Hem-o-lok clips for vascular control during laparoscopic ablative nephrectomy: a single-center experience.

Abstract:

BACKGROUND AND PURPOSE:Vascular control is an important step in laparoscopic nephrectomy. The various options are titanium clips, Hem-o-lok clips (Weck Closure Systems, Research Triangle Park, NC), T-knot, and stapling devices. We report our experience with the use of Hem-o-lok clips. PATIENTS AND METHODS:From January 2001 to June 2004, 246 laparoscopic ablative nephrectomies (178 simple; 68 radical) were performed at our institute for benign and malignant conditions. All patients (mean age 46.76+/-26.31 years) were evaluated by detailed history and physical examination and laboratory investigations and underwent standard transperitoneal (N=204) or retroperitoneal (N=42) nephrectomy. Venous and arterial control was obtained using Hem-o-lock clips. In cases where the clips could not be applied directly on the renal vein, various maneuvers were employed to secure the occlusion. The features compared were the number of clips used, safety, cost, and requirement for blood transfusion. RESULTS:Conversion to an open procedure was required in 36 patients (28 in the transperitoneal group and 8 in the retroperitoneal group). The mean operative time was 280+/-35 minutes and 235+/-44 minutes in the retroperitoneal and transperitoneal groups, respectively. In all cases, arterial and venous control was achieved by application of two Hem-o-lok clips on the patient side. Blood transfusion was required by 7.2% of the patients (right-side nephrectomy 4.6%; left side nephrectomy 2.6%), but none was attributable to clip-related complication. The mean postoperative hospital stay was 3.4 days. CONCLUSION:Hem-o-lok clips are a reliable and cost-effective means of achieving vascular control during laparoscopic nephrectomy.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Kapoor R,Singh KJ,Suri A,Dubey D,Mandhani A,Srivastava A,Kumar A

doi

10.1089/end.2006.20.202

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

202-4

issue

3

eissn

0892-7790

issn

1557-900X

journal_volume

20

pub_type

杂志文章
  • Controlled survival study of the effects of Tisseel or a combination of FloSeal and Tisseel on major vascular injury and major collecting-system injury during partial nephrectomy in a porcine model.

    abstract:PURPOSE:We report the results of a controlled survival study in a porcine model investigating Tisseel or a combination of FloSeal and Tisseel in dealing with vascular and collecting-system injury during partial nephrectomy. MATERIALS AND METHODS:We performed an open right lower-pole partial nephrectomy on 15 large fem...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2005.19.1114

    authors: L'Esperance JO,Sung JC,Marguet CG,Maloney ME,Springhart WP,Preminger GM,Albala DM

    更新日期:2005-11-01 00:00:00

  • Predictors of fluoroscopy time during percutaneous nephrolithotomy: impact of postgraduate urology trainees and S.T.O.N.E. nephrolithometry score.

    abstract:OBJECTIVES:To determine predictors of fluoroscopy time (FT) during percutaneous nephrolithotomy (PCNL) and assess the impact of urology postgraduate trainees (PGTs) and S.T.O.N.E. nephrolithometry score. METHODS:A retrospective review of patients undergoing PCNL between 2010 and 2013 at a tertiary healthcare center wa...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0800

    authors: Noureldin YA,Elkoushy MA,Andonian S

    更新日期:2015-05-01 00:00:00

  • Laparoscopic nephrolysis for chyluria: case report of long-term success.

    abstract::Laparoscopic nephrolysis was performed in an 81-year-old man with recurrent chyluria. A total of five trocars were used for approaching the lymphatic ducts over the right ureter and renal hilum. The lymphatic ducts identified were easily ligated under laparoscopic magnification. The recovery of this patient was quick ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1995.9.319

    authors: Chiu AW,Chen MT,Chang LS

    更新日期:1995-08-01 00:00:00

  • Live Renal Ultrasonography Facilitates Double-J Ureteral Stent Insertion at the Bedside: A Pilot Study for the COVID-19 Era.

    abstract:: Objectives: To investigate the feasibility and efficacy of live renal ultrasonography to guide Double-J ureteral stent placement at the bedside. Patients and Methods: Between April 12 and June 5, 2020, patients presenting with ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2020.0954

    authors: Yang H,Chappidi M,Overland M,Ahn J,Bayne D,Chi T

    更新日期:2020-12-17 00:00:00

  • Thoracoscopy-assisted high intercostal percutaneous renal access.

    abstract:PURPOSE:We describe a technique for safely accessing an upper pole calix through a 9th or 10th intercostal puncture. PATIENTS AND METHODS:A 9th or 10th intercostal access was used for percutaneous nephrolithotomy (PCNL) in nine patients. Thoracoscopy via the 5th or 6th intercostal space was used to ensure safe passage...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277901750426337

    authors: Finelli A,Honey RJ

    更新日期:2001-08-01 00:00:00

  • Impact of lower pole calculi in patients undergoing retrograde intrarenal surgery.

    abstract:OBJECTIVE:To assess if the presence of a lower pole stone (LPS) decreases the stone-free (SF) rate following retrograde intrarenal surgery (RIRS). The second purpose was to assess the result of RIRS for LPS and to identify predictors of SF status. PATIENTS AND METHODS:We retrospectively analyzed 205 procedures in 162 ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0515

    authors: Martin F,Hoarau N,Lebdai S,Pichon T,Chautard D,Culty T,Azzouzi AR,Bigot P

    更新日期:2014-02-01 00:00:00

  • Transrectal high-intensity focused ultrasound: minimally invasive therapy of localized prostate cancer.

    abstract:BACKGROUND AND PURPOSE:Criteria for determining the durability of the response to transrectal high-intensity focused ultrasound (HIFU) ablation of prostate cancer have been established by calculating progression-free probability. PATIENTS AND METHODS:A series of 82 patients (mean age 71 +/- 5.7 years) with biopsy-prov...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2000.14.519

    authors: Gelet A,Chapelon JY,Bouvier R,Rouvière O,Lasne Y,Lyonnet D,Dubernard JM

    更新日期:2000-08-01 00:00:00

  • Comparative analysis of global practice patterns in urologic robot-assisted surgery.

    abstract:OBJECTIVES:To determine and compare the status of urologic laparoscopic and robot-assisted surgery (RAS) across the world. METHODS:Two hundred ninety-one surveys were completed by urologists at various national and international conferences in 2008. The 58-item questionnaire assessed the individual and institutional p...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2010.0024

    authors: Yuh BE,Hussain A,Chandrasekhar R,Bienko M,Piacente P,Wilding G,Menon M,Peabody J,Guru KA

    更新日期:2010-10-01 00:00:00

  • Reducing Operating Room Costs Through Real-Time Cost Information Feedback: A Pilot Study.

    abstract:PURPOSE:To create a protocol for providing real-time operating room (OR) cost feedback to surgeons. We hypothesize that this protocol will reduce costs in a responsible way without sacrificing quality of care. METHODS:All OR costs were obtained and recorded for robot-assisted partial nephrectomy and laparoscopic donor...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0858

    authors: Tabib CH,Bahler CD,Hardacker TJ,Ball KM,Sundaram CP

    更新日期:2015-08-01 00:00:00

  • Laser division of encircling sutures to remove retained urethral catheter after radical retropubic prostatectomy.

    abstract::Inability to remove a urethral catheter after radical retropubic prostatectomy is an uncommon complication. We describe removal of a urethral catheter entrapped in vesicourethral anastomotic sutures, which was safely performed endoscopically using a holmium laser. ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2005.19.83

    authors: Nagarajan M,Weston PM,Biyani CS

    更新日期:2005-01-01 00:00:00

  • A Longitudinal Assessment of the Reporting Quality of Randomized Controlled Trials for Surgical Interventions to Treat Nephrolithiasis Over 16 Years (2002 to 2017).

    abstract:: Purpose: Transparently reported, high-quality randomized controlled trials (RCTs) play a critical role in guiding evidence based clinical practice and informing evidence-based guidelines in patients with nephrolithiasis. Prior studies have found reporting quality to be low...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2019.0649

    authors: Thompson E,Lai A,Morrey L,Borofsky MS,Dahm P

    更新日期:2020-04-01 00:00:00

  • Association Between Randall's Plaque Stone Anchors and Renal Papillary Pits.

    abstract:INTRODUCTION:Renal papillary pits are commonly encountered during ureteroscopy. The mechanism by which such pits arise is unclear. One hypothesis is that pits represent sites where stones overgrowing Randall's plaque (RP) were dislodged. We sought to examine this theory by using digital ureteroscopy and stone μCT. MAT...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2018.0589

    authors: Borofsky MS,Williams JC Jr,Dauw CA,Cohen A,Evan AC,Coe FL,Worcester E,Lingeman JE

    更新日期:2019-04-01 00:00:00

  • Novel method for placement of a ureteral stent during laparoscopic ureteroureterostomy.

    abstract::Lumbar ureteral benign stenosis can be managed by laparoscopy. Prevention of repeat strictures after ureteral anastomosis includes the placement of a ureteral catheter. When laparoscopy is used to perform the anastomosis, a second position is needed to insert the Double J stent. We provide a way to place the double pi...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0153

    authors: Brichart N,Prezelin Y,Celhay O,Bruyère F

    更新日期:2008-11-01 00:00:00

  • Transperitoneal laparoscopic renal surgery using blunt 12-mm trocar without fascial closure.

    abstract:BACKGROUND AND PURPOSE:Conical blunt trocar insertion may eliminate the need for fascial closure (FC) in transperitoneal laparoscopic renal surgery. This concept applies to 12-mm blunt trocar placement through muscular parts of the abdominal wall, relying on muscle splitting and eventual muscle retraction when the troc...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277902753483718

    authors: Shalhav AL,Barret E,Lifshitz DA,Stevens LH,Gardner TA,Lingeman JE

    更新日期:2002-02-01 00:00:00

  • A +20% adjustment in the computed tomography measured ureteral length is an accurate predictor of true ureteral length before ureteral stent placement.

    abstract:PURPOSE:The correct length of a ureteral stent is important in minimizing postplacement discomfort and stent migration. We describe and validate a method to accurately measure the ureteral length. MATERIALS AND METHODS:The ureteral length in 48 patients undergoing ureteral stent placement for urolithiasis was measured...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0041

    authors: Shrewsberry AB,Al-Qassab U,Goodman M,Petros JA,Sullivan JW,Ritenour CW,Issa MM

    更新日期:2013-08-01 00:00:00

  • Direct percutaneous embolization of renal pseudoaneurysm.

    abstract:PURPOSE:To describe and evaluate a novel method of direct ultrasonography (US)-guided percutaneous embolization of renal pseudoaneurysm. PATIENTS AND METHODS:Fourteen patients with severe hematuria were included in this study from February 2005 to February 2006. They included five patients with penetrating renal traum...

    journal_title:Journal of endourology

    pub_type: 临床试验,杂志文章

    doi:10.1089/end.2008.0559

    authors: Sakr MA,Desouki SE,Hegab SE

    更新日期:2009-06-01 00:00:00

  • Vascular control of the renal pedicle using the hem-o-lok polymer ligating clip in 50 consecutive hand-assisted laparoscopic nephrectomies.

    abstract:BACKGROUND AND PURPOSE:A crucial step in laparoscopic nephrectomy is control and ligation of the renal pedicle. Commonly, an endovascular gastrointestinal anastomosis (GIA) stapling device, titanium staples, or both is employed for vascular control. Herein, we report on the use of the Hem-o-Lok polymer ligating clip (W...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/0892779041271490

    authors: Eswar C,Badillo FL

    更新日期:2004-06-01 00:00:00

  • Extracorporeal shockwave therapy for Peyronie's disease: who benefits?

    abstract:BACKGROUND AND PURPOSE:Extracorporeal shockwave therapy (ESWT) has been reported to improve the symptoms of Peyronie's disease. However, the response rates to this treatment appear to be variable. This study aimed to determine whether any patient or plaque characteristics are associated with a better outcome. PATIENTS...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.135

    authors: Taylor J,Forster JA,Browning AJ,Biyani CS

    更新日期:2006-02-01 00:00:00

  • Success of laser endoureterotomy of ureteral strictures associated with ureteral stones is related to stone impaction.

    abstract:PURPOSE:Since the holmium:yttrium-aluminum-garnet (Ho:YAG) laser is the flexible lithotrite of choice for ureteral stones, its application to ureteral strictures associated with ureteral calculi is convenient. The results of Ho:YAG laser endoureterotomy in this specific setting have not been defined. We report our expe...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0387

    authors: Gdor Y,Gabr AH,Faerber GJ,Roberts WW,Wolf JS Jr

    更新日期:2008-11-01 00:00:00

  • Procedural Module: Flexible Cystoscopy.

    abstract:INTRODUCTION:Cystoscopy is a basic urologic skill necessary for the endoscopic evaluation of the urethra and bladder. Presented is a step-by-step guide for flexible cystoscopy of the male and female patient. MATERIALS/METHODS:Routine flexible cystoscopy was performed on a male patient with a history of upper tract uro...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2017.0706

    authors: Safiullah S,Lama DJ,Patel R,Clayman RV

    更新日期:2018-05-01 00:00:00

  • Renal function outcomes following selective angioembolization for iatrogenic vascular lesions after partial nephrectomy.

    abstract:PURPOSE:To report one of the largest series of clinical and renal function outcomes of treated iatrogenic vascular lesions (IVL) after partial nephrectomy (PN). Angioembolization (AE) is the treatment of choice for patients with these lesions, but the additional renal injury conferred by this treatment has not been wel...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0201

    authors: Gahan JC,Gaitonde M,Wadskier L,Cadeddu JA,Trimmer C

    更新日期:2013-12-01 00:00:00

  • The Role of Social Media and Internet Search Engines in Information Provision and Dissemination to Patients with Kidney Stone Disease: A Systematic Review from European Association of Urologists Young Academic Urologists.

    abstract:INTRODUCTION:Kidney stone disease (KSD) affects millions of people worldwide and has an increasing incidence. Social media (SoMe) and search engines are both gaining in usage, while also being used by patients to research their conditions and aid in managing them. With this in mind, many authors have expressed the beli...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2018.0319

    authors: Jamnadass E,Aboumarzouk O,Kallidonis P,Emiliani E,Tailly T,Hruby S,Sanguedolce F,Atis G,Ozsoy M,Greco F,Somani BK

    更新日期:2018-08-01 00:00:00

  • Enlargement of a lower pole calcium oxalate stone: a theoretical examination of the role of crystal nucleation, growth, and aggregation.

    abstract:BACKGROUND AND PURPOSE:Nucleation, growth, and aggregation are considered to be the principal crystallization mechanisms in stone development. It is important to understand their relative significance so that appropriate experimental models can be used, and to identify the best therapeutic targets. The aim of this stud...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1999.13.605

    authors: Kavanagh JP

    更新日期:1999-11-01 00:00:00

  • Percutaneous nephrolithotomy in patients with spinal deformities.

    abstract:BACKGROUND AND PURPOSE:To assess the feasibility and efficacy of percutaneous nephrolithotomy (PCNL) in patients with spinal deformities. PATIENTS AND METHODS:Between 1999 and 2008, eight patients (nine renal units) with spinal deformities underwent 10 PCNLs. Mean stone burden was 372 mm(2) (160-840 mm(2)). Preoperati...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2010.0095

    authors: Goumas-Kartalas I,Montanari E

    更新日期:2010-07-01 00:00:00

  • Ureteral foreign body after laser lithotripsy.

    abstract::We report an unusual ureteral foreign body resulting from a complication of pulsed-dye laser lithotripsy: a retained laser fiber fragment. It was removed with two endoscopic procedures without long-term problems. ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1994.8.29

    authors: Restrepo NC,Belis JA

    更新日期:1994-02-01 00:00:00

  • Robot-assisted laparoscopic skills development: formal versus informal training.

    abstract:INTRODUCTION:The learning curve for robotic surgery is not completely defined, and ideal training components have not yet been identified. We attempted to determine whether skill development would be accelerated with formal, organized instruction in robotic surgical techniques versus informal practice alone. MATERIALS...

    journal_title:Journal of endourology

    pub_type: 杂志文章,随机对照试验

    doi:10.1089/end.2009.0511

    authors: Benson AD,Kramer BA,Boehler M,Schwind CJ,Schwartz BF

    更新日期:2010-08-01 00:00:00

  • Durability of results obtained with transurethral microwave thermotherapy in the treatment of men with symptomatic benign prostatic hyperplasia.

    abstract::To assess the durability of the results of transurethral microwave thermotherapy (TUMT) for symptomatic benign prostatic hyperplasia (BPH), we have reviewed publications describing trials with at least 3 years of follow-up. For men treated only by TUMT, improvement in symptoms and quality of life appears to be maintai...

    journal_title:Journal of endourology

    pub_type: 杂志文章,meta分析

    doi:10.1089/end.2000.14.671

    authors: Ramsey EW,Dahlstrand C

    更新日期:2000-10-01 00:00:00

  • Artificial Neural Network System to Predict the Postoperative Outcome of Percutaneous Nephrolithotomy.

    abstract:PURPOSE:To construct, train, and apply an artificial neural network (ANN) system for prediction of different outcome variables of percutaneous nephrolithotomy (PCNL). We calculated predictive accuracy, sensitivity, and precision for each outcome variable. METHODS:During the study period, all adult patients who underwe...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2016.0791

    authors: Aminsharifi A,Irani D,Pooyesh S,Parvin H,Dehghani S,Yousofi K,Fazel E,Zibaie F

    更新日期:2017-05-01 00:00:00

  • Transperineal laparoscopy: a new approach.

    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

    authors: Sanchez-de-Badajoz E,Jimenez-Garrido A,Salvi M

    更新日期:2011-04-01 00:00:00

  • Safety, Feasibility, and Efficacy of Bilateral Synchronous Percutaneous Nephrolithotomy for Bilateral Stone Disease: Evidence from a Systematic Review.

    abstract:INTRODUCTION:With the evolution of endourologic technology, bilateral synchronous percutaneous nephrolithotomy (BS-PCNL) has emerged as a potentially practical intervention for patients with bilateral lithiasis. Although tradition has favored a staged approach, an increasing number of original studies have reported the...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/end.2016.0851

    authors: Jones P,Dhliwayo B,Rai BP,Mokete M,Amitharaj R,Aboumarzouk OM,Somani BK

    更新日期:2017-04-01 00:00:00