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 and 9, respectively. The mean age was 45.2 years in the LTA group and 43.3 years in the OA group, and the mean tumor size was 5.2 +/- 2.0 (SE) cm and 6.4 +/- 2.6 cm, respectively. Retrospective analysis of their clinical outcomes was performed. The mean follow-up for OA and LTA groups was 36 months and 22 months, respectively. RESULTS:The mean operative time was 171 +/- 66.7 minutes in the LTA group and 200 +/- 73.3 minutes in the OA group. The mean blood loss was 189.5 +/- 50.4 mL and 397.1 +/- 144.7 mL, respectively (P = 0.0341). The mean number of intraoperative hypertensive crises was 0.6 +/- 0.5 during LTA and 1.67 +/- 1.1 during OA (P = 0.0146). In the LTA group, there were no conversions to open surgery and no intraoperative complications, and the blood pressure was well managed intraoperatively without medication. The mean time to oral intake was 1.1 +/- 0.3 days after LTA and 2.6 +/- 1.3 days after OA (P = 0.0037). The mean postoperative hospital stay was 5.6 +/- 2.0 days in the LTA group and 12.4 +/- 3.5 days in the OA group (P = 0.0001). Patient-controlled analgesia was needed by 2 patients (13.3%) in the LTA group and 6 (66.7%) in the OA group (P = 0.0413). In the OA group, three pneumothoraces and one case of sepsis occurred. After a mean follow-up of 36 months, two patients in the OA group redeveloped hypertension. With a mean follow-up of 22 months, none of the 15 LTA patients redeveloped hypertension. CONCLUSIONS:Laparoscopic adrenalectomy for pheochromocytoma is a safe and effective prodcedure providing the benefits of a minimally invasive approach.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Kim HH,Kim GH,Sung GTdoi
10.1089/089277904773582859subject
Has Abstractpub_date
2004-04-01 00:00:00pages
251-5issue
3eissn
0892-7790issn
1557-900Xjournal_volume
18pub_type
杂志文章abstract:PURPOSE:We describe and evaluate a new transperineal laparoscopic approach for male patients, designed to facilitate laparoscopic prostatectomy and cystectomy. PATIENTS AND METHODS:We operated on 12 patients. We did three laparoscopic prostatectomies and nine laparoscopic cystectomies. On five, an ileal conduit was ma...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0247
更新日期:2011-04-01 00:00:00
abstract::The tissue effects of a laser are responsible for the therapeutic value as well as the potential for complications. Within certain constraints, the type and depth of energy effect can be controlled by the selection of the wavelength as well as of appropriate energy parameters. In a clinical endoscopic setting, however...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1993.7.389
更新日期:1993-10-01 00:00:00
abstract:PURPOSE:To analyze the early outcome after single tract vs multiple tracts percutaneous nephrolithotomy (PCNL) in the management of staghorn calculi. PATIENTS AND METHODS:The records of 413 patients with staghorn calculi (223 [54%] had complete and 190 [46%] had partial) who underwent PCNL were reviewed retrospectivel...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0456
更新日期:2010-06-01 00:00:00
abstract:: Introduction and Objective: Despite the adoption of robotic donor nephrectomy, the steep learning curve of robotic recipient transplantation has hindered the implementation of a complete robot-assisted kidney transplantation (RAKT). We sought to develop a high-fidelity per...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0441
更新日期:2020-10-01 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:OBJECTIVE:To evaluate in vitro and in vivo effects of Moses technology in Holmium laser and to compare it with the Regular mode in terms of lithotripsy efficiency and laser-tissue interactions. METHODS:The Lumenis® Pulse™ P120H holmium laser system together with Moses D/F/L fibers were used to compare the Regular mode...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0050
更新日期:2017-06-01 00:00:00
abstract::In a 14-year-old boy with bladder augmentation, Mitrofanoff appendicovesicostomy, Malone antegrade enema stoma, and bladder neck reconstruction, urinary continence was restored by injection of Teflon with a Veress needle and the aid of a 2-mm laparoscopic port. The method has since been used for nine treatments in six...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903765444401
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic radical prostatectomy (LRP) is an established treatment for patients with prostate cancer in selected centers with appropriate expertise. We studied our single-center experience of developing a LRP service and subsequent training of two additional surgeons by the initial surgeon. We ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0635
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Laparoscopic radical nephrectomy (LRN) has benefits in terms of cosmesis, less postoperative pain, hospital stay, and early recovery when compared with open radical nephrectomy. One of the major points of concern of this surgery, especially in developing countries, is the additional cost because ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0235
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Port-site metastasis (PSM) is a rare complication of laparoscopic intervention in urologic malignancies. Of the greater than 50 reported cases of PSM in the urologic oncology literature, only 9 have occurred after surgery for renal-cell carcinoma (RCC). We report a 10th instance of RCC metastasis...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0533
更新日期:2013-06-01 00:00:00
abstract::Ureteral injury is an uncommon complication of cesarean section. As with all iatrogenic ureteral injuries, if the problem is not recognized intraoperatively, the manifestations may be protean. The management of ureteral injury that is first recognized in the early postoperative period must be individualized. We presen...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.345
更新日期:1994-10-01 00:00:00
abstract::The identification of calcium-binding proteins in urine and kidney stones has led to a closer look at the role of matrix proteins in urolithiasis. We analyzed five struvite stones for protein content and identified two bands (8 and 14 KDa) that were confirmed by gel electrophoresis and amino acid sequencing to be calg...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.95
更新日期:1994-04-01 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
abstract:BACKGROUND AND PURPOSE:Retroperitoneoscopy is an established procedure for renal surgery. We evaluated our results with retroperitoneoscopic pyeloplasty for ureteropelvic junction (UPJ) obstruction. PATIENTS AND METHODS:In 14 female and 10 male patients, a retroperitoneoscopic pyeloplasty was performed (13 right/11 le...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.948
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Various laparoscopic devices have been described for suture anchoring during solidorgan parenchymal closure. Application of these devices expedites the closure of parenchymal defects and minimizes ischemia time. We compared different technologies as suture anchors for parenchymal closure. MATERI...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.1221
更新日期:2005-12-01 00:00:00
abstract:: Purpose: The conventional flexible ureteroscope has limited access into the lower calix and often causes biomechanical stress to surgeons. Recently, a novel flexible ureteroscope with an omnidirectional bending tip with a joystick-type control unit (URF-Y0016; Olympus, Jap...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0895
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:The purpose is to report our 10-year experience with surgical management of large or symptomatic adrenal myelolipoma. PATIENTS AND METHODS:Patients receiving surgical treatment for adrenal myelolipoma between December 2001 and September 2011 in our institution were retrospectively reviewed. Patients were div...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0283
更新日期:2014-02-01 00:00:00
abstract:PURPOSE:This study was designed to determine the outcome and safety of tubeless percutaneous nephrolithotomy (PCNL) in the treatment of renal calculi. PATIENTS AND METHODS:Between November 2005 and March 2006, 48 patients were randomized to either an 18F Re-entry nephrostomy tube (group 1) or a 6F Double-J stent (grou...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.0216
更新日期:2007-09-01 00:00:00
abstract:OBJECTIVE:Intraoperative mannitol is routinely administered for renoprotection in partial nephrectomy (PN). However, there is a paucity of evidence supporting mannitol's renoprotective effect. We performed a retrospective study of mannitol's efficacy in PN. MATERIALS AND METHODS:Using an institutional database, patien...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0415
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:To determine if patients with pathological, medical renal disease, defined as evidence of pathological abnormalities indicative of renal damage in the non-neoplastic partial nephrectomy specimens, have worsened functional outcomes following robot-assisted partial nephrectomy (RPN). MATERIALS AND METHODS:Sixt...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0228
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Cryoablation has demonstrated therapeutic effectiveness for selected renal tumors. We compared our perioperative and short-term outcomes of laparoscopic (LAP) v percutaneous (PERC) renal cryoablation. PATIENTS AND METHODS:Thirty-four patients (18 men/16 women) underwent a LAP and 26 patients (19...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0196
更新日期:2008-11-01 00:00:00
abstract:PURPOSE:To present our preliminary experience with laparoscopic renal cryoablation in patients with small renal tumors and severe comorbidities. PATIENTS AND METHODS:Eight patients with a mean age of 75.6 years (range 68-82 years) who had small (mean 2.6+/-0.7-cm; range 1.4-3.8-cm) peripheral renal cortical lesions an...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903767923227
更新日期:2003-08-01 00:00:00
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...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2005.19.628
更新日期:2005-07-01 00:00:00
abstract::Cryoablation of renal masses is an evolving in situ ablative technique for the management of localized renal masses and can be performed in a laparoscopic or percutaneous manner. Its usefulness is increasing and correlates with the increasing frequency of incidentally diagnosed renal lesions. At present, this techniqu...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0102
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Since first being described in 1993, laparoscopic pyeloplasty has proven to be less morbid but equally as effective as open pyeloplasty. The technical complexity of the procedure, however, has made it difficult for many surgeons to adopt. The da Vinci robot-assisted laparoscopic pyeloplasty (RP) ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0081
更新日期:2008-06-01 00:00:00
abstract::A patient with a lymphocele after laparoscopic pelvic lymphadenectomy and radical retropubic prostatectomy was treated successfully with a single instillation of diatrizoate meglumine through a Jackson-Pratt drain. The authors review the origin of lymphoceles and various methods for treating them. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.337
更新日期:1993-08-01 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:: 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: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:Laparoscopic trocars typically maintain pneumoperitoneum using trap door valves and silicone seals. However, valves and seals hinder passage of instruments, cause lens smudging, trap specimens and needles being removed from the abdominal cavity, and lose their seal with repeated instrument exchange. AIM:T...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0376
更新日期:2009-09-01 00:00:00