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 of the disposable instruments. We present our experience of laparoscopic radical nephrectomy with cost-reductive techniques. MATERIAL AND METHODS:From 1998 to 2008, 141 patients undergoing cost-reductive LRN using minimal disposable equipment for clinically localized renal tumors were included in the study. Clinical data, including operative and postoperative management and follow-up, were recorded and analyzed statistically. RESULTS:The transperitoneal and retroperitoneal laparoscopic techniques were performed in 46.8% and 53.2 %, respectively. Overall, the mean operative time was 139.5 min, mean estimated blood loss was 192.3 mL, mean analgesic requirement was 12.69 mg morphine equivalent, and mean hospital stay was 3.6 days. There were eight conversions to open surgery. There were 10 major and 12 minor complications with no deaths. Mean follow-up was 54.2 months with no local recurrence. There were 17 distal recurrences with no port site metastasis. The cost of LRN, using the cost-reductive techniques, was reduced by approximately US $1,900 per case. CONCLUSIONS:Cost-reductive LRN is feasible for the management of clinically localized renal tumors. It provides all the advantages of laparoscopy and can be performed with minimal additional cost, making it more acceptable to the patients, especially in developing countries.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Kumar A,Gupta NP,Hemal AKdoi
10.1089/end.2008.0235subject
Has Abstractpub_date
2009-03-01 00:00:00pages
445-9issue
3eissn
0892-7790issn
1557-900Xjournal_volume
23pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:In most cases, analgesia is required for extracorporeal shockwave lithotripsy (SWL) treatment. Commonly, a combination of a sedative and a synthetic opioid is used, with a wide range of undesirable side effects. To provide an alternative analgesic especially for outpatients, we performed a prospe...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2004.18.634
更新日期:2004-09-01 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:BACKGROUND AND PURPOSE:The efficacy of computed tomography (CT) in detailing upper urinary tract calculi is well established. There is no established acceptable annual recommended limit for medical exposure, yet the global accepted upper limit for occupational radiation exposure is <50 millisieverts (mSv) in any one ye...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0695
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The centrality-index (C-Index), preoperative aspects and dimensions used for anatomic (P.A.D.U.A.) classification, and radius.exophyic/endophytic.nearness.anterior/posterior.location (R.E.N.A.L.) nephrometry schemes were developed as standardized scoring systems (SS) to quantify anatomic characte...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0301
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There have been several reports of rhabdomyolysis occurring after prolonged laparoscopic procedures in the flank position. Accordingly, we evaluated interface pressures between the skin and three commonly used operating room table surfaces. The aim of our study was to determine if pressure change...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0047
更新日期:2008-06-01 00:00:00
abstract:INTRODUCTION:Previous robot-assisted partial nephrectomy (RAPN) studies have identified various predictors of overall and major postoperative complications, but few have evaluated the specific role of these factors in the development of medical and surgical complications. In this study, we present an analysis of the mo...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0217
更新日期:2017-03-01 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:Balloon dilation potentially represents a safer and simpler technique for the treatment of ureteropelvic junction (UPJ) obstruction and ureteral strictures. Using a porcine model, we sought to establish the optimal balloon size for endoballoon rupture of the UPJ and ureter. MATERIALS AND METHODS:The efficacy o...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901753284170
更新日期:2001-11-01 00:00:00
abstract:PURPOSE:We compared experimental renal lesions created with temperature-based or impedance-based radiofrequency (RF) generators using normal renal parenchyma in an animal model with protocols recommended by the manufacturer. MATERIALS AND METHODS:Bilateral renal mobilization was completed in seven farm pigs in prepara...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277902753619564
更新日期:2002-03-01 00:00:00
abstract:PURPOSE:We analyzed the results of patients who underwent percutaneous nephrolithotomy (PCNL) for management of kidney stone disease under combined spinal-epidural anesthesia and compared surgical parameters and outcomes with a matched control group who underwent PCNL under general anesthesia. PATIENTS AND METHODS:A t...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0261
更新日期:2009-11-01 00:00:00
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: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::Growing data suggest that lymphadenectomy is a critical component of the surgical management of urologic malignancies with both diagnostic and therapeutic benefit. The increased use of minimally invasive approaches for the management of urologic malignancies may be in conflict with the need for more extensive lymphade...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2009.0562
更新日期:2010-08-01 00:00:00
abstract:: Introduction: Miniaturization of percutaneous nephrolithotomy (mPCNL) was proposed to decrease postoperative bleeding, as there is decreased parenchymal injury compared with standard percutaneous nephrolithotomy (SPCNL). Published randomized controlled trials (RCTs) evalua...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0533
更新日期:2020-10-12 00:00:00
abstract::The recent evolution of actively deflectable, flexible endoscopes has included the flexible cystoscope. Improvements in optics, deflectability, and the size of the outer sheath and working channel have been accomplished. A superior flexible cystoscope is one with an outer sheath of 16F or less and working channel larg...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.527
更新日期:1993-12-01 00:00:00
abstract::Laparoscopy has become the essential surgical approach to the adrenal gland at many institutions, including ours. At the Cleveland Clinic, laparoscopic adrenalectomy for benign and malignant adrenal neoplasms can be performed by either the transperitoneal or the retroperitoneal approach. Herein, we present our techniq...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901750299302
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVE:Preoperative percutaneous nephrostomy (PCN) has been commonly performed for patients with urinary stones complicated with pyelonephritis or obstructive uropathy; in fact, a considerable number of patients undergo ureteroscopic removal of stone (URS) in the presence of a PCN. We assessed the effectiveness of P...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0347
更新日期:2013-10-01 00:00:00
abstract:OBJECTIVES:To assess the prevalence of preoperative anemia and the impact of preoperative anemia and blood transfusion requirement on 30- and 90-day complications in a cohort of patients undergoing robot-assisted radical cystectomy with intracorporeal urinary diversion (iRARC). PATIENTS AND METHODS:IRARC was performed...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0730
更新日期:2017-02-01 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:: Introduction and Objectives: After transurethral prostatectomy, erectile dysfunction and ejaculatory dysfunction are significant concerns for patients. We compared ejaculatory hood-sparing technique in patients who underwent photoselective vaporization of the prostate usin...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0558
更新日期:2020-03-01 00:00:00
abstract:: Aim: We sought to compare the outcomes of patients who underwent an open vs robotic ureteroneocystostomy for ureteral obstruction. Methods: Retrospective review was performed on adult patients who underwent primary ureteroneocy...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0715
更新日期:2020-10-01 00:00:00
abstract::Ureteral stents and nephrostomy tubes have been used extensively in urology. Attendant to their use are their associated morbidities, such as pain, infection, and encrustation. We review the literature on the subject of the encrusted stents and drainage catheters, discuss the risk factors for encrustation, and describ...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2006.0382
更新日期:2008-05-01 00:00:00
abstract:: Objective: The aim of this study was to introduce the "ultrathin parenchyma" resection in a robot-assisted partial nephrectomy (RAPN) via the retroperitoneal approach, and to assess the feasibility, security, and effectiveness of this technique. Me...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0698
更新日期:2020-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Nephroureterectomy (NU) with bladder cuff excision is the gold standard treatment for patients with upper urinary tract urothelial cancer. We report our initial experience with laparoendoscopic single-site plus one port (LESS POP) technique for NU and bladder cuff excision. PATIENTS AND METHODS:...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0735
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Kidney stone disease is rare in the South African black (B) population and more prevalent in the white (W) population. Genetic studies have not previously examined this anomaly. The AGT Pro11Leu polymorphism in the alanine:glyoxylate aminotransferase (AGT) enzyme has been suggested as possibly pl...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0617
更新日期:2014-05-01 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::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:To investigate perioperative outcomes, the learning curve, and 2-year follow-up after transurethral enucleation with bipolar (TUEB) for patients with benign prostatic hyperplasia (BPH). METHODS:From December 2011 to October 2016, 603 consecutive patients underwent TUEB for BPH, performed by a single surgeon...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0092
更新日期:2017-07-01 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
abstract:BACKGROUND AND PURPOSE:In laparoscopy, the term "mirror imaging" is used to describe a visual illusion resulting in paradoxical movements when a surgeon is positioned opposite the laparoscope. Mirror imaging is a common problem, creating difficulty in ergonomics and task performance. We introduce the use of a video ima...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903322145521
更新日期:2003-06-01 00:00:00