Laparoscopic partial nephrectomy with saline-irrigated KTP laser in a porcine model.

Abstract:

PURPOSE:To evaluate the feasibility of using the potassium titanyl phosphate (KTP) laser to perform laparoscopic partial nephrectomy in a porcine model, with saline irrigation to reduce intraoperative smoke formation. MATERIALS AND METHODS:A high-power (80 W) KTP laser was used without hilar occlusion in 14 laparoscopic partial nephrectomies in four pigs. During laser discharge, the cutting plane was irrigated continuously with saline. RESULTS:Thirteen partial nephrectomies were completed. Hemostasis was obtained without the need for any non-laser techniques. Only minimal smoke was produced, not affecting visibility or the progress of surgery. Histologic examination of the resection margin showed only minimal tissue destruction. One procedure failed because the laser fiber broke and occluded the suction during the operation. The mean partial nephrectomy time was 13.14 minutes (range 7-19 minutes) with a mean estimated blood lost of 28.57 mL (range 5-80 mL). The mean saline irrigation used for each operation was 2600 mL (range 1500-3400 mL), and the amount of saline drained out was 1700 mL (range 900-3200 mL). CONCLUSION:Laparoscopic partial nephrectomy using the 80 W KTP laser is feasible and effective in the porcine model. Saline irrigation dramatically reduces smoke formation. The technique is deserving of clinical studies after the laser-application device and suction irrigation are refined.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Liu M,Rajbabu K,Zhu G,Petersen A,Muir GH,Poulson J

doi

10.1089/end.2006.20.1096

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1096-100

issue

12

eissn

0892-7790

issn

1557-900X

journal_volume

20

pub_type

杂志文章
  • Predicting an effective ureteral access sheath insertion: a bicenter prospective study.

    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

    authors: Mogilevkin Y,Sofer M,Margel D,Greenstein A,Lifshitz D

    更新日期:2014-12-01 00:00:00

  • Physiological principles for surgical correction of detrusor dysfunction.

    abstract::Urinary incontinence may be the result of various forms of detrusor overactivity. Several surgical therapies have been devised, but with the exception of procedures to relieve urethral obstruction, none abolishes the overactivity or restores normal micturition. In general, ablative neurosurgery is considered only in p...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/end.1996.10.213

    authors: Blaivas JG,Heritz DM

    更新日期:1996-06-01 00:00:00

  • Robotic Sacral Colpopexy.

    abstract:INTRODUCTION AND OBJECTIVE:Robot-assisted sacral colpopexy (RASC) is a fast growing approach for surgeons treating patients with advanced stage pelvic organ prolapse (POP). Open abdominal sacral colpopexy has been the gold standard for advanced POP but requires longer hospital stays and a much larger incision. The indi...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2018.0054

    authors: Powell CR,Tachibana I,Eckrich B,Rothenberg J,Hathaway J

    更新日期:2018-05-01 00:00:00

  • Improved functional deflection with a dual-deflection flexible ureteroscope.

    abstract:PURPOSE:To compare the maximal active deflection capabilities of a newly designed dual-deflection ureteroscope with those of a standard flexible ureteroscope. MATERIALS AND METHODS:The dual-deflection ureteroscope is similar in design to single-deflection ureteroscopes with the addition of a second, more proximal unid...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277904322959761

    authors: Shvarts O,Perry KT,Goff B,Schulam PG

    更新日期:2004-03-01 00:00:00

  • Effect of Renal Reconstruction on Renal Function After Partial Nephrectomy.

    abstract:BACKGROUND AND PURPOSE:Functional losses near 20% are seen in the operated kidney during partial nephrectomy. Resected healthy margins are small and ischemia time limited in the modern era. We hypothesize that reconstruction following tumor resection is modifiable and a significant cause of renal function injury. MATE...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/end.2016.0055

    authors: Bahler CD,Sundaram CP

    更新日期:2016-05-01 00:00:00

  • CyberKnife stereotactic radiotherapy as monotherapy for low- to intermediate-stage prostate cancer: early experience, feasibility, and tolerance.

    abstract:PURPOSE:The CyberKnife (CK), a linear accelerator mounted on a robotic device, enables excellent dose conformation to the target and minimizes dose to surrounding normal tissue. It is a very suitable device for performing hypofractionated stereotactic body radiotherapy as monotherapy for low- to intermediate-risk prost...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2009.0438

    authors: Aluwini S,van Rooij P,Hoogeman M,Bangma C,Kirkels WJ,Incrocci L,Kolkman-Deurloo IK

    更新日期:2010-05-01 00:00:00

  • Robot-Assisted Laparoscopic Extravesical Ureteral Reimplantation in Children: Top-Down Suturing Technique Without Stent Placement.

    abstract::Extravesical robotic-assisted laparoscopic ureteral reimplantation in children is a challenging procedure. Our top-down suturing technique facilitates this reconstructive surgery. After mobilization of the ureter without the use of ureteral stent placement, the detrusor muscle is divided. Once adequate muscle flaps ar...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0815

    authors: Silay MS,Baek M,Koh CJ

    更新日期:2015-08-01 00:00:00

  • In-vitro activity of triclosan-eluting ureteral stents against common bacterial uropathogens.

    abstract:BACKGROUND AND PURPOSE:Ureteral stents are commonly used in urology today, but the biofilms that form on them within hours of placement may harbor bacteria that can result in infection or encrustation. Triclosan is an antimicrobial commonly used in consumer and medical products that inhibits bacterial fatty-acid synthe...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.949

    authors: Chew BH,Cadieux PA,Reid G,Denstedt JD

    更新日期:2006-11-01 00:00:00

  • Current Management in Transurethral Therapy of Benign Prostatic Obstruction in Patients on Oral Anticoagulation: A Worldwide Questionnaire.

    abstract:OBJECTIVE:To assess the current treatment of benign prostatic obstruction (BPO) in patients on ongoing oral anticoagulation (OA). METHODS:An Internet survey was sent to all active members of the Endourological Society. The survey contained 32 questions regarding transurethral treatment of BPO in patients on ongoing OA...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2016.0627

    authors: Becker B,Knipper S,Gross AJ,Netsch C

    更新日期:2017-02-01 00:00:00

  • Endocytoscopy: novel endoscopic imaging technology for in-situ observation of bladder cancer cells.

    abstract:BACKGROUND AND PURPOSE:Recent advances in endoscopy have enabled microscopic imaging of live bladdercancer cells in situ. The newly developed Endocystoscopy system (Olympus Medical Systems Co., Tokyo, Japan) is a flexible digital endoscope that has more than a 450-fold magnifying power on a video monitor. PATIENTS AND...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.698

    authors: Ohigashi T,Kozakai N,Mizuno R,Miyajima A,Murai M

    更新日期:2006-09-01 00:00:00

  • Robotic colposuspension: two case reports.

    abstract:BACKGROUND AND PURPOSE:Until now, open colposuspension has been the gold standard in the surgical treatment of stress urinary incontinence. However, the open procedure is associated with more complications and longer hospital stays and is hard to justify given the availability of minimally invasive alternatives. We rep...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2005.0025

    authors: Khan MS,Challacombe B,Rose K,Dasgupta P

    更新日期:2007-09-01 00:00:00

  • Initial experience with retroperitoneoscopic microwave ablation of clinical T(1a) renal tumors.

    abstract:PURPOSE:To evaluate the feasibility, safety, and efficacy of retroperitoneoscopic microwave ablation (MWA) for clinical stage T(1a) (cT(1a)) renal tumors. PATIENTS AND METHODS:Consecutive renal cell carcinomas (RCCs) managed since April 2006 with a minimal follow-up of 12 months were included. A total of 23 tumors in ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2010.0204

    authors: Bai J,Hu Z,Guan W,Zhuang Q,Wang S,Liu J,Ye Z

    更新日期:2010-12-01 00:00:00

  • How Reliable Is the Intraoperative Assessment of Residual Fragments During Percutaneous Nephrolithotomy? A Prospective Study.

    abstract:OBJECTIVES:To determine the accuracy of the surgeon's impression as to the stone-free rate at the end of percutaneous nephrolithotomy (PCNL), and to evaluate predictors for inaccurate estimation. MATERIALS AND METHODS:A prospective study conducted between 2010 and 2015. Surgeon's impression, categorized as "insignific...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2018.0005

    authors: Nevo A,Holland R,Schreter E,Gilad R,Baniel J,Cohen A,Lifshitz DA

    更新日期:2018-06-01 00:00:00

  • Laparoscopic orchiopexy: report of 203 cases with review of diagnosis, operative technique, and lessons learned.

    abstract:BACKGROUND AND PURPOSE:Proper management of the nonpalpable testicle requires an accurate diagnosis. Laparoscopic orchiopexy (LO) has become the standard for diagnosis and treatment. We classified the location of nonpalpable testicles, reviewed the technique of LO in detail, and report the results of our series, the la...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277903767923128

    authors: Samadi AA,Palmer LS,Franco I

    更新日期:2003-08-01 00:00:00

  • Nationwide Readmission Rates Following Percutaneous Nephrolithotomy: Does Age Matter?

    abstract:: Introduction/Objectives: Despite minimal evidence that evaluates the effect of age on percutaneous nephrolithotomy (PCNL) morbidity, pediatric and elderly patients are considered high-risk groups. Our objective was to assess the effect of the extremes of ages on PCNL readm...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2019.0239

    authors: Johnston AW,Jiang R,Alkazemi MH,Wolf S,Pomann GM,Lipkin ME,Scales CD,Routh JC

    更新日期:2019-09-01 00:00:00

  • Robot-assisted partial nephrectomy: off-clamp technique.

    abstract::Robot-assisted partial nephrectomy (RAPN) has been established as a viable alternative to open and laparoscopic partial nephrectomy for small renal tumors. Multiple variations in surgical technique have been described to reduce warm ischemia time (WIT). We present our off-clamp technique for RAPN. From August 2007 to ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2012.0170

    authors: Sandhu GS,Kim EH,Tanagho YS,Bhayani SB,Figenshau RS

    更新日期:2013-01-01 00:00:00

  • Number of Metabolic Syndrome Components Is the Central Predictor of the Impact of Metabolic Syndrome on Outcome of Percutaneous Nephrolithotomy in Staghorn Nephrolithiasis.

    abstract:: Introduction: How to quantify the impact of metabolic syndrome (MetS) on percutaneous nephrolithotomy (PCNL) is unclear. We aimed to evaluate the quantified effect of the number of MetS components on the outcome of PCNL. Materials and Methods: ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2019.0404

    authors: Xu P,Wang J

    更新日期:2019-11-01 00:00:00

  • Uncommon complications of permanent stents.

    abstract::The UroLume endoprosthesis has been used for recurrent bulbar urethral strictures, benign prostatic hyperplasia, and detrusor-external sphincter dyssynergia. Complications of the UroLume have been described by the North American Multicenter Trial as migration, encrustation, hyperplastic tissue growth, in addition to p...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1998.12.385

    authors: Corujo M,Badlani GH

    更新日期:1998-08-01 00:00:00

  • Safety and outcome of percutaneous nephrolithotomy in the elderly: retrospective comparison to a younger patient group.

    abstract:AIM:To evaluate whether the overall safety and efficacy profile of percutaneous surgery for urinary stone disease in older (>70 years) patients might influence the decision for the procedure in the elderly. MATERIALS AND METHODS:A large database was created from our patients (n = 1058) who underwent percutaneous surge...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2007.0432

    authors: Anagnostou T,Thompson T,Ng CF,Moussa S,Smith G,Tolley DA

    更新日期:2008-09-01 00:00:00

  • Genitourinary exam skills training curriculum for medical students: a follow-up study of comfort and skill utilization.

    abstract:PURPOSE:We developed a genitourinary skills training (GUST) curriculum for incoming third year medical students (MS3) and performed a follow-up study of comfort with and utilization of these skills. MATERIALS AND METHODS:GUST consisted of a didactic lecture followed by skills sessions including standardized patient te...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2012.0284

    authors: Kaplan AG,Abdelshehid CS,Alipanah N,Zamansani T,Lee J,Kolla SB,Sountoulides PG,Graversen J,Lusch A,Kaufmann OG,Louie M,Clayman RV,McDougall EM

    更新日期:2012-10-01 00:00:00

  • Extraperitoneal endosurgical lymphadenectomy with insufflation in the staging of bladder and prostate cancer.

    abstract::A new technique of endosurgical pelvic lymph node dissection was performed for the staging of 10 prostate and 8 bladder cancers. The technique, involving an exclusive extraperitoneal space development with CO2 insufflation, is described in detail. Using the standard endosurgical (laparoscopic) equipment, we performed ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1993.7.229

    authors: Villers A,Vannier JL,Abécassis R,Baron JC,Anidjar M,Khoury R,Delmas V,Desmonts JM,Boccon-Gibod L

    更新日期:1993-06-01 00:00:00

  • Laparoscopic radical cystectomy with orthotopic ileal neobladder: a report of 85 cases.

    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

    authors: Huang J,Lin T,Xu K,Huang H,Jiang C,Han J,Yao Y,Guo Z,Xie W,Yin X,Zhang C

    更新日期:2008-05-01 00:00:00

  • Robot-assisted sacrocolpopexy: description and video.

    abstract::Pelvic organ prolapse is a common problem faced by many women, resulting in significant morbidity and negatively impacting quality of life. Sacrocolpopexy can treat women with vaginal vault prolapse, multicompartment prolapse, and/or a history of failed prolapse procedures. The transabdominal sacrocolpopexy has been s...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2012.0388

    authors: Mitchell CR,Gettman M,Chow GK,Elliott D

    更新日期:2012-12-01 00:00:00

  • Upper-pole access for percutaneous nephrolithotomy.

    abstract::Although the supracostal approach is thought to increase the difficulties and patient morbidity of PCNL, it facilitates the management of certain urinary infirmities, such as UPJ obstruction, staghorn stone, upper pole stone, proximal ureteral abnormalities, impacted UPJ stone and upper calix diverticulum. Hereby the ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2009.1531

    authors: Pedro RN,Netto NR

    更新日期:2009-10-01 00:00:00

  • Fate of abstracts presented at the World Congress of Endourology: are they followed by publication in peer-reviewed journals?

    abstract:PURPOSE:To estimate the acceptance rate of peer-reviewed journals, to describe the time course of subsequent full publication, and to identify those with characteristics associated with publication of the abstracts presented at the World Congress of Endourology (WCE). METHODS:All abstracts accepted for presentation at...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.996

    authors: Autorino R,Quarto G,Sio MD,Lima E,Quarto E,Damiano R,Oliviero R,Osorio L,Marcelo F,D'Armiento M

    更新日期:2006-12-01 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

  • Urinary stone size: comparison of abdominal plain radiography and noncontrast CT measurements.

    abstract:BACKGROUND AND PURPOSE:To compare urinary stone size as measured by abdominal plain radiography (AXR) with stone size as measured by noncontrast three-dimensional spiral CT in patients with acute renal colic. PATIENTS AND METHODS:Patients presenting to the emergency room of a single institution with urinary stones tha...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277903770802245

    authors: Parsons JK,Lancini V,Shetye K,Regan F,Potter SR,Jarrett TW

    更新日期:2003-11-01 00:00:00

  • Impact of cautery versus cautery-free preservation of neurovascular bundles on early return of potency.

    abstract:PURPOSE:To update our short-term potency outcomes from a cautery-free (CFT) versus bipolar cautery technique to preserve the neurovascular bundles (NVB) during robotic laparoscopic radical prostatectomy (RLP). PATIENTS AND METHODS:Previously, we reported on 3-month potency outcomes in 23 men, which we now extend to 51...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.586

    authors: Ahlering TE,Skarecky D,Borin J

    更新日期:2006-08-01 00:00:00

  • New cannula for endoscopic reflux operation in children and infants.

    abstract::A new semiflexible and steerable cannula was designed for endoscopic reflux operations on infants and children. Because of its small diameter (0.6 mm; < 2F), it fits even through the 9F infant cystoscope. ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1994.8.131

    authors: Froehlich GA,Stratmeyer RO

    更新日期:1994-04-01 00:00:00

  • Cost-efficacy comparison of extracorporeal shock wave lithotripsy and endoscopic laser lithotripsy in distal ureteral stones.

    abstract::Distal ureteral stones are usually treated today by extracorporeal shock wave lithotripsy or extraction by retrograde ureteroscopy with or without previous fragmentation. We performed a cost-efficacy study of three methods to treat them: extracorporeal lithotripsy using either a spark gap lithotripter, the unmodified ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1993.7.289

    authors: Francesca F,Grasso M,Lucchelli M,Broglia L,Cammelli L,Zoppei G,Rigatti P

    更新日期:1993-08-01 00:00:00