56 results match your criteria one-stage retroperitoneal


[A total replacement of the both ureters and urinary bladder by ileal conduit in a woman with contracted bladder and Ormonds disease].

Urologiia 2021 Mar(1):107-111

Department of urology of North-Western State Medical University named after I.I. Mechnikov, Saint Petersburg, Russia.

A description of the successful surgical treatment of a patient with irreversible changes in both ureters and bladder resulting from a severe form of Ormond's disease and interstitial cystitis, resulting in contracted bladder, is presented. For the first time in clinical practice, a one-stage cystectomy, a bilateral ureterectomy with complete replacement of both ureters and the bladder with two isoperistaltic small bowel segment was performed. The postoperative course was uneventful. Read More

View Article and Full-Text PDF

Management of Concomitant Abdominal Aortic Aneurysm and Intra-abdominal, Retroperitoneal Malignancy.

In Vivo 2021 Jan-Feb;35(1):517-523

Department of Surgery, School of Medicine in Pilsen, Charles University in Prague, Prague, Prague, Czech Republic.

Background/aim: As the population ages, there are increasing findings of coincidental diseases such as abdominal aortic aneurysm (AAA) and intra-abdominal, retroperitoneal malignancy. The aim of this study was to propose an optimal treatment procedure for these patients.

Patients And Methods: Over a twenty-year-period, surgery was performed on a total of 1,098 patients with AAA and 32 (2. Read More

View Article and Full-Text PDF
October 2020

One-stage laparoscopic bilateral adrenalectomy, cholecystectomy and choledochotomy by a transperitoneal anterior approach Case report of a combined management for a challenging condition.

Ann Ital Chir 2020 ;91:314-320

Laparoscopic adrenalectomy (LA) is the treatment of choice for management of adrenal tumors. Several approaches are proposed, including the transperitoneal one with patient in lateral or supine position, and the retroperitoneal one, with patient in lateral or prone position. The best approach, however, has yet to be defined. Read More

View Article and Full-Text PDF
January 2020

A unilateral less invasive posterolateral approach for disc debridement and titanium cage insertion supplemented by contralateral transfascial screw fixation for high-morbidity patients suffering from septic thoracolumbosacral spondylodiscitis.

Eur J Orthop Surg Traumatol 2019 Aug 16;29(6):1187-1197. Epub 2019 Apr 16.

AMR Advanced Medical Research GmbH, Hofenstrasse 89b, 8708, Männedorf, Switzerland.

Purpose: This case series reports on the efficacy and safety of a less invasive posterolateral approach for septic thoracolumbosacral spondylodiscitis in high-morbidity patients.

Methods: Twenty consecutive severe sick (ASA > III) patients (14 men and 6 women), with an average age of 64 ± 14 years, suffering from septic subacute and chronic thoracolumbosacral spondylodiscitis were selected to undergo a one-stage less invasive unilateral posterolateral disc space debridement, supplemented by an ipsilateral titanium cage implantation and pedicle screw fixation plus a contralateral transfascial pedicle screw fixation.

Results: Two high-risk patients with severe comorbidities (ASA stage IV and V, respectively) died on days 1 and 8 postoperatively because of non-surgical complications such as massive lung embolism and acute myocardial infract, respectively. Read More

View Article and Full-Text PDF

SACRECTOMY ASSOCIATED WITH VERTEBRECTOMY: A NEW TECHNIQUE USING DOWEL GRAFTS FROM CADAVERS.

Acta Ortop Bras 2018 ;26(4):260-264

Medical Investigations Laboratory, Spine Surgery Division, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IOT-HCFMUSP), São Paulo, SP, Brazil.

Objective: The purpose of this study was to demonstrate, in a case series, a new sacrectomy technique using an iliac crest dowel graft from a cadaver.

Study Design: Report of a case series with description of a new surgical technique.

Methods: The technique uses four bars to support the posterior spine and a dowel graft in the iliac wings, with compression of the spine and pelvis above it, to support the anterior spine. Read More

View Article and Full-Text PDF
January 2018

Outcomes of arterial bypass preceding resection of retroperitoneal masses involving major vessels.

J Surg Res 2018 10 15;230:34-39. Epub 2018 May 15.

Division of General Surgery, Section of Gastrointestinal Surgical Oncology/Hepatopancreatobiliary Surgery, University of California San Francisco, San Francisco, California. Electronic address:

Background: Current surgical management of retroperitoneal masses involving major vessels now includes complete en bloc resection with in situ venous, arterial, or combined reconstruction. No studies have investigated preresection arterial bypass for continuous lower extremity perfusion during definitive resection. Here, we characterize and compare the outcomes of surgery for retroperitoneal masses with major vascular involvement by a two-stage approach (femoral-femoral bypass preceding resection) and the traditional one-stage approach (consecutive resection and in situ vascular reconstruction). Read More

View Article and Full-Text PDF
October 2018

Characteristics, treatment decisions and outcomes of prepubertal testicular germ cell tumor: A descriptive analysis from a large Chinese center.

J Pediatr Urol 2018 10 3;14(5):443.e1-443.e7. Epub 2018 Apr 3.

Department of Pediatric Urology, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

Introduction: Prepubertal testicular tumors are fundamentally distinct from their postpubertal and adult counterparts. Racial and ethnic differences contribute to the incidence, characteristics, and histological distribution of prepubertal testicular germ cell tumors (PTGCTs).

Objective: To elucidate the characteristics and treatment outcomes of PTGCTs in a Chinese cohort. Read More

View Article and Full-Text PDF
October 2018

One-stage replacement of the aorta from arch to thoracoabdominal region.

J Thorac Cardiovasc Surg 2018 02 19;155(2):498-504. Epub 2017 Sep 19.

Division of Cardiovascular Surgery, Department of Surgery, Kobe University Graduate School of Medicine, Kobe, Japan. Electronic address:

Objectives: We present our experience with one-stage replacement of thoracic aneurysm from the ascending aorta to the thoracoabdominal aorta.

Patients And Methods: Fourteen patients (10 male and 4 female; mean age 53.6 ± 12. Read More

View Article and Full-Text PDF
February 2018

One-Stage Laparoscopic Orchiopexy for the Treatment of Intraabdominal Testis.

Isr Med Assoc J 2016 Nov;18(11):669-672

Department of Pediatric Urology, Shaare Zedek Medical Center, affiliated with Hebrew University-Hadassah Medical School, Jerusalem, Israel.

Background: Laparoscopy has gradually become the gold standard for the treatment of non-palpable testicles (NPT), with different success and complication rates.

Objectives: To evaluate outcomes of the one-stage laparoscopic orchiopexy for NPT in our department.

Methods: We retrospectively evaluated the medical files of patients who underwent laparoscopic orchidopexy with the identical technique. Read More

View Article and Full-Text PDF
November 2016

Surgical treatment of lumbosacral tuberculosis by one-stage debridement and anterior instrumentation with allograft through an extraperitoneal anterior approach.

J Orthop Surg Res 2015 May 10;10:62. Epub 2015 May 10.

Department of Orthopaedics, Southwest Hospital, Third Military Medical University, Gaotanyan Street 29, Shapingba District, Chongqing, 400038, China.

Background: This study was aimed to investigate the clinical outcome of lumbosacral tuberculosis treatment by one-stage radical debridement with bone allograft reconstruction and anterior instrumentation via a retroperitoneal approach.

Methods: We retrospectively analyzed a series of 43 patients with lumbosacral tuberculosis in whom the lumbosacral junction was exposed via an anterior midline retroperitoneal approach. After radical debridement, two parallel tricortical iliac crest bone allografts were placed to reconstruct the anterior column, and then anterior fixation was performed. Read More

View Article and Full-Text PDF

Groin exploration for the nonpalpable testes: a single center experience.

Niger J Surg 2015 Jan-Jun;21(1):56-9

Department of Sugery, Obafemi Awolowo University Teaching Hospitals Complex, Obafemi Awolowo University, Ile Ife, Osun State, Nigeria.

Background: Management of non-palpable testes in Nigeria can be difficult due to late presentation and poor resources. Surgical exploration is often required for diagnosis and treatment.

Aim: This study reviews the management outcome of clinically non-palpable testeis in a tertiary center in Nigeria. Read More

View Article and Full-Text PDF

Initial experience of percutaneous nephrolithotomy combined with retroperitoneal laparoendoscopic single-site partial nephrectomy in one-stage treatment of homolateral renal diseases.

Ren Fail 2015 Jun 24;37(5):840-4. Epub 2015 Feb 24.

a Medical College, Shandong University , Jinan , Shandong , P.R. China and.

This study investigated the feasibility of percutaneous nephrolithotomy (PCNL) combined with retroperitoneal laparoendoscopic single-site partial nephrectomy (LESS-PN) in one-stage treatment of homolateral renal calculi and tumors. Between October 2010 and July 2014 one-stage PCNL combined LESS-PN surgery was performed in 23 patients with homolateral renal calculi and tumors. Patients included 17 male and 8 female, ranged from 31 to 66 years old with a median age of 42. Read More

View Article and Full-Text PDF

Surgical treatment of pediatric retroperitoneal tumors with invasion of major blood vessels: a single-center experience.

Minerva Pediatr 2016 Jun 17;68(3):162-6. Epub 2014 Dec 17.

Department of General Surgery, General Hospital of People's Liberation Army, Beijing, China -

Background: This study assessed operative experiences with common pediatric retroperitoneal tumors invading major blood vessels.

Methods: Forty-seven pediatric patients with retroperitoneal tumors were enrolled. They included 22 neuroblastomas, 6 gangliocytomas and 19 Wilms' tumors, and underwent primary surgical resection after vascular skeletonization and manipulations of involved vessels. Read More

View Article and Full-Text PDF

Outcomes after inferior vena cava thrombectomy and reconstruction for advanced renal cell carcinoma with tumor thrombus.

J Vasc Surg Venous Lymphat Disord 2014 Oct 15;2(4):368-76. Epub 2014 Sep 15.

Department of Urology, University of South Florida, Tampa, Fla; Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, Fla.

Background: This report details the experience of a multidisciplinary surgical team in the management of stage III and stage IV renal cell carcinoma (RCC) with concomitant inferior vena cava (IVC) tumor thrombus.

Methods: A retrospective inquiry of our vascular database from 2003 to 2012 identified 55 surgical cases of stage III (n = 40) and stage IV (n = 15) RCC presenting with IVC tumor thrombus. Tumor characteristics and IVC tumor thrombus were evaluated by clinical staging and postoperative pathology staging. Read More

View Article and Full-Text PDF
October 2014

[Laparoscopic nephrectomy for polycystic kidneys: principles and results].

Prog Urol 2014 Jun 21;24(7):463-9. Epub 2013 Dec 21.

Service d'urologie, centre hospitalier universitaire Lyon-Sud, 65, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France.

Objective: To evaluate the feasibility and morbidity of laparoscopic nephrectomy in patients with autosomal dominant polycystic kidney disease (ADPK).

Patients And Method: This is a retrospective multi-centre study (University Hospitals of Lyons, Toulouse, Nantes and Rennes). Sixty-eight patients who had undergone laparoscopic nephrectomy for polycystic kidney disease between November 1999 and May 2009 were included. Read More

View Article and Full-Text PDF

Successful one-stage extraction of an intracardiac and intravenous leiomyoma through the right atrium under transesophageal ultrasound monitoring.

Can J Anaesth 2014 May 1;61(5):446-51. Epub 2014 Mar 1.

Department of Anesthesiology, West China Hospital, Sichuan University, No. 37 Guo Xue Ave., Chengdu, 610041, Sichuan, People's Republic of China.

Purpose: Intravenous leiomyomatosis is a rare disorder characterized by benign smooth-muscle tumours, termed leiomyomas, which originate from uterine leiomyomas or pelvic veins. Tumours may extend into the right-sided heart chambers, termed intracardiac leiomyomatosis (ICLM), and may be potentially life-threatening due to mechanical interference with cardiac structures or pulmonary arteries. While surgical excision is the optimal therapy, incomplete retrieval of a tumour or fatal retroperitoneal hemorrhage may occur. Read More

View Article and Full-Text PDF

Obturator nerve anatomy and relevance to one-stage facial reanimation: limitations of a retroperitoneal approach.

Plast Reconstr Surg 2013 May;131(5):1057-1064

Dallas, Texas; and Uppsala, Sweden From the Department of Plastic Surgery, The University of Texas Southwestern Medical Center at Dallas, and the Department of Plastic and Maxillofacial Surgery, Uppsala University Hospital.

Background: Single-stage facial reanimation with a partial gracilis muscle coapted to the contralateral facial nerve seems an optimal surgical solution yet has not supplanted the two-stage approach. Insufficient obturator nerve length may limit reach to sizable contralateral facial nerve branches (possibly necessitating interposition nerve grafting), compromise optimal muscle positioning, or risk nerve coaptation under tension. This study evaluates whether retroperitoneal obturator nerve dissection would effectively lengthen the nerve, thus obviating the aforementioned limitations. Read More

View Article and Full-Text PDF

Simultaneous treatment of renal cysts and stones with single-session retroperitoneoscopic renal cyst decortication and retroperitoneoscopy-assisted percutaneous nephrolithotomy.

Urol Int 2012 4;88(4):395-9. Epub 2012 Apr 4.

Department of Urology, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.

Introduction: To determine the safety and efficacy of single-session retroperitoneoscopic renal cyst decortication in conjunction with retroperitoneoscopy-assisted percutaneous nephrolithotomy (PCNL) for simultaneous treatment of renal cysts and stones.

Patients And Methods: We enrolled 15 patients (10 men and 5 women, mean age 41 years), who underwent one-stage retroperitoneoscopic renal cyst decortication and retroperitoneoscopy-assisted PCNL between January 2008 and May 2009 for symptomatic renal cysts and concomitant large kidney stones (mean stone area 6.6 cm(2)). Read More

View Article and Full-Text PDF
October 2012

[Laparoscopic and retroperitoneoscopic resection of the kidney].

Urologiia 2011 May-Jun(3):43-7

The surgeons of the clinic at the chair of endoscopic urology operated 32 patients (18 males, 14 females, age 40-78, mean age 55 +/- 0.8 years) with renal carcinoma (RC) from 2007 to 2010: 31 patients had RC stageT1N0M0, 1 patient--T2N0M0, 12 patients had RC of the right kidney, 19--of the left kidney, bilateral RC was in 1 patient. A laparoscopic transperitoneal approach was used in 14 cases. Read More

View Article and Full-Text PDF
October 2011

Vertebrectomy and expandable cage placement via a one-stage, one-position anterolateral retroperitoneal approach in L5 tumors.

J Surg Oncol 2011 Oct 25;104(5):552-8. Epub 2011 Apr 25.

Department of Neuro-Oncology, H. Lee Moffitt Cancer Center, Tampa, Florida 33647, USA.

Spinal reconstruction of the L5 vertebrae after tumor resection remains a challenge. Complex resection followed by circumferential fixation in the same setting, or in staged fashion, is often employed. The added operative time associated with this method potentially increases morbidity and mortality in an inherently high-risk procedure and anatomy in the lumbosacral area makes reconstruction more challenging. Read More

View Article and Full-Text PDF
October 2011

Case selection in minimally invasive surgical treatment of neuroblastoma.

Pediatr Surg Int 2008 Oct 21;24(10):1177-80. Epub 2008 Aug 21.

Division of Pediatric General Surgery, British Columbia Children's Hospital, Vancouver, Canada.

Purpose: The experience with minimally invasive surgery (MIS) in the treatment of neuroblastoma (NB) is anecdotal. The purpose of this study was to evaluate a retrospective cohort of NB patients who underwent MIS resection of their primary tumors.

Methods: A retrospective study of NB patients who underwent MIS resection of their primary tumors over a 3-year period was undertaken. Read More

View Article and Full-Text PDF
October 2008

Ninety-day mortality after bilateral hip arthroplasty.

J Arthroplasty 2006 Oct;21(7):931-4

Department of Orthopaedic Surgery, Thomas Jefferson University Hospital and The Rothman Institute, Philadelphia, PA 19107, USA.

Despite lack of any studies, to our knowledge, bilateral total hip arthroplasty (THA) is believed to carry higher perioperative mortality. The purpose of this study is to investigate the incidence of mortality within 90 days of bilateral THA in a major urban medical center. The incidence of 90-day mortality after 1-stage bilateral THA performed in 707 patients between 1995 and 2004 was evaluated. Read More

View Article and Full-Text PDF
October 2006

[One-stage combined operations in cholelithiasis].

Khirurgiia (Mosk) 2006 (5):18-22

Immediate results of one-stage combined operations in 509 patients aged 16 to 90 years with cholelithiasis performed in 1981-2005 were analyzed. Main indications for one-stage combined operations in these patients in urgent and elective surgery are listed. The operation was elective in 457 (89. Read More

View Article and Full-Text PDF

Laparoscopic ureterolysis for idiopathic retroperitoneal fibrosis.

Int J Urol 2005 Dec;12(12):1079-81

Department of Urology, Faculty of Medicine, Toyama Medical and Pharmaceutical University, Toyama, Japan.

Three patients with idiopathic retroperitoneal fibrosis underwent laparoscopic ureterolysis. Two patients were bilateral cases which were performed successfully as a one stage procedure. Another patient, who was unsuccessfully treated, had a long ureteral stricture. Read More

View Article and Full-Text PDF
December 2005

"Primary" benign retroperitoneal and intraspinal dumbbell-shaped cystic teratoma: case report.

Spine (Phila Pa 1976) 2005 Aug;30(15):E439-43

Department of Neurosurgery, Taichung Veterans General Hospital, Taichung, Taiwan, ROC.

Study Design: A case of unusual dumbbell-shaped cystic teratoma is presented.

Objectives: To investigate and describe an unusual case of retroperitoneal cystic teratoma with spinal invasion in an adult. The image findings, minimally invasive surgical procedures, and clinical outcome were discussed, and the literature was reviewed. Read More

View Article and Full-Text PDF

Managing varicoceles in children: results with microsurgical varicocelectomy.

BJU Int 2005 Feb;95(3):399-402

Institute for Paediatric Urology, Children's Hospital of New York, Center for Male Reproductive Medicine and Microsurgery, Cornell Institute for Reproductive Medicine, New York, USA.

Unlabelled: Authors from New York present their experience of elective varicocelectomy, using microsurgical techniques, in a large series of children. They found the procedure to be safe and effective, and gave a much lower complication rate than the published rate in open varicocelectomy. The results of urethroplasty in post-traumatic paediatric urethral strictures are presented by authors from Mansoura. Read More

View Article and Full-Text PDF
February 2005

The endoscopically assisted simultaneous posteroanterior reconstruction of the thoracolumbar spine in prone position.

Spine J 2004 Sep-Oct;4(5):540-9

University of Leipzig, Clinic for Trauma and Reconstructive Surgery, Liebigstrasse 20a, 04103 Leipzig, Germany.

Background Context: The reconstruction of the anterior column of the thoracolumbar spine has become more common in the last few years, due largely to the unfavorable results of exclusively posterior surgical treatment, which has been associated with a lack of about 10 degrees of kyphosis correction after removal of the instrumentation. The minimally invasive anterior techniques have reduced the morbidity of the anterior approach significantly.

Purpose: A minimally invasive technique for anterior stabilization of the spine may reduce the morbidity of the open approach. Read More

View Article and Full-Text PDF
January 2005

Clinical signs, diagnosis and treatment of three dogs with angiostrongylosis in Ireland.

Ir Vet J 2004 Feb 1;57(2):103-9. Epub 2004 Feb 1.

Departments of Small Animal Clinical Studies, Faculty of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.

: Infection with Angiostrongylus vasorum was diagnosed at necropsy on a dog that died from acute pulmonary haemorrhage, and on recovery of L1 larvae by Baermann examination of faeces from two dogs, one of which had abdominal pain and retroperitoneal haemorrhage, while the other had right-sided heart failure due to cor pulmonale. The presenting signs included syncope (one dog), exercise intolerance (two dogs), cough (two dogs), abdominal pain (one dog) and depression (one dog). One-stage prothrombin time and activated partial thromboplastin time were prolonged in two dogs, buccal mucosal bleeding time was prolonged in one dog and globulin was elevated in all three dogs. Read More

View Article and Full-Text PDF
February 2004

[One-stage laparoscopic bilateral upper pole nephrectomy for ectopic insertion of complete ureteral duplication].

Prog Urol 2003 Apr;13(2):342-5

Service d'Urologie-Andrologie, Hôpital Nord, 42055 Saint Etienne.

Ectopic ureteric insertion of the superior renal unit in the context of complete ureteric duplication is frequently accompanied by destruction of the corresponding parenchymal territory. Surgical treatment must comprise upper pole nephrectomy with partial ureterectomy. The authors report a case of one-stage retroperitoneal laparoscopic bilateral treatment which could become the treatment of choice of this disease. Read More

View Article and Full-Text PDF

[Impalpable testis: complete inguinal exploration by laparoscopy].

Prog Urol 2003 Feb;13(1):103-5; discussion, 105-6

Service de Chirurgie pédiatrique, CHU Côte de Nacre, 14000 Caen.

Objective: To prospectively evaluate an inguinal approach to surgery for impalpable testis possibly assisted by laparoscopy during the same operation.

Material And Methods: From January 1996 to March 2002 each case of unilateral impalpable testis was operated via an inguinal incision and laparoscopy was performed during the same procedure whenever the inguinal canal was devoid of any testicular structures. Sixty boys were included in this study. Read More

View Article and Full-Text PDF
February 2003