3,728 results match your criteria Transperitoneal Laparoscopic Radical Nephrectomy


Comparison of Three-Quadrant Transversus Abdominis Plane Block and Continuous Epidural Block for Postoperative Analgesia After Transperitoneal Laparoscopic Nephrectomy.

Anesth Pain Med 2018 Oct 3;8(5):e80024. Epub 2018 Sep 3.

Department of Anesthesiology and Intensive Care, Universitas Indonesia, Jakarta, Indonesia.

Background: Postoperative pain management is important for the early recovery of the living donor patient. Patient-controlled opioid analgesia, epidural analgesia, or a combination of both is the preferred pain management after abdominal surgery although these approaches have serious side effects. The transversus abdominis plane (TAP) block has been increasingly used for postoperative pain management and the addition of dexamethasone to local anesthetic can prolong the duration of action. Read More

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October 2018

Evolution of Robot-assisted Partial Nephrectomy: Techniques and Outcomes from the Transatlantic Robotic Nephron-sparing Surgery Study Group.

Eur Urol 2018 Dec 5. Epub 2018 Dec 5.

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

Background: Robot-assisted partial nephrectomy (RAPN) is considered a feasible minimally invasive alternative to open partial nephrectomy (OPN) for the surgical treatment of renal tumors.

Objective: To provide further evidence supporting the effectiveness of RAPN in a contemporary patient population treated at one of three tertiary care centers for robotic surgery and to describe the evolution of RAPN-based technical improvements.

Design, Setting, And Participants: The Transatlantic Robotic Nephron-sparing Surgery (TRoNeS) study group prospectively collected data from 635 patients subjected to RAPN for clinically localized kidney cancer between 2010 and 2016 at three high-volume tertiary care centers. Read More

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December 2018

Is transperitoneal laparoscopic radical nephrectomy suitable for patients with a history of abdominal surgery?

Asian J Endosc Surg 2018 Dec 2. Epub 2018 Dec 2.

Department of Urology, Keio University School of Medicine, Tokyo, Japan.

Introduction: Laparoscopic radical nephrectomy is the gold standard for treatment of renal cell carcinoma. However, previous abdominal surgery is generally regarded as a contraindication to the laparoscopic approach because it causes intraperitoneal adhesions, which are thought to interfere with subsequent laparoscopic procedures inside the abdominal cavity. Few studies have examined the influence of prior surgery on laparoscopic nephrectomy. Read More

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December 2018

Comparison of transperitoneal laparoscopic versus open adrenalectomy for large pheochromocytoma: A retrospective propensity score-matched cohort study.

Int J Surg 2018 Nov 29;61:26-32. Epub 2018 Nov 29.

Department of Urology, Shengjing Hospital of China Medical University, Shenyang 110004, China. Electronic address:

Background: Surgical resection is the main treatment strategy for pheochromocytoma. Whether laparoscopic techniques are feasible for large pheochromocytoma treatments is controversial. The aim of this study was to evaluate the feasibility and safety of transperitoneal laparoscopic adrenalectomy (LA) compared with open adrenalectomy (OA). Read More

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November 2018

Predictors of complications following retroperitoneoscopic total and partial nephrectomy.

J Pediatr Surg 2018 Nov 7. Epub 2018 Nov 7.

The Royal Hospital for Children, Glasgow, Scotland. Electronic address:

Introduction: Recent reports in the literature suggest an increased risk of complications with retroperitoneal as opposed to transperitoneal approach to partial nephrectomy (PN) and total nephrectomy (TN). We are a large unit performing predominantly retroperitoneoscopic PN and TN. We aim to review our outcomes and perform analysis to elucidate the predictors of complications following the retroperitoneal approach for extirpative kidney surgery. Read More

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November 2018
1 Read

Pure Single-Site Robot-Assisted Partial Nephrectomy Using The SP Surgical System: Initial Clinical Experience.

Urology 2018 Nov 22. Epub 2018 Nov 22.

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

Objectives: To describe the technique of pure single-site trans-peritoneal robotic partial nephrectomy using the da Vinci SP surgical system.

Methods: Three consecutive patients who were diagnosed with contrast-enhanced renal masses amenable of partial nephrectomy were scheduled for robot-assisted partial nephrectomy to be performed using the SP Surgical System. Data collection received institutional review board approval (IRB 13-780). Read More

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November 2018
1 Read

Laparoscopic repair of secondary perineal hernia with coverage by the mobilized cecum.

Asian J Endosc Surg 2018 Nov 23. Epub 2018 Nov 23.

Division of Gastroenterological Surgery, Department of Surgery, Aichi Medical University, Nagakute, Japan.

The incidence of secondary perineal hernia (SPH) has increased since the introduction of extralevator abdominoperineal resection and laparoscopic abdominoperineal resection. Currently, laparoscopic mesh repair is the usual procedure. Here, we demonstrate a repair of SPH without mesh that uses the mobilized cecum to cover the pelvic hernial orifice. Read More

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November 2018
5 Reads

Is laparoscopic left adrenalectomy with the anterior submesocolic approach for Conn's or Cushing's syndrome equally safe and effective as the lateral and anterior ones?

Surg Endosc 2018 Nov 19. Epub 2018 Nov 19.

Department of General Surgery and Surgical Specialties "Paride Stefanini", Sapienza, University of Rome, Viale del Policlinico 155, 00161, Rome, Italy.

Background: The aim of the present study is to report and to compare the results of three different laparoscopic transperitoneal surgical approaches [lateral transperitoneal (LT), anterior transperitoneal (AT) and anterior transperitoneal submesocolic (ATS)] for the treatment of Conn's and Cushing's syndrome from left adrenal disease.

Methods: This study is a retrospective analysis of prospectively collected data. From 1994 to 2017, 535 laparoscopic adrenalectomies (LA) were performed. Read More

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November 2018
2 Reads

Novel L5-S1 interbody fusion technique for root anomalies or abnormal root configurations of L5-S1 foramens.

J Craniovertebr Junction Spine 2018 Jul-Sep;9(3):163-166

Department of Neurosurgery, Koc University School of Medicine, Istanbul, Turkey.

Purpose: We show in this study that if a root anomaly does not permit access to the disc space in the usual way, the technique we define here can be used. If the patient has a root anomaly or an abnormal root configuration at this level, inevitably, an anterior approach is preferred.

Materials And Methods: The patient's previous skin incision was used; the L5-S1 space was reached laterally without entering the midline. Read More

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November 2018
4 Reads

Transperitoneal versus retroperitoneal laparoscopic adrenalectomy for large pheochromocytoma: Comparative outcomes.

Int J Urol 2018 Nov 14. Epub 2018 Nov 14.

Department of Urology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi, Japan.

Objectives: To evaluate operative and oncological outcomes of laparoscopic adrenalectomy through a transperitoneal approach and retroperitoneal approach for large (>5 cm in diameter) pheochromocytomas.

Methods: We retrospectively compared the results of a transperitoneal approach with those of a retroperitoneal approach in 22 patients (mean age 57.5 years, range 38-76 years) with unilateral large pheochromocytomas (12 right, 10 left). Read More

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November 2018
1 Read

Laparoscopic transperitoneal inguinal hernioplasty (TAPP) after radical open retropubic prostatectomy: special features and clinical outcomes.

Authors:
W K J Peitsch

Hernia 2018 Nov 7. Epub 2018 Nov 7.

Department of General, Visceral, Vascular and Trauma Surgery, St. Josef Hospital Werden, University Medicine Essen, Propsteistrasse 2, 45239, Essen, Germany.

Purpose Laparoscopic transperitoneal endoscopic (TAPP) and totally extraperitoneal (TEP) hernia repair have been well established in primary and recurrent inguinal hernias [1]. Only few studies [2-5] evaluate the surgical outcome of patients with inguinal hernias after radical prostatectomy, using the TAPP or TEP procedure. But controversies remain including its feasibility, safety and recurrence rate. Read More

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November 2018
5 Reads

Safety and Efficacy of Retroperitoneoscopic Living Donor Nephrectomy: Comparison of Early Complication, Donor and Recipient Outcome with Hand-Assisted Laparoscopic Living Donor Nephrectomy.

J Endourol 2018 Nov 6. Epub 2018 Nov 6.

Hokkaido University Hospital, Urology, Sapporo, Japan ;

Introduction: Laparoscopic surgery has been a standard procedure of living donor nephrectomy. Transperitoneal hand-assisted laparoscopic living donor nephrectomy (HALDN) has been commonly reported by many centers with excellent outcome. However, there are few studies reporting retroperitoneoscopic living donor nephrectomy (RPLDN). Read More

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November 2018
3 Reads

Retroperitoneoscopic partial nephrectomy for renal cell carcinoma: A single-center Indian experience.

Urol Ann 2018 Oct-Dec;10(4):400-405

Department of Urology and Transplantation Surgery, Institute of Kidney Disease and Research Centre, Dr. H.L. Trivedi Institute of Transplant Sciences, Civil Hospital Campus, Ahmedabad, Gujarat, India.

Objective: Retroperitoneoscopy, by avoiding peritoneal breach and injury to intra-abdominal organs, provides a more direct and rapid access to the kidney and the renal hilum. Laparoscopic partial nephrectomy by retroperitoneal route (LPNR) is less commonly performed than transperitoneal route for early stage renal cancer. The objective of this study is to carry out the outcomes of partial nephrectomy using retroperitoneal approach. Read More

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November 2018
3 Reads

Transport of neutral IgG2 versus anionic IgG4 in PD: implications on the electrokinetic model.

BMC Nephrol 2018 Oct 29;19(1):299. Epub 2018 Oct 29.

Nephrology Division, Ghent University Hospital, C. Heymanslaan 10, 9000, Ghent, Belgium.

Background: It is debated whether transperitoneal membrane transport of larger (charged) molecules in peritoneal dialysis can be partially governed by the electrokinetic model. In this model, it is postulated that streaming potentials are generated across the capillary wall by forced filtration of an ionic solution, for example transcapillary ultrafiltration induced by osmotic forces as in peritoneal dialysis. We investigated the presence of streaming potentials in the process of transperitoneal transport in Peritoneal Dialysis (PD) patients by measuring ratios of dialysate concentrations of IgG2 (neutral) and IgG4 (negative), both 150kD, under different conditions of transcapillary ultrafiltration. Read More

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October 2018
4 Reads

Transabdominal two-cavity approach for radical nephrectomy combined with inferior vena cava thrombectomy for malignant thrombus caused by renal cell carcinoma: a case series.

J Med Case Rep 2018 Oct 25;12(1):313. Epub 2018 Oct 25.

Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Videnska1958/9, 14021, Prague, Czech Republic.

Background: Advanced renal cell carcinoma in some cases causes malignant intravascular thrombus with the potential for growth into the inferior vena cava or even the right atrium. Renal cell carcinoma is accompanied by malignant intravascular thrombus in up to 10% of cases. We present an overview of three patients diagnosed as having renal cell carcinoma with malignant intravascular thrombus requiring radical nephrectomy combined with inferior vena cava thrombectomy. Read More

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October 2018
5 Reads

Image-Guided Cholecystostomy Tube Placement: Short- and Long-Term Outcomes of Transhepatic Versus Transperitoneal Placement.

AJR Am J Roentgenol 2018 Oct 24:1-4. Epub 2018 Oct 24.

1 Department of Diagnostic Imaging, The Alpert Medical School of Brown University, Rhode Island Hospital, 593 Eddy St, Providence, RI 02903.

Objective: Image-guided percutaneous cholecystostomy may be performed by a transhepatic or transperitoneal approach. We compared the short- and long-term outcomes of percutaneous cholecystostomy related to route of catheter placement.

Materials And Methods: A retrospective observational study of image-guided percutaneous cholecystostomy was performed from 2004 to 2016. Read More

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October 2018
1 Read

Vascular injuries during laparoscopic donor nephrectomy and proposed risk reduction strategies.

Int Braz J Urol 2018 Aug 5;44. Epub 2018 Aug 5.

Department of Urology, Division of Laparoscopic and Robotic Surgery, Muljibhai Patel Urological Hospital, Nadiad, Gujarat, India.

Introduction: Laparoscopic donor nephrectomy (LDN) has become the standard of care and popular among most of the transplant centres across the globe. Objective of this video is to report different vascular injuries, their management during LDNs and propose risk reduction strategies.

Patient And Methods: This was a retrospective analysis of all the LDNs performed between January 2011 and March 2016. Read More

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August 2018
1 Read

Effectiveness of harmonic scalpel in laparoscopic treatment of simple renal cyst.

J Pak Med Assoc 2018 Jul;68(7):1124-1128

Haydarpasa Numune Training and Research Hospital, Clinic of Urology, Istanbul.

We retrospectively evaluated the results of Harmonic Scalpel (Ethicon, Cincinnati, Ohio) used for laparoscopic decortication of simple renal cysts (SRC). Between May 2011 and December 2014, 28 patients with symptomatic SRC (Bosniak type 1) underwent laparoscopic decortication with Harmonic Scalpel, were reviewed. All cysts were evaluated with ultrasonography and abdominal computed tomography. Read More

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July 2018
6 Reads

Right Living Donor Nephrectomies: Retroperitoneoscopic vs Laparoscopic Transperitoneal Approach.

Transplant Proc 2018 Oct 15;50(8):2333-2337. Epub 2018 Mar 15.

Department of Urology, National University Hospital, Singapore. Electronic address:

Retroperitoneoscopic right living donor nephrectomy (RLDN) provides direct access to the renal hilum without the need to mobilize the colon. However, factors such as lack of anatomic landmarks to guide orientation, smaller working space, and steep learning curve provided a debate against this approach. In this retrospective study, we reviewed our single-center experience of retroperitoneoscopic RLDN. Read More

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October 2018
1 Read

Robot-Assisted Partial Nephrectomy for Totally Endophytic Renal Tumors: Step by Step Standardized Surgical Technique and Long-Term Outcomes with a Median 59-Month Follow-Up.

J Laparoendosc Adv Surg Tech A 2018 Oct 9. Epub 2018 Oct 9.

1 Department of Urology and Urological Science Institute, Yonsei University College of Medicine , Seoul, South Korea .

Background: Treatment of totally endophytic renal tumors is a technically demanding surgery. While few studies show promising perioperative and short-term outcomes of robot-assisted partial nephrectomy (RAPN), its long-term outcomes remain undetermined.

Materials And Methods: A retrospective analysis of 89 patients with totally endophytic renal tumors undergoing either RAPN (n = 52) or open partial nephrectomy (OPN; n = 37) in a tertiary-care institution between 2005 and 2015 was performed. Read More

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October 2018
2 Reads
1.190 Impact Factor

Adrenal medullary hyperplasia with coexistent cerebral angiomas.

Indian J Pathol Microbiol 2018 Oct-Dec;61(4):587-589

Department of Surgery, Maulana Azad Medical College, New Delhi, India.

Sporadic adrenal medullary hyperplasia (AMH) is a rare entity and mimics pheochromocytoma clinically as well as pharmacologically. It is characterized by increase in adrenal medullary cells with the expansion of cells into areas normally not seen. A 59-year-old male presented with chronic hypertension and raised 24-h urinary normetanephrine levels. Read More

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October 2018
1 Read

Transperitoneal laparoscopic nephrectomy for giant hydronephrotic non-functioning kidney.

Authors:
Badr Alharbi

Urol Case Rep 2018 Nov 24;21:110-112. Epub 2018 Sep 24.

College of Medicine, Qassim University, Saudi Arabia.

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November 2018
2 Reads

Laparoscopic heminephrectomy for duplex system: observed difference in outcomes between upper and lower pole resections.

Can J Urol 2018 Oct;25(5):9503-9508

The Bristol Urological Institute, Bristol, United Kingdom.

Introduction: Renal duplication is a relatively common congenital abnormality of the urinary tract, but symptomatic duplex kidney is a rare presentation in adults. Traditionally, the treatment of choice for poorly functioning moiety has been heminephrectomy. There is extensive literature detailing the outcomes of minimally invasive upper pole heminephrectomy, but comparatively little published regarding lower pole resection, especially in adult patients. Read More

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October 2018
1 Read

Outcomes of laparoscopic resection of urachal remnants followed by novel umbilicoplasty.

Int Urol Nephrol 2018 Dec 1;50(12):2167-2172. Epub 2018 Oct 1.

Department of Urology, Jikei University School of Medicine, 3-25-8 Nishi-Shimbashi, Minato-ku, Tokyo, 105-8461, Japan.

Objective: The purpose of the study was to report the outcomes of our modified techniques of laparoscopic urachal resection, followed by novel umbilical-plasty using dermal regenerative grafts for symptomatic urachal remnants.

Methods: Between March 2014 and December 2016, laparoscopic urachal resection was carried out on 45 patients with complaints of urachal remnants. After extraction of the specimen and closure of the fascia at the umbilical site, a 1-cm square section of dermal regeneration sheet (TERUDERMIS®, Olympus) was suture retained between the fascia and the skin. Read More

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December 2018
2 Reads

[Laparoscopic Surgery for isolated lymph nodes recurrence in gynecology. Experience in Argentina.]

Rev Fac Cien Med Univ Nac Cordoba 2018 06 10;75(2):72-81. Epub 2018 Jun 10.

Hospital Italiano de Buenos Aires, Argentina.

Objectives: to describe the perioperative and oncological outcomes of a serie of cases treated with laparoscopic surgery for isolated nodal metastasis of gynecologic malignancies at the Gynecology Service of Hospital Italiano de Buenos Aires and conduct a literature review on the surgical treatment provided to patients with this condition.

Methods: A search was conducted in the surgery records of the Gynecology Service of Hospital Italiano of patients who underwent laparoscopic cytoreductive surgery for isolated nodal recurrence of a gynecologic primary tumor in the period 2009-2015. The medical records were reviewed and data on the patients’ characteristics, the tumor, the surgery and its complications were collected and analyzed. Read More

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June 2018
2 Reads

"Ride the Green Light": Indocyanine Green-marked Off-clamp Robotic Partial Nephrectomy for Totally Endophytic Renal Masses.

Eur Urol 2018 Sep 24. Epub 2018 Sep 24.

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

Background: Complexity of robot-assisted partial nephrectomy (RAPN) mostly depends on tumor size and location. Totally endophytic renal masses represent a surgical challenge in terms of both intraoperative identification and anatomical dissection.

Objective: To detail a novel technique for marking preoperatively endophytic renal tumors with transarterial superselective intrarenal mass delivery of indocyanine green (ICG)-lipiodol mixture, in order to enhance surgical margins control during purely off-clamp (OC) RAPN with the use of near-infrared fluorescence imaging. Read More

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September 2018
6 Reads

Achieving tumour control when suspecting sinus fat involvement during robot-assisted partial nephrectomy: step-by-step.

BJU Int 2018 Sep 26. Epub 2018 Sep 26.

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

Objectives: To report a single expert robotic surgeon's step-by-step surgical technique for achieving local cancer control during robot-assisted PN (RAPN) for T3 tumours.

Patients And Methods: Since January 2010 to December 2016, the institutional RAPN database was queried for patients who underwent transperitoneal RAPN performed by a single surgeon for tumours ≤4 mm from the collecting system at preoperative computed tomography (three points on the 'N [Nearness]' R.E. Read More

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September 2018
2 Reads

Open repair of ruptured abdominal aortic aneurysm with associated horseshoe kidney.

Int Angiol 2018 Sep 24. Epub 2018 Sep 24.

Faculty of Medicine, University of Belgrade, Belgrade, Serbia.

Background: Ruptured abdominal aortic aneurysms (RAAA) with concomitant horseshoe kidney (HK) present a unique challenge at the time of repair. The aim of this article is to propose the most rationale strategy during open repair (OR) of RAAA in the presence of HK.

Material And Methods: We identified and analyzed all patients treated at the clinic due to RAAA and HK. Read More

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September 2018
1 Read

Laparoscopic retrieval of a foreign body (broken surgical knife) from retroperitoneal space: An interesting case.

Gynecol Minim Invasive Ther 2017 Oct-Dec;6(4):193-194. Epub 2017 Mar 7.

Department of Gynaecology, Scunthorpe General Hospital, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, United Kingdom.

We present a rare and interesting case, of a retrieval of a broken surgical knife blade, from the retroperitoneal space, through laparoscopic approach by a gynecology endoscopist. A 40-year-oId man underwent open lumbar discectomy surgery, when the surgical knife blade inadvertently broke, and was retained in the disc space. The broken blade could not be removed during the initial surgery. Read More

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March 2017
1 Read

Laparoscopic radical nephrectomy with inferior vena cava thrombectomy: A combined retroperitoneal and transperitoneal approach.

Urologia 2018 Sep 25:391560318802156. Epub 2018 Sep 25.

Ospedale Carlo Urbani, Jesi, Italy.

Renal cell carcinoma with inferior cava thrombus indicates biologically aggressive cancer, so the complete surgical resection remains standard of care with best long-term outcomes. Laparoscopic radical nephrectomy with vena cava thrombectomy represents nowadays a mini-invasive surgical alternative to the classic open nephrectomy. We present the case of a patient with incidental diagnosis of a right renal mass with level II inferior cava thrombus completely managed with both retroperitoneal and transperitoneal approaches. Read More

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September 2018
1 Read

Simultaneous living donor orthotopic renal transplantation and bilateral nephrectomy for recurrent renal cell carcinoma and renal failure: case report and review of literature.

Res Rep Urol 2018 11;10:69-73. Epub 2018 Sep 11.

Transplant Surgery Department, Institute for Clinical and Experimental Medicine, Prague, Czech Republic,

Background: We report the case of a 43-year-old female patient with systemic lupus erythematosus, class III lupus nephritis, with predialysis creatinine levels around 350 μmol/L (3.95 mg/dL) after partial resection of the left kidney with histologically verified papillary carcinoma in 2010. Preoperative computed tomography of the abdomen revealed a small 8 mm tumor in the left upper kidney pole. Read More

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September 2018
1 Read

Port-Site Metastasis of Undiagnosed Pancreatic Adenocarcinoma After Laparoscopic Radical Prostatectomy: Case Report and Literature Review.

J Endourol Case Rep 2018 18;4(1):144-146. Epub 2018 Sep 18.

Department of Urology, Federal University of Espírito Santo (UFES), Hospital Universitário Cassiano Antônio de Moraes-HUCAM, Vitória, Brazil.

Laparoscopic port-site metastases remain rare for urologic tumors, despite the increasing use of laparoscopic techniques on the approach of urologic malignancy. Herein, we report a case of port-site mass after laparoscopic radical prostatectomy whose immunohistochemistry demonstrated metastasis from a pancreatic lesion. A 62-year-old man presented to our ambulatory clinic with an elevated prostate-specific antigen (PSA) of 7. Read More

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September 2018

Head-to-Head Comparison of Modified Laparoscopic Pyeloplasty and Robot-Assisted Pyeloplasty for Ureteropelvic Junction Obstruction in China.

Urol Int 2018 19;101(3):337-344. Epub 2018 Sep 19.

Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Beijing, China.

Objective: To compare the outcomes of modified laparoscopic pyeloplasty (LP) and robot-assisted pyeloplasty (RLP) for ureteropelvic junction obstruction (UPJO) in China patients.

Materials And Methods: We retrospectively reviewed the medical records of patients who underwent modified LP and RLP using a transperitoneal laparoscopic approach at 2 different medical institutions between October 2009 and November 2017.

Results: Seventy-six patients underwent modified LP and 140 patients underwent RLP. Read More

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September 2018
8 Reads
1.150 Impact Factor

Extended Techniques of Minimally Invasive Surgery in the Retroperitoneum: Practice Pattern in German Urology Departments.

Urol Int 2018 18;101(3):345-350. Epub 2018 Sep 18.

Clinic for Urology and Urologic Oncology, Medical School Hannover, Hannover, Germany.

Introduction: Laparoendoscopic single-site surgery (LESS), robot-assisted (RA), and retroperitoneoscopic (R) surgery expand the armamentarium of minimally invasive surgery (MIS). As information on the use of these surgical approaches in daily routine is limited, we conducted a survey among German urologists.

Materials And Methods: In 2017, all urology departments in Germany received a questionnaire evaluating practice patterns of MIS in the retroperitoneum. Read More

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September 2018
1 Read

Laparoscopic Trans-Abdominal Right Adrenalectomy for a Large Primitive Adrenal Oncocytic Carcinoma: A Case Report and Review of Literature.

Am J Case Rep 2018 Sep 15;19:1096-1102. Epub 2018 Sep 15.

Department of General Surgery, Istituto Clinico Sant'Ambrogio, Milan, Italy.

BACKGROUND Adrenocortical oncocytic neoplasms (AONs) are extremely rare tumors. AONs are classified as: oncocytoma (AO), oncocytic neoplasm of uncertain malignant potential (AONUMP), and oncocytic carcinoma (AOC). Among the 162 reported cases of AONs in the literature, 30 cases were classified as malignant. Read More

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September 2018
8 Reads

Incidental giant adrenal lymphangioma presenting as nonfunctional cystic mass.

Turk J Surg 2018 Aug 28:1-3. Epub 2018 Aug 28.

Clinic of General Surgery, Ankara Umut Hospital Ankara, Turkey.

Surrenal masses can be encountered with many different clinical manifestations and a diverse spectrum of etiologies in clinical practice. Recent advances in imaging and laboratory studies as well as their increasingly widespread use and easy accessibility have currently made it possible to diagnose a greater number of surrenal masses than ever. The basic approach principles vary for incidentally detected masses, benign/malignant masses, and hormonoactive masses. Read More

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August 2018
5 Reads

Mid term functional results following surgical treatment of recto-urinary fistulas postprostate cancer treatment.

Prog Urol 2018 Dec 11;28(16):915-920. Epub 2018 Sep 11.

Service de chirurgie viscérale, Université Henri-Poincaré de Lorraine, CHU Nancy-Brabois, 54500 Vandoeuvre-lès-Nancy, France. Electronic address:

Introduction: To evaluate the mid term functional results of patients treated for RUF and to determine an optimal treatment strategy to improve their quality of life. Recto-urinary Fistula (RUF) is a rare complication following prostate cancer treatment, and can have a major impact on patients' quality of life. There is a lack of consensus concerning the best approach and different techniques have been proposed: endoscopic, transrectal, perineal and transperitoneal (open, laparoscopic or robotic). Read More

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December 2018
1 Read

Anterior Lumbar Interbody Fusion Using Reaction Bonded Silicon Nitride Implants: Long-Term Case Series of the First Synthetic Anterior Lumbar Interbody Fusion Spacer Implanted in Humans.

World Neurosurg 2018 Dec 8;120:256-264. Epub 2018 Sep 8.

University of New South Wales Sydney, Sydney, New South Wales, Australia; School of Materials Science and Engineering, University of New South Wales Sydney, Sydney, New South Wales, Australia.

Background: In this study, a historical case series is reported of reaction bonded silicon nitride (SiN) implants for anterior lumbar interbody fusion (ALIF) for a patient population of 30 and surgery levels L3/4, L4/5, and/or L5/S1. Before the study, the only work on SiN as a biomedical material was associated preliminary work, which involved animal trials using a rabbit model. The objective was to undertake the first use of SiN as a biomedical material for humans, as an implant for ALIF. Read More

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December 2018
36 Reads
2.420 Impact Factor

Posterior retroperitoneoscopic adrenalectomy-Case series.

Int J Surg Case Rep 2018 28;51:174-177. Epub 2018 Aug 28.

Centro Hospitalar e Universitário de Coimbra (Covões), Quinta dos Vales, São Martinho de Bispo, 3041-853 Coimbra, Portugal. Electronic address:

Introduction: Posterior retroperitoneoscopic adrenalectomy has advantages over transperitoneal technique. However many surgeons prefer the transperitoneal technique because they get a familiar and wider working space.

Material And Methods: A retrospective analysis of the first 10 patients submitted to posterior retroperitoneoscopic adrenalectomy was conducted. Read More

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August 2018
8 Reads

Endoscopic Robot-assisted Simple Enucleation Versus Laparoscopic Simple Enucleation With Single-layer Renorrhaphy in Localized Renal Tumors: A Propensity Score-matched Analysis From a High-volume Centre.

Urology 2018 Nov 28;121:97-103. Epub 2018 Aug 28.

Department of Urology, Drum Tower Hospital, Medical School of Nanjing University, Institute of Urology, Nanjing University, Nanjing, Jiangsu, People's Republic of China. Electronic address:

Objective: To compare perioperative results and early oncological outcomes of endoscopic robot-assisted simple enucleation (ERASE) and laparoscopic simple enucleation (LSE) by using a propensity score-matched analysis.

Methods: We evaluated 383 patients who underwent transperitoneal ERASE or LSE for renal tumors from November 2012 to October 2016. Propensity score matching was performed on age, gender, body mass index, Eastern Cooperative Oncology Group score, tumor side and size, preoperative estimated GFR and PADUA score. Read More

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November 2018
9 Reads

Robotic radical prostatectomy after aborted prostatectomy: still feasible? The experience from a tertiary care center.

J Robot Surg 2018 Aug 29. Epub 2018 Aug 29.

Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Ave, Q10, Cleveland, OH, 44195, USA.

To describe the surgical management of patients who had radical prostatectomy previously attempted but aborted due to diverse causes. Patients who underwent an "aborted prostatectomy" were extracted from the institutional prostatectomy database. A description of the tailored robotic approach was reported for each case. Read More

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August 2018
1 Read

Effect of Intra-abdominal Pressure Rise on Hematological Parameters in Laparoscopic Urologic Surgery.

J Coll Physicians Surg Pak 2018 Sep;28(9):699-702

Department of Urology, University of Health Sciences, Samsun Training and Research Hospital, Samsun, Turkey.

Objective: To determine the potential utility of hematological parameters in the diagnosis of intra-abdominal hypertension (IAH).

Study Design: Cross-sectional descriptive study.

Place And Duration Of Study: Health Sciences University, Samsun Training and Research Hospital, Samsun, Turkey, from January 2016 to July 2017. Read More

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September 2018

Robot-assisted AMS-800 Artificial Urinary Sphincter Bladder Neck Implantation in Female Patients with Stress Urinary Incontinence.

Eur Urol 2018 Aug 20. Epub 2018 Aug 20.

Department of Urology, University of Brest, Brest, France.

Background: Widespread adoption of the AMS-800 artificial urinary sphincter (AUS) in female patients has been hampered by the surgical morbidity of its implantation through an open approach.

Objective: To describe a standardized technique of robotic bladder neck AUS implantation in female patients, and to report the perioperative and functional outcomes obtained by multiple surgeons with this technique.

Design, Settings, And Participants: We retrospectively reviewed the charts of all female patients who underwent robotic AUS implantation for urinary incontinence due to intrinsic sphincter deficiency between March 2012 and March 2017 in five institutions. Read More

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August 2018
2 Reads

Clinical outcomes of transperitoneal laparoscopic unroofing and fenestration under seminal vesiculoscopy for seminal vesicle cysts.

Asian J Androl 2018 Nov-Dec;20(6):621-625

Department of Urology, Xiangya Hospital of Central South University, Changsha 410000, China.

Symptomatic seminal vesicle cysts (SVCs), especially those of a large size, can be removed by surgical treatments. Currently, open surgeries for SVC are rarely performed due to their extensive surgical trauma, and minimally invasive surgical therapies for treating seminal vesicle cysts are still in the early stages. In addition, relevant studies are mostly confined to case reports. Read More

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August 2018
2 Reads

Nerve-sparing in salvage robot-assisted prostatectomy: surgical technique, oncological and functional outcomes at a single high-volume institution.

BJU Int 2018 Nov 14;122(5):837-844. Epub 2018 Sep 14.

Global Robotic Institute, Florida Hospital, Celebration, FL, USA.

Objective: To show the feasibility, oncological and functional outcomes of neurovascular bundle (NVB) preservation during salvage robot-assisted radical prostatectomy (RARP).

Patients And Methods: In the present institutional review board-approved retrospective analysis, between January 2008 and March 2016, 80 patients underwent salvage RARP, performed by a single surgeon (V.P), because of local recurrence after primary treatment. Read More

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November 2018
1 Read

Robotic Partial Nephrectomy for Posterior Renal Tumours: Retro or Transperitoneal Approach?

Eur Urol Focus 2018 Sep 16;4(5):632-635. Epub 2018 Aug 16.

Guy's and St Thomas NHS Foundation Trust, London, UK. Electronic address:

The advantages of using the retroperitoneal approach in posterior and lateral masses are the familiarity and increased experience of the robotic surgeon with the nuances of this approach, which will ultimately benefit patients for whom that technique is imperative. Read More

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September 2018
6 Reads

A Multi-institutional Propensity Score Matched Comparison of Transperitoneal and Retroperitoneal Partial Nephrectomy for cT1 Posterior Tumors.

J Laparoendosc Adv Surg Tech A 2018 Aug 14. Epub 2018 Aug 14.

1 Department of Urology, Icahn School of Medicine at Mount Sinai , New York, New York.

Objective: To compare the perioperative and renal functional outcome between transperitoneal and retroperitoneal robotic partial nephrectomy (TP-RPN and RP-RPN) in the largest cohort to date of RP-RPN for posterior tumors.

Methods: We identified 519 patients who met eligibility criteria and underwent TP-RPN (n = 357, 68.8%) or RP-RPN (n = 162, 31. Read More

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August 2018
1 Read

Simultaneous resection of endometrial cancer and high-level paraaortic paraganglioma using retroperitoneoscopic surgery.

Gynecol Oncol Rep 2018 Aug 26;25:122-124. Epub 2018 Jul 26.

Department of Obstetrics and Gynecology, Ishikawa Prefectural Central Hospital, 2-1 Kuratsuki Higashi, Kanazawa, Ishikawa 920-8530, Japan.

•Paraganglioma is sometimes suspected as lymph node metastasis or lymph node recurrence of various malignant tumors.•Retroperitoneoscopic surgery is a valid approach to treat the tumor, located above the renal vein.•Resection using retroperitoneoscopic surgery without catecholamine-related complications is possible. Read More

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Robotic Partial Nephrectomy for Complex Hilar Tumors: Step by step.

Urology 2018 Oct 3;120:271-272. Epub 2018 Aug 3.

Center for Laparoscopic and Robotic Surgery, Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland, OH.

Objective: To report our step-by-step technique and provide tips and tricks for robotic partial nephrectomy (RPN) in a highly complex renal mass. Robotic surgery has widened the indications of the conservative treatment for renal masses. With increasing experience, larger deeply infiltrative tumors, or tumors involving the renal hilum can be treated with robotic partial nephrectomy. Read More

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October 2018
3 Reads