Abstract:
BACKGROUND AND PURPOSE:During laparoscopic nephrectomy (LPN), a stapling device is often used for vascular control, especially of the renal vein. Herein, we report our experience using a polymer clip (Hem-o-lok) for routine control of the vessels during LPN in the animal and clinical setting. PATIENTS AND METHODS:Fifty ablative and fifteen live-donor nephrectomies were performed in domestic pigs. Hem-o-lok clips (10 mm; Weck Closure System, Research Triangle Park, NC) were routinely used for vascular control. In addition, from January 2001 to July 2002, 46 patients underwent hand-assisted laparoscopic (HAL) (N=40) or laparoscopic (N=6) nephrectomy for renal disease or donor nephrectomy. Venous control was achieved solely by the Hem-o-lok clips where at least two clips were applied on the patient side. Arterial control was obtained by the Hem-o-lok clips either alone or in combination with the metal clips. The technical difficulty in obtaining vascular control, transfusion requirement, and clinical outcome were evaluated. RESULTS:In the animal study (total 65 nephrectomies), individual vascular control was obtained by the Hem-o-lok clip in all cases except two, where vascular injury during dissection necessitated endoscopic stapling of renal hilum or open conversion. The warm ischemic time for animal donor kidney harvest was uniformly <2 minutes. In the clinical study, arterial control was obtained mostly by a combination of Hem-o-lok and metal clips. Venous control using the Hem-o-lok was successful in all 46 cases without any slipping of clips or uncontrolled bleeding. The mean operating time was 148 minutes. No open conversion was required. The transfusion rate was 6.5% (N=3), with none of the transfusions being related to inadequacy of vascular control using the Hem-o-lok. Major complications included deep vein thrombosis and postoperative retroperitoneal hemorrhage (same patient) and acute respiratory distress syndrome (N = 1). The mean postoperative stay was 5.2 days (range 1-20 days). CONCLUSION:The Hem-o-lok is a reliable and economical device for vascular control in laparoscopic renal surgery.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Yip SK,Tan YH,Cheng C,Sim HG,Lee YM,Chee Cdoi
10.1089/089277904322836730subject
Has Abstractpub_date
2004-02-01 00:00:00pages
77-81issue
1eissn
0892-7790issn
1557-900Xjournal_volume
18pub_type
杂志文章abstract:INTRODUCTION:The use of a ureteral access sheath (UAS) may provide significant advantages, particularly, in the treatment of a large renal stone burden. However, in some patients, the passage of a UAS up the ureter is impossible. We prospectively evaluated the ability to insert a 14F UAS and analyzed the possible predi...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0215
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Retrograde ureteroscopic marsupialization is a pure natural orifice translumenal endoscopic surgery (NOTES). We retrospectively examined the feasibility and safety of this technique to manage symptomatic simple renal cysts. PATIENTS AND METHODS:Sixteen patients with simple renal cysts were selec...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0676
更新日期:2011-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Clinically significant post-transplantation lymphoceles are not uncommon. Surgical marsupialization with internal peritoneal drainage is the treatment of choice. We describe the successful laparoscopic formation of a peritoneal window for post-transplantation lymphocele drainage as an effective a...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.904
更新日期:2006-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic radical cystectomy is confined to centers where advanced laparoscopy is performed, and its role is not yet well clear. Our aim was to evaluate, through a prospective comparative study, the advantages of the laparoscopic compared with an open approach. PATIENTS AND METHODS:From Novem...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2006.0224
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Helical CT has become the preferred method for imaging urinary calculi, and so it would be useful if data from helical CT could also be used to predict the number of shockwaves (SWs) needed to break a given stone. METHODS AND MATERIALS:We measured the number of SWs required to comminute calcium ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.471
更新日期:2000-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Current urologic laparoscopic procedures include preservation of locoregional nerve fibers. The use of electrical coagulation is limited because of tissue conductance of current and heat production. While ultrasonic coagulation does not use electricity, heat is still produced. We designed an anim...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0031
更新日期:2010-11-01 00:00:00
abstract:PURPOSE:Laparoscopic surgery for large renal lesion or kidneys with chronic inflammation has proved to be technically challenging. Hand-assisted laparoscopic surgery might be useful in these complex cases, as it provides surgeons the benefits of tactile feedback, digital retraction, and facilitated dissection of the re...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.770
更新日期:2004-10-01 00:00:00
abstract:INTRODUCTION:Newer generation lithotriptors have been modified to induce less pain. We evaluated factors contributing to post-shock wave lithotripsy (SWL) pain and assessed potential benefits of preemptive analgesia using Rofecoxib, a COX-II inhibitor, and potential effects on stone passage rates. MATERIALS AND METHOD...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2008.0243
更新日期:2009-03-01 00:00:00
abstract:PURPOSE:To compare the outcomes of retroperitoneoscopic nephroureterectomy (RNU) with those of open retroperitoneal nephroureterectomy (ORNU) for upper urinary tract cancer. PATIENTS AND METHODS:This study included 240 consecutive patients who received a clinical diagnosis of localized upper urinary tract cancer and u...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2007.0154
更新日期:2008-08-01 00:00:00
abstract:PURPOSE:To investigate prospectively the benefits of three-dimensional stereolithographic biomodeling produced from CT data as an aid to achieving optimal access for percutaneous nephrolithotripsy (PCNL). PATIENTS AND METHODS:Eight patients with complex urinary calculi were selected. Multislice CT scans of the kidney ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.92
更新日期:2006-02-01 00:00:00
abstract:: Background: Nonmuscle-invasive bladder cancer is diagnosed, treated, and monitored using cystoscopy. Artificial intelligence (AI) is increasingly used to augment tumor detection, but its performance is hindered by the limited availability of cystoscopic images required to ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0919
更新日期:2020-12-04 00:00:00
abstract::Radical nephroureterectomy, including en bloc excision of the ureter with a bladder cuff, is the standard treatment for upper tract transitional-cell carcinoma (TCC). This procedure requires either a flank and lower abdominal incision or an extended flank incision. Laparoscopic surgery for TCC has been used at several...
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::Flexible cystoscopy is well established in urological practice. We present a unique image obtained during bladder inspection, illustrating visual refractive distortion, which highlights the potential difficulty in optical interpretation. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0320
更新日期:2010-02-01 00:00:00
abstract::The da Vinci Surgical Robotic System has recently been added to the armamentarium of minimally invasive surgeon and has been shown to be useful to urologists in performing complex operations. We report the first case of detrusor myotomy performed using the da Vinci, describe the novel technique, and review the indicat...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.476
更新日期:2005-05-01 00:00:00
abstract::In five patients with chronic intractable ureteral obstruction, a fine-bore nephrostomy tube was placed in a subcutaneous tunnel to drain the kidney without an external appliance. Good quality of life was achieved for 6 months to 2 years. When conventional intraluminal stents cannot be used, consideration should be gi...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.411
更新日期:1997-12-01 00:00:00
abstract:: Background: To examine the impact of the Mayo adhesive probability (MAP) score on the surgical complexity of exposing the tumor during laparoscopic partial nephrectomy (LPN). Patients and Methods: Our study included 318 patient...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0687
更新日期:2020-05-01 00:00:00
abstract:PURPOSE:The LithoClast Trilogy is a novel single probe, dual-energy lithotripter with ultrasonic (US) vibration and electromagnetic impact forces. ShockPulse and LithoClast Select are existing lithotripters that also use a combination of US and mechanical impact energies. We compared the efficacy and tip motion of thes...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0143
更新日期:2018-06-01 00:00:00
abstract:: Objective: To assess the effectiveness of laser lithotripsy in different holmium:yttrium aluminum garnet (Ho-YAG) laser settings with a wide range of energies, frequencies, and power. Materials and Methods: Two types of phantom...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0370
更新日期:2019-10-01 00:00:00
abstract:PURPOSE:The preliminary results of laparoscopic radical cystectomy in 85 patients are presented in this study. The functional and oncologic outcomes of this procedure in these patients are discussed. PATIENTS AND METHODS:Between December 2002 and May 2006, we performed 85 laparoscopic radical cystectomies with orthoto...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0298
更新日期:2008-05-01 00:00:00
abstract:: Objective: To evaluate the learning curve in an untrained resident surgeon for the initial case series of tension-free vaginal tape-obturator (TVT-O) to treat stress urinary incontinence. Materials and Methods: A retrospective ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0571
更新日期:2020-02-01 00:00:00
abstract:PURPOSE:To compare the effectiveness and efficacy of laparoscopic transperitoneal adrenalectomy (LTA) with those of open adrenalectomy (OA) in patients with pheochromocytoma. PATIENTS AND METHODS:Among 24 patients (13 male, 11 female) who underwent surgical removal of pheochromocytoma, LTA and OA were performed in 15 ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904773582859
更新日期:2004-04-01 00:00:00
abstract:PURPOSE:To evaluate the oncologic results of our operative technique, hand-assisted retroperitoneoscopic nephroureterectomy (HRNU), for the treatment of upper-tract urothelial cancer, various perioperative parameters and oncologic outcomes were compared for HRNU and conventional open nephroureterectomy (CONU). PATIENT...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2006.0336
更新日期:2007-06-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy of doxazosin in inducing spontaneous passage of stones in the distal ureter and to compare its efficacy according to the size of the stone. PATIENTS AND METHODS:Seventy-three patients with a mean age of 46.38 +/- 10.17 years who presented with a distal-ureteral stone were divided into ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.0107
更新日期:2007-05-01 00:00:00
abstract:PURPOSE:The ability to maintain normothermia during surgical procedures is crucial for improvement of the quality of patient care and the outcome of the procedure. We tested the hypothesis of whether one warming protocol is able to maintain normothermic core temperatures equally well in major open and laparoscopic urol...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2007.0324
更新日期:2008-05-01 00:00:00
abstract::After an extensive favorable experience with the Lapides-Ball open retropubic bladder neck suspension, we chose to perform this operation laparoscopically. We describe video-assisted extraperitoneal laparoscopic bladder neck suspension (VELBNS), in which we employ a single laparoscopic cannula and a laparoscopic bladd...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1995.9.259
更新日期:1995-06-01 00:00:00
abstract:INTRODUCTION:A "Negative" ureteroscopy (URS) is defined as a URS in which no stone is found during the procedure. It may occur when the stone has already been passed spontaneously or when it is located outside the collecting system. The aim of the study was to outline risk factors for Negative-URS. MATERIALS AND METHO...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0291
更新日期:2018-09-12 00:00:00
abstract:PURPOSE:To determine the effects of previous open nephrolithotomy on the results and morbidity of subsequent percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS:Between March 2005 and January 2006, 89 patients underwent PCNL at our institution. We compared the patients who had had previous open surgery on the sa...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0293
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There have been several reports of rhabdomyolysis occurring after prolonged laparoscopic procedures in the flank position. Accordingly, we evaluated interface pressures between the skin and three commonly used operating room table surfaces. The aim of our study was to determine if pressure change...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0047
更新日期:2008-06-01 00:00:00
abstract:PURPOSE:To provide a comprehensive review of the classification of surgical errors as well as general measures to detect and prevent their occurrence. MATERIALS AND METHODS:Search in PubMed, Medline, and Cochrane library with combination of the key words: Endoscopy or surgical procedures, minimally invasive, and medic...
journal_title:Journal of endourology
pub_type: 杂志文章,meta分析
doi:10.1089/end.2011.0068
更新日期:2011-11-01 00:00:00
abstract:PURPOSE:Large stone burden can be treated ureteroscopically, but the treatment often requires more than one procedure. Placement of a preoperative stent may theoretically enhance stone clearance by dilating the ureter to facilitate both access and stone removal. This study determines the impact of stent placement befor...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0400
更新日期:2011-05-01 00:00:00