Abstract：
OBJECTIVE:To describe a modification of the posterior prone retroperitoneoscopic nephrectomy, which allows the entire operation to be performed through a single instrument port. PATIENTS AND METHODS:With the patient prone, a retroperitoneal working space is created using a custom-made balloon lateral to the sacrospinalis muscle. One instrument port is placed at the tip of the 11th rib under direct vision. The laparoscope and working instrument can both be held by the operating surgeon. Gerota's fascia is incised and the kidney reflected anteriorly. The vessels are identified and divided. The remaining dissection is completed with a harmonic scalpel and the specimen is placed in an endo-catch bag. Care must be taken to avoid even minor bleeding, to keep the operating field clear. RESULTS:The technique was successful in 54 children with a mean (range) age of 4.5 (0.25-14) years; the mean operative duration was 52 (35-96) min. Blood loss was minimal and there were no open conversions. Most children (51) were discharged the day after surgery, and the cosmetic outcome has been excellent in all cases. CONCLUSIONS:Compared with the traditional approach, the single-instrument port laparoscopic (SImPL) nephrectomy approach avoids instrument crowding and maximizes the restricted retroperitoneal working space. Avoiding the second port might improve cosmesis and reduce cost. The technique is quickly mastered by both the experienced laparoscopist and trainee, and is feasible and safe.
journal_name
BJU Intjournal_title
BJU internationalauthors
Msezane LP,Mushtaq I,Gundeti MSdoi
10.1111/j.1464-410X.2008.08232.xsubject
Has Abstractpub_date
2009-05-01 00:00:00pages
1406-8; discussion 1408-9issue
10eissn
1464-4096issn
1464-410Xpii
BJU8232journal_volume
103pub_type
杂志文章abstract：OBJECTIVE:To use information from genetic polymorphisms and from patients (drinking/exercise habits) to identify their association with stone disease, the main analytical and predictive tools being discriminant analysis (DA) and artificial neural networks (ANNs). PATIENTS, SUBJECTS AND METHODS:Urinary stone disease is...
journal_title：BJU international
pub_type： 临床试验,杂志文章
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abstract：OBJECTIVE:To study the effect of smoking on bladder cancer presentation and outcome in a large cystectomy population. PATIENTS AND METHODS:A database including 546 patients from the University Health Network (Toronto, Canada) and Turku University Hospital (Turku, Finland) was studied. In addition to the association of...
journal_title：BJU international
pub_type： 杂志文章,多中心研究
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abstract：OBJECTIVE:To evaluate the efficacy, tolerability and safety of darifenacin, a muscarinic M3 selective receptor antagonist (M3 SRA), from an analysis of pooled data from three phase III, multicentre, double-blind clinical trials in patients with overactive bladder (OAB). PATIENTS AND METHODS:After a 4-week washout/run-...
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abstract：OBJECTIVE:To examine the relationship between the presence of high-grade prostatic intraepithelial neoplasia (HGPIN) in retropubic radical prostatectomy (RP) specimens and cancer-specific outcomes, including pathological variables and biochemical disease-free survival (bDFS), as HGPIN shares many histopathological char...
journal_title：BJU international
pub_type： 杂志文章
doi：10.1111/j.1464-410X.2007.07115.x
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abstract：OBJECTIVE:•To evaluate the natural history of patients presenting with positive urinary cytology in the absence of clinically identifiable disease. PATIENTS AND METHODS:•A surgical database was queried to identify 48 patients with positive urinary cytology of undetermined source. •All patients underwent a thorough uro...
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pub_type： 杂志文章
doi：10.1111/j.1464-410X.2011.10210.x
更新日期：2011-10-01 00:00:00
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journal_title：BJU international
pub_type： 杂志文章
doi：10.1111/j.1464-410X.2005.05825.x
更新日期：2005-12-01 00:00:00
abstract：UNLABELLED:What's known on the subject? and What does the study add? In the 1980s and 1990s, a method for direct measurement of pressure and cross-sectional area in women and men was developed. It was successful in terms of obtaining meaningful results in several studies. But the technique, which was based on the field...
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doi：10.1111/j.1464-410X.2012.10997.x
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abstract：OBJECTIVE:To assess the significance of viable tumour in the prostate of patients with metastatic androgen-independent prostate cancer (AIPC). PATIENTS AND METHODS:We evaluated the clinicopathological features, including follow-up, of 40 men with metastatic AIPC who had a transrectal biopsy of the prostate. RESULTS:P...
journal_title：BJU international
pub_type： 杂志文章,随机对照试验
doi：10.1111/j.1464-410X.2007.07173.x
更新日期：2007-12-01 00:00:00
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pub_type： 杂志文章
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pub_type： 杂志文章
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pub_type： 杂志文章,多中心研究
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pub_type： 杂志文章,随机对照试验
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pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期：2004-12-01 00:00:00
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pub_type： 杂志文章
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更新日期：2017-10-01 00:00:00
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pub_type： 杂志文章
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更新日期：2009-05-01 00:00:00
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pub_type： 杂志文章
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更新日期：2013-08-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2001-07-01 00:00:00
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pub_type： 杂志文章,多中心研究,随机对照试验
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更新日期：2009-02-01 00:00:00
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journal_title：BJU international
pub_type： 杂志文章
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更新日期：2000-06-01 00:00:00
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pub_type： 杂志文章
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journal_title：BJU international
pub_type： 杂志文章
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更新日期：2004-03-01 00:00:00
abstract：:The purpose of this study is to evaluate accuracy of magnetic resonance imaging (MRI) for local staging of bladder cancer for four clinical scenarios (T-stage thresholds) considered against current standards for clinical staging and secondarily to identify sources for variability in accuracy. Systematic review of pati...
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pub_type： 杂志文章,meta分析
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更新日期：2018-11-01 00:00:00
