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 technique has been applied to patients deemed to be poor surgical candidates for extirpative therapy or those with a strong desire to avoid surgery, at least until long-term data become available to fully evaluate its cancer-control effectiveness. In addition, as costs become an ever more critical factor in healthcare, the costs of various management options for clinically localized kidney cancer will become as important as clinical outcomes in deciding appropriate treatment. We compare laparoscopic and percutaneous renal cryoablation from a cost perspective. Our findings indicate that percutaneous renal cryoablation may have distinct cost advantages over its laparoscopic counterpart. It remains to be seen whether these differences will translate into an overall increase in reliance on the percutaneous approach for renal cryoablation.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Badwan K,Maxwell K,Venkatesh R,Figenshau RS,Brown D,Chen C,Bhayani SBdoi
10.1089/end.2008.0102subject
Has Abstractpub_date
2008-06-01 00:00:00pages
1275-7issue
6eissn
0892-7790issn
1557-900Xjournal_volume
22pub_type
杂志文章abstract:PURPOSE:To review the management approach to and results of severely encrusted retained ureteral stents and analyze predictive risk factors. PATIENTS AND METHODS:Medical records from January 1996 to March 2006 were reviewed for Double-J stent complications and their final outcome. A total of 876 stents were inserted i...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0250
更新日期:2007-06-01 00:00:00
abstract::The Clinical Research Office of the Endourological Society (CROES) conducts large-scale, international, multicenter clinical trials in the field of endourology. One of the major challenges that these trials pose is to ensure that data collected remotely and online within a very short time frame are valid and reliable....
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0402
更新日期:2011-11-01 00:00:00
abstract:PURPOSE:To evaluate prospectively the actual bladder perforation incidence during transurethral resection of bladder tumor (TURB) performed by residents and to identify possible predisposing factors to such condition. PATIENTS AND METHODS:Thirty-four patients with bladder tumor were submitted to TURB in our academic i...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2008.0406
更新日期:2009-07-01 00:00:00
abstract::This review focuses on the biomaterials used in urology, in particular, the properties of urethral catheters and ureteral stents currently being used in clinical practice. The importance of biomaterial type, biocompatibility, and encrustations are discussed and explained. Current management of bacterial infection and ...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1998.12.493
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Whereas ureteroscopic lithotripsy is more efficacious than SWL in treating lower-ureteral stones, the same has not been universally said of its ability to treat proximal ureteral stones. Because failed proximal lithotripsy is often attributable to the complications associated with stone migration...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.862
更新日期:2004-11-01 00:00:00
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
更新日期:2013-01-01 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:BACKGROUND AND PURPOSE:Analgesic abuse is a potential cause of end-stage renal disease. Such patients bear an elevated risk of developing malignancies, predominantly transitional-cell carcinoma. We report our experience with laparoscopic nephroureterectomy carried out in patients with analgesic nephropathy to exclude u...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901753205807
更新日期:2001-10-01 00:00:00
abstract:PURPOSE:Standard laparoscopy has undergone many recent advances with the advent of three-dimensional visual systems and robotic surgical systems. In evaluating the usefulness of these new systems, it is difficult to objectively measure their advantages in the operating room. Therefore, we designed a trial using three d...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0241
更新日期:2008-03-01 00:00:00
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: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
doi:10.1089/end.2009.0200
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The use of bipolar electrocautery has proven advantages over monopolar energy during transurethral surgery by limiting hyponatremia and its clinical sequelae. Percutaneous ablation of caliceal diverticula and parapelvic renal cysts has been shown to be an effective surgical approach for the manag...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0525
更新日期:2011-05-01 00:00:00
abstract::The literature on standard laparoscopic radical prostatectomy (LRP) and robot-assisted radical prostatectomy (RARP) is replete with technical descriptions of the primary surgeon's responsibility, but deficient with regard to the detailed role of the assistant surgeon. This video paper describes the critical role of th...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.9837
更新日期:2008-04-01 00:00:00
abstract:BACKGROUND:Benign ureteral strictures are a potentially difficult problem that typically has been solved by open surgery. However, minimally invasive methods would be preferable. PATIENTS AND METHODS:Three patients with benign ureteral strictures were treated with endoscopic placement of self-expanding permanent indwe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/08927790050152186
更新日期:2000-09-01 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:BACKGROUND AND PURPOSE:We have previously shown that men tolerate office flexible cystoscopy better when they simultaneously view the monitor during their procedure. We sought to demonstrate similar effects of distraction on women undergoing rigid office cystoscopy. PATIENTS AND METHODS:100 consecutive women underwent...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2008.0076
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Long-term treatment of patients undergoing definitive management of a small renal mass depends largely on the final pathology determination. Preablation renal biopsy (PABx) is often the only source of determining pathology in patients undergoing thermal ablation of a small renal mass. We sought t...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0222
更新日期:2014-12-01 00:00:00
abstract::Percutaneous renal access is an integral step in percutaneous renal drainage and percutaneous nephrolithotomy. Urologists are increasingly obtaining access themselves, as this eliminates reliance on a second "surgeon" and increases flexibility with respect to procedure timing and the location of the access tract. Surp...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2007.9981
更新日期:2007-03-01 00:00:00
abstract::The greatest difficulty in performing a laparoscopic pyeloplasty is the suturing of the ureteropelvic junction. The purpose of this study was to evaluate the use of nonperforating titanium vascular closure staple (VCS) clips to perform in laparoscopic ureteroureterostomy in the porcine model. Six female minipigs under...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.265
更新日期:1998-06-01 00:00:00
abstract:: Purpose: We assessed the ability of enhanced cystoscopy with CHROMA image enhancement (Karl Storz SE & Co. KG, Tuttlingen, Germany) to improve cancer detection during transurethral resection of bladder tumors (TURBT) in patients with known or suspected nonmuscle invasive b...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0821
更新日期:2020-12-04 00:00:00
abstract:BACKGROUND AND PURPOSE:Renal function outcomes after renal cryosurgery have not been widely scrutinized. We report 2-year renal function outcomes from a single-center cohort of patients who were treated with cryoablation for small renal masses. METHODS:We performed a retrospective review of our laparoscopic and percut...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0186
更新日期:2010-03-01 00:00:00
abstract:PURPOSE:To determine factors affecting patients' discomfort during the period self-retaining ureteral stents are in place. PATIENTS AND METHODS:Between April 2001 and May 2003, 58 male and 42 female patients underwent temporary double-pigtail stenting. The indications were endopyelotomy in 39 patients, ureteroscopy in...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.33
更新日期:2006-01-01 00:00:00
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
更新日期:1994-02-01 00:00:00
abstract:: Introduction: Calcium oxalate (CaOx) is the predominate component within renal calculi and can be divided into two subtypes: CaOx-monohydrate (COM) and CaOx-dihydrate (COD). COM and COD form in differing urinary environments, which suggest differential underlying metabolic...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0245
更新日期:2019-09-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:There is a need to improve prescreening determination of prostate cancer to better select patients who need biopsy. Such a strategy properly implemented, will decrease the number of negative biopsies for prostate cancer and in turn better balance the risks and morbidity for patients recommen...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0383
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There remains equipoise with regard to whether laparoscopic radical prostatectomy (LRP) or robot-assisted radical prostatectomy (RARP) has any benefit over the other. Despite this, there is a trend for the increasing adoption of RARP at great cost to health services across the world. The aim was ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0810
更新日期:2015-08-01 00:00:00
abstract:PURPOSE:Our study sought to demonstrate the effects of remote ischemic preconditioning (R-IPC) on renal function in a large animal (porcine) solitary-kidney model. METHODS:Twelve pigs were assigned to two groups: Each underwent a right nephrectomy followed by a week of recovery. Group 1 (No-IPC) underwent left renal h...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0563
更新日期:2015-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Biodegradable urethral stents have been used clinically for some years mainly in order to prevent postoperative urinary retention after minimally invasive thermotreatment of benign prostatic hyperplasia. We previously reported a 15-month-follow-up pilot study of a bioabsorbable self-expandable, s...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/08927790260472926
更新日期:2002-12-01 00:00:00
abstract:PURPOSE:Recently, laparoscopic nephropexy has been performed using a transperitoneal approach. We evaluated the efficacy of a retroperitoneoscopic technique for symptomatic nephroptosis. PATIENTS AND METHODS:Three men and two women with right nephroptosis underwent retroperitoneal laparoscopic nephropexy. Their sympto...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903770802344
更新日期:2003-11-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy and safety of retroperitoneal laparoscopic pyelolithotomy (RLP) versus percutaneous nephrolithotomy (PCNL) for large renal pelvic calculi using a randomized controlled trial. MATERIALS AND METHODS:Patients with large renal pelvic calculi were prospectively randomized using matched-pair...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2014.0064
更新日期:2014-08-01 00:00:00