7,695 results match your criteria abdominal radical


Impact of Retzius-sparing Versus Standard Robotic-assisted Radical Prostatectomy on Penile Shortening, Peyronie's Disease, and Inguinal Hernia Sequelae.

Eur Urol Open Sci 2020 Dec 21;22:17-22. Epub 2020 Oct 21.

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

Background: Retzius-sparing robotic-assisted radical prostatectomy (RS-RARP) has improved urinary function compared with standard robotic-assisted radical prostatectomy (S-RARP). As RS-RARP spares the dorsal vascular complex, pelvic fascia, and anterior abdominal fascia, it may also lower the incidence of "neglected" postprostatectomy sequelae such as penile shortening, Peyronie's disease, and inguinal hernias.

Objective: To determine whether there are patient-perceived differences in penile shortening, Peyronie's disease, and inguinal hernia rates among men undergoing RS-RARP versus S-RARP. Read More

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December 2020

Primary Small Cell Neuroendocrine Tumour of Gallbladder Presenting as Pyrexia of Unknown Origin.

Cureus 2021 Jun 23;13(6):e15874. Epub 2021 Jun 23.

Department of Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, Kolkata, IND.

Herein, we report a case of primary small cell neuroendocrine tumor (NET) of the gallbladder in a 45-year-old female who presented with complaints of fever accompanied by abdominal pain on the right upper quadrant for one month. Contrast-enhanced computed tomography abdomen showed a large gallbladder mass. It was infiltrating the segments IVa, IVb, and V of the liver. Read More

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Obvious Reduction of the Tumor Size in Dedifferentiated Liposarcoma in a Lung Metastasis Patient Receiving Individualized Treatment.

Case Rep Oncol 2021 May-Aug;14(2):1080-1084. Epub 2021 Jul 8.

Department of Oncology, Xi'an International Medical Center Hospital, Shanxi, China.

Abdominal metastasis is relatively rare in dedifferentiated liposarcoma of the shoulder and back. Surgery is the best treatment option, whether it is radical or palliative surgery. Chemotherapy is the standard systemic treatment for advanced unresectable/metastatic patients, but the therapeutic effect is limited. Read More

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Clinical challenges and management of primary renal epithelioid angiomyolipoma of duplex kidney with paraneoplastic syndrome.

J Int Med Res 2021 Jul;49(7):3000605211032493

Department of Urology, 74720The Affiliated Hospital of Guizhou Medical University, The Affiliated Hospital of Guizhou Medical University, Guiyang, Guizhou, China.

Giant renal epithelioid angiomyolipoma of a duplex kidney has rarely been reported, especially in patients with paraneoplastic syndrome. The present report describes a 33-year-old man of Miao nationality who presented with a 6-month history of intermittent dull pain in the left upper abdomen that occurred after eating. Ultrasonography, intravenous pyelography, and computed tomography revealed a mass lesion localized in the left kidney and connected to the left renal artery. Read More

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Radical hysterectomy in early cervical cancer in Europe: characteristics, outcomes and evaluation of ESGO quality indicators.

Int J Gynecol Cancer 2021 Jul 28. Epub 2021 Jul 28.

Division of Gynecologic Oncology, 1st Department of Obstetrics and Gynecology, Alexandra Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Introduction: Comprehensive updated information on cervical cancer surgical treatment in Europe is scarce.

Objective: To evaluate baseline characteristics of women with early cervical cancer and to analyze the outcomes of the ESGO quality indicators after radical hysterectomy in the SUCCOR database.

Methods: The SUCCOR database consisted of 1272 patients who underwent radical hysterectomy for stage IB1 cervical cancer (FIGO 2009) between January 2013 and December 2014. Read More

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Primary left ovarian hydatid cyst presenting as an abdominal mass - Case report.

Int J Surg Case Rep 2021 Jul 21;85:106230. Epub 2021 Jul 21.

Kabul University of Medical Sciences, Department of Emergency Surgery & Trauma, Ali Abad Teaching Hospital, Kabul, Afghanistan.

Introduction: Hydatid disease, which is most often caused by Echinococcus granulosus, can occur in virtually all parts of the body. The disease most frequently occurs in the liver followed by the lungs, muscles, and bones respectively. Primary ovarian hydatid cyst is a rare case. Read More

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Robotic-assisted radical prostatectomy with the Senhance robotic platform: single center experience.

World J Urol 2021 Jul 27. Epub 2021 Jul 27.

Department of Surgery, Klaipeda University Hospital, 41 Liepojos Str., 92288, Klaipeda, Lithuania.

Objective: To describe our institution's initial experience with robot-assisted radical prostatectomy (RARP) using the Senhance robotic system.

Patients And Methods: A prospective analysis of 127 robot-assisted radical prostatectomies was performed. Patient demographics, preoperative and intraoperative parameters, histopathological examination results, intraoperative and early postoperative complications were obtained and analyzed. Read More

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Recurrent oncocytic adrenocortical carcinoma: implementing diagnostic criteria in a case report with the longest survival.

Ann Ital Chir 2021 ;92:293-298

Introduction: Oncocytic adrenocortical tumors represent a subtype of the adrenal cortex neoplasms. These tumors can be divided into oncocytomas, oncocytic neoplasms of uncertain malignancy and carcinomas (OACs). To date, only 34 cases of OAC have been reported. Read More

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January 2021

Acute abdominal pain induced by renal leiomyoma in a young patient: a case report.

J Int Med Res 2021 Jul;49(7):3000605211032802

Department of Urology, Tungwah Hospital of Sun Yat-sen University, Dongguan, China.

Renal leiomyoma is a rare benign mesenchymal tumor of the kidney that predominantly originates from the renal capsule or pelvis. However, because of its nonspecific clinical and imaging features, renal leiomyoma remains poorly characterized and may even lead to radical or partial nephrectomy on the basis of preoperative suspicion of renal carcinoma. We herein present a case involving a 12-year-old boy with acute abdominal pain who was diagnosed with renal leiomyoma based on both clinical imaging and histopathological examination. Read More

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Small bowel obstruction caused by secondary jejunal tumor from renal cell carcinoma: A case report.

World J Clin Cases 2021 Jul;9(19):5339-5344

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

Background: Secondary jejunal tumor from renal cell carcinoma (RCC) is extremely rare in clinical practice and is easily missed and misdiagnosed because of the low incidence and atypical symptoms.

Case Summary: A 38-year-old male patient was diagnosed pathologically with left RCC after radical nephrectomy in 2012. The patient then suffered multiple lung metastases 2 years later and was treated with oral sorafenib without progression for 6 years. Read More

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Long-term outcome of indwelling colon observed seven years after radical resection for rectosigmoid cancer: A case report.

World J Clin Cases 2021 Jul;9(19):5252-5258

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Background: Indwelling colon is characterized by an excluded segment of the colon after surgical diversion of the fecal stream with colostomy so that contents are unable to pass through this part of the colon. We report a rare case of purulent colonic necrosis that occurred 7 years after surgical colonic exclusion.

Case Summary: A 73-year-old male had undergone extended radical resection for rectosigmoid cancer. Read More

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Chimeric ALT Plus TFL Perforator Flap for Breast Reconstruction Post Radical Mastectomy with Large Skin Defect.

Indian J Plast Surg 2021 Apr 28;54(2):208-210. Epub 2021 Jun 28.

Department of Plastic and Reconstructive Surgery, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, India.

A 17-year-old girl with large malignant phyllodes tumor of left breast underwent a radical mastectomy with large skin excision resulting in defect of 20 cm × 18 cm. Postoperative radiation therapy necessitated robust cover with flap. The challenge was compounded by her body habitus. Read More

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Radical cystectomy and orthotopic neobladder in a patient with a preexisting three-components inflatable penile prosthesis.

Urologia 2021 Jul 24:3915603211033165. Epub 2021 Jul 24.

Department of Urology, University of Trieste, Trieste, Italy.

Introduction And Objectives: As erectile dysfunction is more commonly being diagnosed and treated with a preexisting inflatable penile prosthesis (IPP) insertion at younger ages, surgeons will increasingly encounter pre-placed abdominal reservoirs when performing pelvic surgery.

Materials And Methods: A 69-year-old Caucasian man with BCG refractory carcinoma-in-situ (CIS) and past history of non-invasive high-grade urothelial carcinoma of the bladder was a candidate for a radical cystectomy and an ileal-neobladder diversion. He had a three-components IPP inserted for the treatment of Peyronie disease and organic erectile dysfunction (ED). Read More

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A nomogram predicting the difficulty of laparoscopic surgery for rectal cancer.

Surg Today 2021 Jul 22. Epub 2021 Jul 22.

Department of Colorectal Surgery, Fujian Medical University Union Hospital, 29 Xinquan Road, Fuzhou, 350001, Fujian Province, People's Republic of China.

Purpose: This study aimed to identify the risk factors associated with performing a difficult laparoscopic radical resection of rectal cancer, and to establish a predictive nomogram to help individual clinical treatment decisions.

Methods: A total of 977 patients with rectal cancer who underwent laparoscopic radical resection between January 2014 and December 2016 were enrolled in this study. The difficulty of laparoscopic-assisted rectal resection (LARR) was defined according to the scoring criteria reported by Escal. Read More

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Risk factors of postoperative ileus following laparoscopic radical cystectomy and developing a points-based risk assessment scale.

Transl Androl Urol 2021 Jun;10(6):2397-2409

Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Dongcheng, Beijing, China.

Background: Postoperative ileus (POI) is one of the most common complications after laparoscopic radical cystectomy (LRC). Albeit its high incidence, its risk factors are obscure, and few studies have attempted to explore them. Meanwhile, risk-assessing tools for predicting its happening are lacking. Read More

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Abdominal wall reconstruction for desmoid tumors following radical resection from the abdominoplasty incision: Case report.

Niger J Clin Pract 2021 Jul;24(7):1100-1102

Department of Surgical Oncology, Saglık Bilimleri University, Adana City Training and Research Hospital, Adana, Turkey.

Desmoid tumours are rare and locally invasive neoplasms that originate from the muscles and their aponeurosis. Incomplete excision causes recurrences; therefore, patients require aggressive resection that essentially entails tumour excision with a clear surgical margin. After radical resection, the resultant wide defect may lead to difficulty in closure of the anterior abdominal wall. Read More

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[Anatomical observation of the left parietal peritoneum and its clinical significance in left retro-mesocolic space dissection].

Zhonghua Wei Chang Wai Ke Za Zhi 2021 Jul;24(7):619-625

Department of Colorectal Surgery, Union Hospital, Fujian Medical University, Fuzhou 350001, China.

To investigate the anatomic characteristics of the left parietal peritoneum and its surgical implementation while dissecting in left retro-mesocolic space. A descriptive case series research methods was used. (1) surgical videos of 35 patients who underwent laparoscopic radical resection (complete mobilization of splenic flexure) of colorectal cancer in Union Hospital of Fujian Medical University between January 2018 and December 2018 were reviewed; (2) four specimens after radical resection of rectal cancer performing in June 2020 were prospectively enrolled and reviewed; (3) five specimens of left parietal peritoneum from 5 cadaveric abdomen (3 males and 2 females) were enrolled and reviewed as well; Tissues of 3 unseparated regions, namely the root of the inferior mesenteric artery (IMA), the medial region and the lateral region (including kidney tissue), from above the 5 cadaveric abdominal specimens were selected to perform Masson staining and histopathological examination. Read More

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[Pelvic membrane anatomy and surgery with network preservation of autonomic nervous system for rectal cancer].

Authors:
F H Han S N Zhou

Zhonghua Wei Chang Wai Ke Za Zhi 2021 Jul;24(7):587-592

Department of Gastrintestinal Surgery, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510199, China.

The principle of total mesorectal excision (TME) standardizes the resection range and surgical dissection plane in radical rectal cancer surgery, reduces the local recurrence rate and improves the long-term survival. TME is the "gold standard" in radical rectal cancer surgery. However, with the progress of laparoscopic surgical instruments and techniques in recent years, further understanding of pelvic membrane anatomy and autonomic nervous system has been gained, which makes the surgical plane of TME more accurate and the autonomic nervous system better preserved. Read More

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[Radical surgery for colon cancer guided by membrane anatomy theory].

Authors:
B Luo K Wang

Zhonghua Wei Chang Wai Ke Za Zhi 2021 Jul;24(7):581-586

Department of Gastrointestinal Surgery, Sichuan Provincial Peoples' Hospital, Chengdu 610072, China.

Like other solid tumors, colon cancer surgery has undergone a century-old journey from lumpectomy to organ resection and then to lymphadenectomy. From the Toldt fascia to complete mesenteric resection, and from local resection to D3 radical treatment, local recurrence rates have been reduced, but remain a nuisance to surgeons and patients. Based on the theory of membrane anatomy, radical surgery for colon cancer will focus more on removing the mesocolon from the mesentery bed while maintaining the integrity of the posterior fascia to avoid the occurrence of "fifth metastasis" as much as possible. Read More

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[Application of posterior gastric mesentery in laparoscopic gastric surgery].

Zhonghua Wei Chang Wai Ke Za Zhi 2021 Jul;24(7):571-575

Department of Gastrointestinal Surgery, The Affiliated Hospital, Guizhou Medical University, Guiyang 550004, China.

The posterior gastric mesentery is one of the six mesenteries of the stomach in the membrane anatomy theory. It locates in the upper area of the pancreas, surrounds the posterior gastric vessels, and is adjacent to the short gastric mesentery by the left side, and is adjacent to the left gastric mesentery by the right side, which fixes the fundus body to the posterior abdominal wall of the upper area of pancreas. Due to its anatomical structure, in complete mesentery excision (CME)+D2 surgery, it is a surgical approach to deal with gastric mesentery in the upper area of pancreas; the second step of the "Huang's three-step method" corresponds to the posterior gastric mesentery in the theory of membrane anatomy. Read More

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[Demonstration and significance on proximal segment of dorsal mesogastrium].

Authors:
D X Xie J P Gong

Zhonghua Wei Chang Wai Ke Za Zhi 2021 Jul;24(7):567-571

Gastrointestinal Cancer Research Institute, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

In radical gastrectomy, D2 systemic lymphadenectomy, which includes complete resection of the bursa sac and omentum, and D2 extended lymphadenectomy outside the bursa sac, is a standard procedure accepted by gastrointestinal surgeons generally. However, a series of clinical trials showed that both D2 extended lymphadenectomy and bursectomy could not improve oncologic benefit, but increase surgical risk. These findings showed a lot of conflicts in gastric cancer surgery, gastrointestinal surgery, even in oncological surgery. Read More

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Rate of incisional hernia after minimally invasive and open surgery for renal cell carcinoma: a nationwide population-based study.

Scand J Urol 2021 Jul 21:1-5. Epub 2021 Jul 21.

Department of Clinical Science and Education Södersjukhuset, Karolinska Institute, Stockholm, Department of Surgery, Södersjukhuset, Stockholm, Sweden.

Objectives: To determine the rate of incisional hernia after surgery for renal cell carcinoma, to compare the rate after open vs minimally invasive surgery and radical nephrectomy vs partial nephrectomy and to identify risk factors for incisional hernia.

Materials And Methods: From the Renal Cell Cancer Database Sweden we identified all patients ( = 9,638) diagnosed with renal cell carcinoma in Sweden between January 2005 and November 2015. Of these, 6,417 were included in the analyses to determine comorbidity and subsequent diagnosis of or surgery for incisional hernia. Read More

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Ruptured mesenteric desmoid-type fibromatosis without emergency surgery: A rare case report.

Int J Surg Case Rep 2021 Jul 17;85:106208. Epub 2021 Jul 17.

Department of Surgery, Asahi University Hospital, 3-23, Hashimoto-cho, Gifu, Gifu 500-8523, Japan.

Introduction: Desmoid-type fibromatosis (DF) is a rare tumor that develops in the limbs, abdominal wall, and abdominal cavity. It is accounting for less than 3% of soft-tissue sarcomas and less than 0.03% of all neoplasms. Read More

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Gangliocytic paraganglioma of the gastrointestinal tract; a case report of cecal origin.

Curr Med Imaging 2021 Jul 16. Epub 2021 Jul 16.

Department of Radiology, Inje University, Busan Paik Hospital, Busan, South Korea.

Introduction: Gangliocytic paraganglioma is an extremely rare tumor that is composed of epithelioid, ganglion, and spindle cells. It has a predilection site in the duodenum, especially the periampullary region. The clinical course is usually benign, but a few cases of metastasis to lymph nodes or distant sites have been noted. Read More

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Comparative antioxidant and analgesic effect of sesame oil, fish oil and their combination in experimental animal model.

Pak J Pharm Sci 2021 Mar;34(2):499-506

Department of Pharmacology, Faculty of Pharmacy & Pharmaceutical Sciences, University of Karachi, Karachi, Pakistan.

Natural oils are rich in polyunsaturated fatty acids (PUFs) like omega 3, omega 6 and other nutrients that boost physical and mental health. Traditionally these oils have been used to treat joint pain associated with several inflammatory conditions. In this study, we investigated the antioxidant and analgesic properties of the sesame oil (SO), fish oil (FO) and combination of these two oils (SO+FO). Read More

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Intestinal Autotransplantation and In-Situ Resection of Recurrent Pancreatic Head Intraductal Tubulopapillary Neoplasm with Portal Cavernoma: A Case Report.

Transplant Proc 2021 Jul 14. Epub 2021 Jul 14.

Department of Anesthesia, University of Miami/Jackson Memorial Hospital, Miami, Florida.

Background: Intraductal tubulopapillary neoplasm (ITPN) is a new entity of a rare premalignant pancreatic neoplasia, and a radical curative resection is indicated. As with other tumors of the root of the mesentery, the proximity of the lesion to large splanchnic vessels, abdominal aorta, and inferior vena cava poses major risks of a massive hemorrhage and visceral ischemia using conventional surgical techniques. At times, these lesions are amenable for resection using novel techniques developed from organ transplantation. Read More

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Laparoscopic radical hysterectomy for cervical cancer by pulling the round ligament without a uterine manipulator.

Eur J Obstet Gynecol Reprod Biol 2021 Jul 1;264:31-35. Epub 2021 Jul 1.

Department of Obstetrics and Gynecology, The Third Affiliated Hospital of Chongqing Medical University, Chongqing, China. Electronic address:

Objective: To demonstrate the experience of laparoscopic radical hysterectomy for cervical cancer without the use of a uterine manipulator and investigate the feasibility and treatment effectiveness of this surgical approach.

Materials And Methods: The laparoscopic radical hysterectomy for cervical cancer by pulling the round ligament without a uterine manipulator prevented the oppression of the uterine manipulator on the tumour. Vaginal ligation was performed below the lesion of cervical cancer, and the vagina was cut off below the ligation line. Read More

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Primary melanoma of the anorectal region: clinical and histopathological review of 17 cases. A retrospective cohort study.

Colorectal Dis 2021 Jul 16. Epub 2021 Jul 16.

Department of Abdominal and General Surgery and Oncology, National Cancer Institute, Vilnius, Lithuania.

Aim: The aim of our study was to scrutinize diagnostic and treatment factors that may contribute to the low survival rate from anorectal melanoma while adding 17 more cases to the global research database.

Method: We carried out a retrospective analysis of 17 cases of anorectal melanoma treated at a single institution from 2000 to 2020. Data on patient age, sex, complaints, treatment and survival as well as tumour size, resection margins, histological and immunohistochemical features were assessed. Read More

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Laparoscopic radical resection for large-volume renal carcinoma: via retroperitoneal or transperitoneal approach?

J BUON 2021 May-Jun;26(3):1094-1101

Department of Urology, the First Affiliated Hospital of Soochow University, Suzhou, China.

Purpose: The aim of this study was to investigate the clinical efficacy and safety of laparoscopic radical resection through retroperitoneal and transperitoneal approaches in treating large-volume renal carcinoma.

Methods: A total of 116 patients with large-volume (>7 cm) renal carcinoma underwent laparoscopic radical resection for renal carcinoma. Among them, 58 were treated through retroperitoneal approach (Retroperitoneal group), and 58 were treated through transperitoneal approach (Abdominal group). Read More

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Curative effect of laparoscopic-assisted vaginal radical trachelectomy combined with pelvic lymph node dissection on early-stage cervical cancer.

J BUON 2021 May-Jun;26(3):684-690

Obstetrics and Gynaecology, West China Second University Hospital of Sichuan University, Chengdu, China.

Purpose: The purpose of this study was to explore the safety and feasibility of laparoscopic-assisted vaginal radical trachelectomy (VRT) combined with pelvic lymph node dissection in the treatment of early-stage cervical cancer.

Methods: Patients (N=136) with early-stage cervical cancer were divided into VRT group (laparoscopic-assisted VRT combined with pelvic lymph node dissection, n=68) and abdominal radical trachelectomy (ART) group (ART combined with pelvic lymph node dissection, n=68). The operation-related indexes, incidence of postoperative complications and fertility status were compared between the two groups, and the tumor recurrence status was recorded through follow-up. Read More

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