Medical Sciences University, Sisli Hamidiye Etfal Training & Research Hospital - Dept. of Urology, Istanbul, Turkey.

Purpose: To evaluate the prognostic factors affecting surgical margin and recurrence in patients who underwent partial nephrectomy for renal masses.

Materials And Methods: Data of 125 patients who underwent open or laparoscopic partial nephrectomy due to renal mass between January 2006 and January 2019 were analyzed retrospectively. Demographic data, habits, additional diseases, clinical and laboratory findings, operational data, the morphology of the tumor in computerized tomography or magnetic-resonance imaging and follow-up data were scanned and acquired via our hospital's system and archive. Read More

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http://dx.doi.org/10.1111/ijcp.13587DOI Listing

Outcome of renal cell carcinoma in patients on dialysis compared to non-dialysis patients.

Semin Dial 2020 Jul 18;33(4):316-321. Epub 2020 Jun 18.

Department of Pathobiology, Yokohama City University, Kanagawa, Japan.

Purpose: To investigate the impact of hemodialysis on survival in renal cell carcinoma (RCC) patients.

Methods: We studied 388 patients who underwent radical or partial nephrectomy for RCC at Toranomon Hospital from 2005 to 2013. Survival curves were drawn according to the Kaplan-Meier method and compared with the log-rank test. Read More

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http://dx.doi.org/10.1111/sdi.12888DOI Listing

Hemostatic agent use during partial nephrectomy: trends, outcomes, and associated costs.

Int Urol Nephrol 2020 Jun 15. Epub 2020 Jun 15.

Department of Surgery, Division of Urology, The Pennsylvania State University, College of Medicine, 500 University Drive, H055, Hershey, PA, 17033-0850, USA.

Purpose: To evaluate the ability of hemostatic agents (HA) to limit bleeding complications following partial nephrectomy (PN) and determine HA usage and costs as well as factors associated with post-operative bleeding complications.

Methods: The records of 429 PN performed for kidney cancers were reviewed for clinical, pathologic, and perioperative variables. Surgical approach, HA use, and HA expenditure were determined. Read More

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http://dx.doi.org/10.1007/s11255-020-02538-3DOI Listing

Comparison of renal functional outcomes of active surveillance and partial nephrectomy in the management of oncocytoma.

World J Urol 2020 Jun 17. Epub 2020 Jun 17.

Department of Urology, UC San Diego School of Medicine, 3855 Health Sciences Drive, 0987, La Jolla, CA, 92093-0987, USA.

Purpose: To compare functional outcomes of partial nephrectomy (PN) and active surveillance (AS) in oncocytoma.

Methods: Multicenter retrospective analysis of patients with oncocytoma managed with PN or AS (biopsy-confirmed). Primary outcome development of de novo chronic kidney disease (CKD) (eGFR < 60 mL/min/1. Read More

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http://dx.doi.org/10.1007/s00345-020-03299-5DOI Listing

Prognostic Effect of Preoperative Apolipoprotein B Level in Surgical Patients with Clear Cell Renal Cell Carcinoma.

Oncol Res Treat 2020 Jun 17:1-6. Epub 2020 Jun 17.

Department of Surgical Urology, The Third Affiliated Hospital of Soochow University, Changzhou, China,

Background: The aim of this study was to assess the prognostic value of the preoperative apolipoprotein B (ApoB) level in surgical patients with clear cell renal cell carcinoma (ccRCC).

Materials And Methods: The study included 307 ccRCC patients receiving radical or partial nephrectomy between 2003 and 2012 in our center. The correlations among the preoperative ApoB, clinicopathological parameters, and overall survival (OS) were evaluated. Read More

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http://dx.doi.org/10.1159/000507964DOI Listing

The Role of Intraoperative Indocyanine Green in Robot-assisted Partial Nephrectomy: Results from a Large, Multi-institutional Series.

Eur Urol 2020 Jun 15. Epub 2020 Jun 15.

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

Background: In recent years, novel technologies have been implemented in order to improve the surgical outcomes of robot-assisted partial nephrectomy (RAPN). Intraoperative administration of indocyanine green (ICG) has been proposed to assess kidney perfusion intraoperatively.

Objective: To confirm, on a large scale, the effectiveness of near-infrared fluorescence ICG-guided RAPN in leading the surgeon strategy and to provide hints to the use of this tool. Read More

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http://dx.doi.org/10.1016/j.eururo.2020.05.040DOI Listing

Renal cell carcinoma in a pancake kidney: A rare entity.

Indian J Urol 2020 Apr-Jun;36(2):140-141. Epub 2020 Apr 7.

Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Pancake kidney is a rare form of renal fusion anomaly. Renal cell carcinoma in such an entity is even rarer and poses a challenge in management due to anomalous vessels. We describe one such patient with an emphasis on successful performance of partial nephrectomy by meticulous planning, with good oncological and functional outcomes. Read More

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http://dx.doi.org/10.4103/iju.IJU_55_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7279093PMC

Consideration in the management of renal cell carcinoma during the COVID-19 Pandemic.

Int Braz J Urol 2020 Jun 17;46. Epub 2020 Jun 17.

Latin American Renal Cancer Group - LARCG, São Paulo, SP, Brasil.

Introduction: Recently the COVID-19 pandemic became the main global priority; main efforts and health infrastructures have been prioritized in favor of COVID-19 battle and the treatment of benign diseases has been postponed. Renal cell cancer (RCC) patients configure a heterogenous populations: some of them present indolent cases which can safely have postponed their treatments, others present aggressive tumors, deserving immediate care. These scenarios must be properly identified before a tailored therapeutic choice. Read More

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http://dx.doi.org/10.1590/S1677-5538.IBJU.2020.S108DOI Listing