Abstract：
OBJECTIVES:To review the role of postchemotherapy retroperitoneal lymph node dissection (PC-RPLND) in patients with advanced testicular germ cell tumours (TGCT) with special attention towards the indication, surgical technique, and oncological outcome. METHODS:A structured review of the literature until May 2007 using the PubMed database was performed. RESULTS:According to current guidelines and recommendations, PC-RPLND in advanced seminomas with residual tumours is indicated only if a PET scan performed 6-8 wk after chemotherapy is positive. In nonseminomatous TGCT, PC-RPLND is indicated for all residual radiographic lesions with negative or plateauing markers. Loss of antegrade ejaculation represents the most common long-term complication, which can be prevented by a nerve-sparing or modified template resection. The relapse rate after PC-RPLND is around 12%; however, it increases significantly to about 45% in cases with redo RPLND and late relapses. Patients with increasing markers should undergo salvage chemotherapy. Only select patients with elevated markers who are thought to be chemorefractory might undergo desperation PC-RPLND if all radiographically visible lesions are completely resectable. CONCLUSION:PC-RPLND represents a major part of the management of advanced TGCT undergoing inductive chemotherapy. Complete resection of all residual masses after primary chemotherapy results in a long-term disease-free survival of 95%. PC-RPLND requires a complex surgical approach and should be performed in experienced, tertiary referral centres only.
journal_name
Eur Uroljournal_title
European urologyauthors
Heidenreich A,Thüer D,Polyakov Sdoi
10.1016/j.eururo.2007.10.033subject
Has Abstractpub_date
2008-02-01 00:00:00pages
260-72issue
2eissn
0302-2838issn
1873-7560pii
S0302-2838(07)01345-0journal_volume
53pub_type
杂志文章,评审相关文献
EUROPEAN UROLOGY文献大全abstract：:We report a case of nonseminomatous testicular tumor with lymph node involvement and multiple lung and liver metastases. The patient was considered to have a poor prognosis. He received systemic chemotherapy and cytoreductive surgery. Postoperatively a residual metastatic tumor in the liver was treated by intrahepatic...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000463917
更新日期：1990-01-01 00:00:00
abstract：OBJECTIVE:Laparoscopic dismembered pyeloplasty has been quoted to have equivalent success rates to the traditional open procedure in the treatment of pelvi-ureteric junction obstruction (PUJO). The aim of this study was to report our experience with laparoscopic pyeloplasty. PATIENTS AND METHODS:All patients with PUJO...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2005.08.004
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:Vesicovaginal fistula (VVF) is a distressing disorder in women. The transvaginal method of VVF repair is generally preferred, as its minimally invasive nature appears to offer several advantages compared with the abdominal approach, including decreased pain and blood loss and reduced hospital stay. A common ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2019.04.010
更新日期：2019-07-01 00:00:00
abstract：OBJECTIVE:Nephroureterectomy (NUE) with a bladder cuff is the standard therapy for ureteral cancer. Based on an analysis of the literature and a retrospective study, this concept is questioned. METHODS:Between 1980 and 1991, 40 patients with ureteral tumors underwent surgery at the Krankenhaus der Barmherzigen Brüder ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000473759
更新日期：1996-01-01 00:00:00
abstract：:12 cases of 'avascular tumour' of the kidney are discussed. Percutaneous renal puncture revealed: 7 cases of malignant tumour; 3 cases of hydronephrosis of the upper segment of a duplicated kidney; 1 case of abscess of the kidney, and 1 case of renal tuberculosis. 10 out of 12 patients were operated on and the histolo...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000473121
更新日期：1979-01-01 00:00:00
abstract：:Combined androgen blockade (CAB) is becoming standard treatment for patients with newly diagnosed advanced prostate cancer. This statement is based on the outcome and long-term evaluation of patients treated in prospective randomised trials. Particularly, patients with 'good' prognostic signs at the time of diagnosis ...
journal_title：European urology
pub_type： 杂志文章,评审
doi：10.1159/000473836
更新日期：1996-01-01 00:00:00
abstract：OBJECTIVES:Outcome data from a prospective study of active surveillance of localised prostate cancer were analysed to identify factors, present at the time of diagnosis, that predict subsequent radical treatment. METHODS:Eligible patients had clinical stage T1-T2a, N0-Nx, M0-Mx adenocarcinoma of the prostate with seru...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2008.02.039
更新日期：2008-12-01 00:00:00
abstract：:In 16 patients who underwent radical retropubic prostatectomy because of adenocarcinoma of the prostate after previous transurethral resection, the difficulty of the operation, the morbidity rate, and the survival time were evaluated. Eleven patients had tumours staged A2, 5 patients tumours staged B1. Duration of the...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000473428
更新日期：1988-01-01 00:00:00
abstract：OBJECTIVES:To evaluate serum levels of the carboxy-terminal propeptide of type I procollagen (PICP) and the pyridinoline cross-linked carboxy-terminal telopeptide of type I collagen (ICTP) as possible markers of bone metastases in patients with prostate carcinoma (PCA) patients. METHODS:Levels of PICP and ICTP were me...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000474454
更新日期：1997-01-01 00:00:00
abstract：:We compared the history of 100 consecutive women complaining of incontinence with their urodynamic findings. The real urodynamic situation proved unpredictable on the basis of the medical history. A good correlation between history and urodynamics was found in 80% of the women complaining of stress incontinence. The i...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000472986
更新日期：1988-01-01 00:00:00
abstract：:The records of children enrolled in the National Wilms' Tumor Study-3 who had Wilms' tumor and thrombosis into the renal vein were reviewed. There were 164 patients with gross involvement of the extrarenal vein and 47 patients with microscopic involvement, an incidence of 11.3% (211 of 1,865 evaluable patients). Two-y...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000464022
更新日期：1990-01-01 00:00:00
abstract：PURPOSE:To evaluate the results of high-intensity focused ultrasound (HIFU) treatment of localized prostate cancer with reference to disease-related prognostic factors.
MATERIALS AND METHODS:Patients with T1-2 localized prostate cancers, prostate specific antigen (PSA) journal_title：European urology pub_type： 杂志文章 doi：10.1016/j.eururo.2006.04.012 更新日期：2007-02-01 00:00:00
abstract：:We report a case of an unusual mesenchymal tumor of the prostate. Rectal-digital palpation and transrectal ultrasound showed a circumscribed and inhomogeneous tumor within the right prostatic lobe. Surgical treatment consisted of transurethral resection of the right prostatic lobe. On the basis of morphology and immun...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000474157
更新日期：1996-01-01 00:00:00
abstract：:Antitumor effect of recombinant human tumor necrosis factor alpha (TNF) alone or in combination with various anticancer chemotherapeutic agents was tested using an in vitro antiproliferative assay on four human renal carcinoma cell lines (VMRC-RCW, VMRC-RCZ, Caki-1 and A-498). When the dose-dependent effect of TNF was...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000473628
更新日期：1991-01-01 00:00:00
abstract：:We retrospectively studied the effect of perioperative blood transfusion in 208 transfused and 50 nontransfused patients operated on during a 12-year period for renal cell cancer. The 5-year renal cell cancer specific survival rate was 0.46 in the transfused patients versus 0.62 in the nontransfused patients. However,...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000475365
更新日期：1994-01-01 00:00:00
abstract：:During a 15-year period, 34 patients with renal cell carcinoma extending into the inferior vena cava were submitted to radical ablative surgery at our institution. 8 patients had caval tumor thrombus (TT) extension at the level of the renal veins, 17 had infrahepatic, 8 retrohepatic and 1 atrial TT extension. Cavograp...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000472731
更新日期：1987-01-01 00:00:00
abstract：:We report on the conservative management of a renal stab wound by double-J stenting and specific percutaneous arterial embolization in a 34-year-old man. Surgical exploration was avoided because there was a little doubt about the associated intra-abdominal injuries. Recovery was excellent and the patient left the hosp...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000471710
更新日期：1991-01-01 00:00:00
abstract：:Ten cases of prostatic epithelial polyps of the prostatic urethra are reported. The ages of the patients were from 27 to 69 years, with a mean of 44 years. The most common clinical signs were gross hematuria, microhematuria, hematospermia, and dysuria. All specimens, obtained by transurethral resection, had a papillar...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000471544
更新日期：1989-01-01 00:00:00
abstract：OBJECTIVE:Treatment of patients with mucosal prostatic urethral transitional cell carcinoma (TCC) is controversial. In this study, we evaluated the outcome of patients with mucosal prostatic urethral TCC who were managed conservatively. METHODS:The data of 290 consecutive male patients with superficial TCC of the blad...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2003.12.014
更新日期：2004-04-01 00:00:00
abstract：:In 190 patients with neural tube defects the sensory levels to pin prick were compared with the incidence and distribution of congenital renal anomalies. 17 such anomalies comprised 3 examples of renal agenesis, 5 horseshoe kidneys, 8 ureteral duplications and one simple ureterocele. The pattern of anomalies showed th...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000472810
更新日期：1987-01-01 00:00:00
abstract：CONTEXT:Extracorporeal shock wave lithotripsy (SWL) and ureteroscopy (URS), with or without intracorporeal lithotripsy, are the most common treatments for upper ureteric stones. With advances in technology, it is unclear which treatment is most effective and/or safest. OBJECTIVE:To systematically review literature rep...
journal_title：European urology
pub_type： 杂志文章,评审
doi：10.1016/j.eururo.2017.04.016
更新日期：2017-11-01 00:00:00
abstract：:The authors present their experience (24 children) with the endoscopic subureteral injection of Teflon paste in the correction of secondary vesicoureteral reflux: reimplantation failure; ureterocele; obstructive bladder; exstrophy; postchemocystitis, and Hutch's diverticulum. Of these 24 cases (31 refluxing ureters), ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000464067
更新日期：1990-01-01 00:00:00
abstract：:Tissue adhesives have certain advantages and should be used only for nephropexy and urethropexy but not for orchiopexy. Because of possible incrustation it should be avoided in the urinary collecting system. ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000471999
更新日期：1976-01-01 00:00:00
abstract：:The present study was designed to evaluate the role of the cytokeratin-19 fragment (CYFRA 21-1) as a tumor marker in bladder cancer. The bladder cancer cell line JMSU1 was used in the preclinical study. Subjects comprised 120 healthy volunteers, 20 patients with benign bladder diseases including acute cystitis and bla...
journal_title：European urology
pub_type： 杂志文章
doi：
更新日期：1997-01-01 00:00:00
abstract：BACKGROUND:Laparoendoscopic single-site (LESS) surgery is challenging. To help overcome current technical and ergonomic limitations, the da Vinci robotic platform can be applied to LESS. OBJECTIVES:Our aim was to describe the surgical technique and to report the early outcomes of robotic LESS (R-LESS) radical prostate...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2010.06.040
更新日期：2010-10-01 00:00:00
abstract：OBJECTIVE(S):The aim of our retrospective study was to determine if systematic placement of a posterior mesh, in addition to an anterior vesico-vaginal mesh, is necessary for laparoscopic treatment of pelvic organ prolapse. METHODS:A laparoscopic promontory sacral colpopexy was performed in 108 patients, including 55 ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2004.01.004
更新日期：2004-05-01 00:00:00
abstract：BACKGROUND:The majority of patients with overactive bladder (OAB) are aged >65yr. There has been no prospectively designed study assessing treatment efficacy with the β3-adrenoreceptor agonist, mirabegron, specifically in this age group. OBJECTIVE:A phase IV study comparing flexibly dosed mirabegron versus placebo in ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1016/j.eururo.2019.10.002
更新日期：2020-02-01 00:00:00
abstract：:Bone mineral content (BMC) was measured with the Norland Cameron apparatus in 120 renal stone formers (RSF) with idiopathic stone disease and in 41 patients with primary hyperparathyroidism. RSF were classified, according to an oral calcium load test, into three groups: no hypercalciuria (HC; 41 cases); absorptive HC ...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000474039
更新日期：1983-01-01 00:00:00
abstract：CONTEXT:Robot-assisted surgery is increasingly used for radical cystectomy (RC) and urinary reconstruction. Sufficient data have accumulated to allow evidence-based consensus on key issues such as perioperative management, comparative effectiveness on surgical complications, and oncologic short- to midterm outcomes. O...
journal_title：European urology
pub_type： 共识发展会议,杂志文章,实务指引,评审
doi：10.1016/j.eururo.2014.12.009
更新日期：2015-03-01 00:00:00
abstract：:A study of the level of urinary fibrinolytic split products in 14 renal transplant patients who received oral anticoagulants postoperatively revealed a tendency toward increased levels of fibrinolytic split products that were temporally related to graft rejection. The amount of fibrinolytic split products in the urine...
journal_title：European urology
pub_type： 杂志文章
doi：10.1159/000473906
更新日期：1978-01-01 00:00:00
