Abstract:
PURPOSE:Retroperitoneal lymph node dissection is the most sensitive and specific diagnostic modality for detecting occult lymph node metastases in clinical stage I testicular tumor. In stage II disease, residual tumors after chemotherapy have to be removed surgically. To reduce the morbidity of these procedures we have replaced open surgery by laparoscopy. PATIENTS AND METHODS:Between August 1992 and December 1999 125 patients underwent laparoscopic RPLND (stage I: 76 pts., stage II: 49 pts.) RESULTS:Laparoscopic RPLND could be completed as planned in all but two patients in whom bleeding required conversion to open surgery. Once the learning curve had been overcome, mean operative time decreased significantly from 476 to 219 min for stage I and averaged 226 min in stage IIB disease. Only minor postoperative complications occurred such as asymptomatic lymphoceles (7 pts.) and chylous ascites (6 pts.). Mean post-op hospital stay was 3.3 and 3.5 days, respectively (stages I and II). Mean followup is currently 46 months for stage I and 35 months for stage II tumors. Over this period a single retroperitoneal recurrence was observed (stage I), which, however, was not due to surgical failure, but to false negative histologic findings. All other patients have remained free of relapse. CONCLUSIONS:Laparoscopic RPLND is a demanding procedure with a long and steep learning curve. It has proved feasible also after chemotherapy. The diagnostic accuracy of laparoscopic RPLND was as good as that of the open procedure, while the morbidity is significantly lower. Tumor control was not compromised by the laparoscopic approach.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Janetschek G,Peschel R,Hobisch A,Bartsch Gdoi
10.1089/089277901300189538subject
Has Abstractpub_date
2001-05-01 00:00:00pages
449-53; discussion 453-5issue
4eissn
0892-7790issn
1557-900Xjournal_volume
15pub_type
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journal_title:Journal of endourology
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abstract:BACKGROUND:Although more than a decade of experience with laparoscopic radical nephrectomy indicates it is an alternative to open surgery for localized renal-cell carcinoma (RCC), the long-term oncologic effectiveness of this procedure remains to be established. MATERIALS AND METHODS:A thorough MEDLINE and PubMed lite...
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journal_title:Journal of endourology
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abstract:BACKGROUND AND PURPOSE:Recent preclinical data have indicated that erythropoietin (Epo) can protect organs from ischemic damage. We evaluated the ability of Epo to protect the kidney from the effects of ischemia. METHODS:Thirty dogs underwent a laparoscopic nephrectomy and were allowed to recover for 2 weeks. The dogs...
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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journal_title:Journal of endourology
pub_type: 杂志文章
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2008-10-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
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journal_title:Journal of endourology
pub_type: 杂志文章,评审
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journal_title:Journal of endourology
pub_type: 杂志文章
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abstract:INTRODUCTION:Laparoscopic partial nephrectomy (LPN) has not received widespread clinical application because of its technical challenge. Bovine serum albumin glutaraldehyde (BSAG) is a hemostatic agent that is independent of the clotting cascade. We evaluated the use of BSAG as the sole agent for parenchymal and collec...
journal_title:Journal of endourology
pub_type: 杂志文章
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/089277901300189394
更新日期:2001-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Calculi from patients with musculoskeletal (MS) anomalies who are largely immobile and prone to urinary infections have been traditionally composed primarily of struvite and carbonate apatite. Because of substantial improvements in the care of these patients in recent decades, stone etiology may ...
journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2011-09-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2004-04-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,评审
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journal_title:Journal of endourology
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更新日期:2013-10-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.880
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abstract:BACKGROUND AND PURPOSE:Stones break better when the rate of shockwave (SW) delivery is slowed. It has been hypothesized that the greater cavitation accompanying a fast rate shields pulse propagation, thus interfering with the delivery of SW energy to the stone. We tested this idea by correlating waveforms measured at t...
journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2006-08-01 00:00:00