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 underwent nephroureterectomy by a retroperitoneal approach. Of these, 120 patients underwent RNU and 120 patients underwent ORNU. RESULTS:The mean operative time for RNU (346 min) was significantly longer than that for ONU (209 min), despite the lack of a significant difference in the estimated blood loss between these two groups. Significant differences were observed in parameters related to postoperative recovery between the groups, including the time to walk (1.8 versus 2.3 days), the time to oral intake (1.8 versus 2.7 days), and the time until permission for discharge (9.9 versus 13.4 days). There were no significant differences in the major pathologic factors between the groups. Furthermore, the incidences of intravesical as well as extravesical recurrence between the RNU and ORNU groups were similar, and there were no significant differences in cause-specific and overall survivals between the groups. Among patients with grade 3 disease, cause-specific survivals in patients undergoing RNU were significantly poorer than those in patients undergoing ORNU, while there was no significant difference in the overall survival between the groups. Multivariate analysis, however, indicated that the surgical procedure (RNU versus ORNU) could not be an independent predictor of both overall and cancer-specific survivals irrespective of tumor grade. CONCLUSIONS:RNU represents an effective, safe, and less invasive management option for upper urinary tract cancer and achieves a cancer control rate similar to that of ORNU; however, it is necessary to perform further investigations to determine the optimal indications for RNU for patients with high-grade disease.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Terakawa T,Miyake H,Hara I,Takenaka A,Fujisawa Mdoi
10.1089/end.2007.0154subject
Has Abstractpub_date
2008-08-01 00:00:00pages
1693-9issue
8eissn
0892-7790issn
1557-900Xjournal_volume
22pub_type
临床试验,杂志文章abstract::Prosthesis-related infection accounts for nearly half of nosocomial infections, resulting in significant morbidity, mortality, prolonged hospitalization, and higher healthcare costs. Although numerous antimicrobial-coated surfaces have been suggested to guard against prosthesis-related infection, only a few, such as m...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2000.14.33
更新日期:2000-02-01 00:00:00
abstract:PURPOSE:To develop a preoperative prediction model using a computer-assisted volumetric assessment of potential spared parenchyma to estimate the probability of chronic kidney disease (CKD, estimated glomerular filtration rate [eGFR] <60 mL/min/1.73 m(2)) 6 months from extirpative renal surgery (nephron-sparing surgery...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0411
更新日期:2016-01-01 00:00:00
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
更新日期:2010-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Clinical and surgical factors predict renal function decline after laparoscopic partial nephrectomy (LPN). Additional histopathologic predictors may be found in the specimen's nonneoplastic tissue but were not studied. This study investigated the significance of histologic findings in addition to...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0646
更新日期:2011-09-01 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:To enable all personnel involved with laparoscopy to obtain cheap and ready practice in a variety of situations. MATERIALS AND METHODS:A number of components are required to practice laparoscopic techniques: a cavity, lighting, video imaging, instruments, operating sutures, etc. and operative tissue. Alternati...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.748
更新日期:2005-07-01 00:00:00
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
更新日期:2018-05-01 00:00:00
abstract:: Introduction: A number of clinical and radiological predictors of either stone impaction or ureteral stone passage (SP) have been proposed. We aimed at identifying the key predictors of successful SP by using readily available CT-based tools/measurements. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0645
更新日期:2020-10-27 00:00:00
abstract:AIM:To analyze the impact of slowing the shockwave delivery during extracorporeal shockwave lithotripsy (SWL) on the clinical patient outcome and the cost of delivering this service in a community practice. PATIENTS AND METHODS:The data from 1745 consecutive SWL procedures were analyzed at a freestanding surgery cente...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0656
更新日期:2010-09-01 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::Laparoscopic pyeloplasty represents one of the more advanced reconstructive procedures for the urologist. While early reports were replete with long operative times, there have been several changes that have added to the efficiency of the procedure. In our practice, we have found three changes to be of greatest value:...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/089277904773582750
更新日期:2004-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:To provide a realistic experience of lower urinary tract endoscopic procedures, we have developed and continue to expand a computer-based surgical simulator that incorporates a surgical tool interface with anatomic detail and haptic feedback. METHODS:Surface-based geometric data for the lower ur...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277902753716179
更新日期:2002-04-01 00:00:00
abstract:PURPOSE:To evaluate the physical properties of urethral catheters that are predictive of ease of placement and risk of urethral trauma: Stiffness, buckling, and friction forces. MATERIALS AND METHODS:Eleven Bard Lubri-Sil and 10 Kendall Dover 16F Foley catheters were tested using a linear motion stage driven by a step...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0503
更新日期:2009-01-01 00:00:00
abstract:PURPOSE:To assess the efficacy and safety of laparoendoscopic single-site adrenalectomy (LESS-A) and conventional laparoscopic adrenalectomy (LA) as a systematic review and meta-analysis of current evidence. METHODS:We conducted a thorough search for comparative studies that compared LESS-A and conventional LA in the ...
journal_title:Journal of endourology
pub_type: 杂志文章,meta分析,评审
doi:10.1089/end.2012.0687
更新日期:2013-06-01 00:00:00
abstract:PURPOSE:We present our experience in the design and development of a training program in laparoscopic radical prostatectomy (LRP), and the validation of the first steps of the program by objective measurement of the attendants' skills improvement and subjective evaluation of its contents. MATERIALS AND METHODS:Our tra...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0050
更新日期:2014-07-01 00:00:00
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
更新日期:2010-08-01 00:00:00
abstract:PURPOSE:To assess the effectiveness of periurethral microballoon implantation for management of female urinary incontinence. PATIENTS AND METHODS:A total of 45 women with urinary incontinence (age range 47-88 years) were treated between May 2000 and June 2001. Microballoons were placed in the proximal periurethral tis...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.901
更新日期:2004-11-01 00:00:00
abstract:PURPOSE:To present the combination of laparoscopy and nephroscopy for the treatment of stones in pelvic ectopic kidneys. PATIENTS AND METHODS:The series included seven male and four female patients (mean age 43 +/- 9 years). Laparoscopy-assisted percutaneous nephrolithotomy (PCNL) was performed for caliceal stones in ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.9930
更新日期:2007-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:Repair of ureteral injuries and strictures often necessitates a major reconstructive procedure such as a psoas hitch, Boari flap, renal mobilization, ileal interposition, or autotransplantation. Tissue expanders have been used to elongate nerves and arteries. We examined the effects of acute ur...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.245
更新日期:1999-05-01 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:Percutaneous nephrolithotomy (PNL) is established in urology practice with routine use of fluoroscopic guidance. Herein, we retrospectively evaluated the potential factors affecting the fluoroscopic screening time (FST) during PNL. MATERIALS AND METHODS:A total of 282 patients with documented FST in detail dur...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0256
更新日期:2009-11-01 00:00:00
abstract::Endoscopic treatment of upper-tract transitional-cell carcinoma (TCC) is well established. Nevertheless, many patients still required major ablative surgery. We have applied our experience with laparoscopic nephrectomy to the performance of laparoscopic nephroureterectomy in order to make the management of upper-tract...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.139
更新日期:1998-04-01 00:00:00
abstract:: Objective: The aim was to assess a new biodegradable and antireflux intraureteral stent (BraidStent®) design in a swine model after ureteral laparoscopic operation. Materials and Methods: A total of 24 female pigs underwent ini...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0493
更新日期:2020-03-01 00:00:00
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
更新日期:2000-08-01 00:00:00
abstract::Four techniques of intracorporeal lithotripsy are now available: ballistic, ultrasonic, electrohydraulic, and laser. Their therapeutic efficacies have generally been evaluated and compared, but very few data have been available on their relative risks of iatrogenic trauma to the urothelial wall. We conducted a compara...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.293
更新日期:1994-08-01 00:00:00
abstract:BACKGROUND:Cryptorchidism is a common condition in boys. Approximately 20% of undescended testes are nonpalpable and may be located within the abdominal cavity. Given the potential of these gonads for malignant transformation and infertility, it is essential to determine the presence or absence of a nonpalpable testis....
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901750161719
更新日期:2001-04-01 00:00:00
abstract::This study aimed to measure acoustic access to the prostate for extracorporeal ultrasound ablation. Both transabdominal and transperineal approaches were considered. The objective was to measure the size and shape of the aperture available for unobstructed targeting of the prostate. CT images of 17 randomly selected m...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0567
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Holmium:YAG lithotripsy of uric acid calculi produces cyanide. The laser and stone parameters required to produce cyanide are poorly defined. In this study, we tested the hypotheses that cyanide production: (1) varies with holmium:YAG power settings; (2) varies among holmium:YAG, pulsed-dye, and ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.169
更新日期:2000-03-01 00:00:00
abstract:PURPOSE:To compare blind access and totally tubeless percutaneous antegrade removal and pneumatic transurethral ureterolithotripsy for the management of impacted upper-ureteral calculi >1 cm. PATIENTS AND METHODS:Seventy patients (41 male, 29 female) with impacted upper-ureteral calculi >1 cm were selected in randomiz...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.20.616
更新日期:2006-09-01 00:00:00
abstract:INTRODUCTION:Traditional techniques for obtaining percutaneous renal access utilize continuous fluoroscopy. In an attempt to minimize radiation exposure, we describe a novel laser direct alignment radiation reduction technique (DARRT) for percutaneous access and test it in a bench-top model. METHODS:In this randomized...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2016.0170
更新日期:2016-11-01 00:00:00