Current status of robotic partial nephrectomy.

Abstract:

PURPOSE OF REVIEW:In recent years, robotic partial nephrectomy has emerged as a technique for treatment of small renal masses alongside laparoscopic and open partial nephrectomy. Since this technique is still in a phase of adoption, many technical improvements, alterations and early experiences are published. We aim to review the recent literature, focus on recent advances in techniques and give an overview of published series. RECENT FINDINGS:Recent series confirm the feasibility of robotic partial nephrectomy and demonstrate perioperative data and short-term oncological outcomes that are at least comparable to laparoscopic series. The development of better renorrhaphy techniques and optimal use of the robotic features to gain console surgeon independence seem to be the main focus. Also alternative hilar control, early unclamping and off-clamp techniques are being developed to lower the ischaemic effect on the kidney. The learning curve seems to be less steep than laparoscopic techniques. CONCLUSION:Robotic partial nephrectomy proves to be a well tolerated and efficacious minimally invasive option in the treatment of renal lesions. Main areas of interest are decreasing warm ischaemia time and modified renal closure techniques.

journal_name

Curr Opin Urol

authors

Van Haute W,Gavazzi A,Dasgupta P

doi

10.1097/MOU.0b013e32833c7af0

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

371-4

issue

5

eissn

0963-0643

issn

1473-6586

journal_volume

20

pub_type

杂志文章,评审
  • New concepts in regenerative medicine approaches to the treatment of female stress urinary incontinence.

    abstract:PURPOSE OF REVIEW:Update on recent regenerative medicine approaches to the treatment of stress urinary incontinence (SUI) caused by intrinsic sphincter deficiency (ISD). RECENT FINDINGS:In the treatment of female SUI/ISD, results using different types of cellular therapy have been disappointing, and new approaches are...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/MOU.0000000000000617

    authors: Bennington J,Williams JK,Andersson KE

    更新日期:2019-07-01 00:00:00

  • Optimizing safety and accuracy of prostate biopsy.

    abstract:PURPOSE OF REVIEW:The objective of this article is to examine the safety of prostate biopsy and discuss the emerging role of MRI-ultrasound fusion technology in improving diagnostic accuracy. RECENT FINDINGS:Men undergoing prostate biopsy frequently experience minor complications, including hematospermia, hematuria, a...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000310

    authors: Jones TA,Radtke JP,Hadaschik B,Marks LS

    更新日期:2016-09-01 00:00:00

  • Robotic assisted simple prostatectomy: recent advances.

    abstract:PURPOSE OF REVIEW:Robotic assisted simple prostatectomy (RASP) represents a minimally invasive evolution of traditional open simple prostatectomy for the surgical treatment of severe lower urinary tract symptoms (LUTS) because of benign prostatic enlargement (BPE). Aim of the present review is to summarize the most rec...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000499

    authors: Vince R,Hampton LJ,Vartolomei MD,Shariat SF,Porpiglia F,Autorino R

    更新日期:2018-05-01 00:00:00

  • Minimally invasive pediatric nephrectomy.

    abstract:PURPOSE OF REVIEW:Since the first laparoscopic pediatric nephrectomy was performed in 1992, many articles have reported the feasibility of minimally invasive nephrectomy, heminephrectomy, and nephroureterectomy in children. This article reviews the literature related to minimally invasive nephrectomy, including robot-a...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000172404.77514.9c

    authors: Harrell WB,Snow BW

    更新日期:2005-07-01 00:00:00

  • Transurethral resection of the prostate revisited and updated.

    abstract:PURPOSE OF REVIEW:Electrosurgical transurethral resection (TUR) of the prostate (TURP) has dominated symptomatic benign prostatic hyperplasia (s-BPH) surgical treatment for almost a century. We analysed recent TURP publications, with emphasis on durability, morbidity, new technology advantages, future generation traini...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3283411455

    authors: Smith RD,Patel A

    更新日期:2011-01-01 00:00:00

  • Advancements in staging and imaging for penile cancer.

    abstract:PURPOSE OF REVIEW:We review recent advancements in staging and imaging of penile cancer, including surveillance after therapy. RECENT FINDINGS:For cN0 patients, the sentinel lymph node biopsy is currently considered the preferred way for invasive staging. It has largely replaced other modalities such as staging inguin...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000447

    authors: Ottenhof SR,Leone AR,Horenblas S,Spiess PE,Vegt E

    更新日期:2017-11-01 00:00:00

  • Clinical decision-making for immunotherapy in metastatic renal cell carcinoma.

    abstract:PURPOSE OF REVIEW:To review the treatment options in metastatic renal cell carcinoma (mRCC) in the light of new immunotherapy results. RECENT FINDINGS:Second-line treatment strategies for treatment of mRCC after progression on first-line VEGF-targeted therapy have recently undergone a major change. Treatment guideline...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000456

    authors: Schmidinger M

    更新日期:2018-01-01 00:00:00

  • Is robotic sacrocolpopexy a marketing gimmick or a technological advancement?

    abstract:PURPOSE OF REVIEW:Robot-assisted laparoscopic sacrocolpopexy (RALS) is a new surgical technique for the treatment of symptomatic vaginal vault prolapse that is rapidly gaining popularity among both urologists and gynecologists. This article will summarize the available published data to assess the potential advantages ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32833aaa2b

    authors: Kim JH,Anger JT

    更新日期:2010-07-01 00:00:00

  • The devastated bladder outlet: treatment options.

    abstract:PURPOSE OF REVIEW:The purpose of this study is to review and discuss recently published studies of therapeutic options in cases with the combination of severe sphincteric damage and recurrent stricture of the bladder neck or anastomosis in patients with postradical prostatectomy. RECENT FINDINGS:Recent focus has been ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000185

    authors: Riedmiller H,Kocot A

    更新日期:2015-07-01 00:00:00

  • Should we train urologists in female urology? A European view.

    abstract:PURPOSE OF REVIEW:Training in female urology in Europe so far has been a national focus of individual European countries. Because of reasons like differentiation in pathology, activities of other specialisms like gynaecology and reimbursement issues, the way in which extra training in female urology is organized varies...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32832ae1a4

    authors: Heesakkers JP,Costantini E,Oelke M

    更新日期:2009-07-01 00:00:00

  • Role of robot-assisted surgery for bladder cancer.

    abstract:PURPOSE OF REVIEW:To review the developments and current status of robot-assisted radical cystectomy (RARC) with pelvic lymphadenectomy (PLND) and urinary diversion for the treatment of bladder cancer. RECENT FINDINGS:RARC is growing steadily in 2008, and it is superseding pure laparoscopic radical cystectomy (LRC) at...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32831c50b4

    authors: Hemal AK

    更新日期:2009-01-01 00:00:00

  • Adolescent varicocele.

    abstract:PURPOSE OF REVIEW:Adolescent varicocele is a common lesion which remains poorly understood. Recent research in pathophysiology and surgical management has shed new light on this increasingly diagnosed clinical entity. RECENT FINDINGS:Recent research demonstrates the potential importance of heat and oxidative stress pa...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3281ddb30c

    authors: Diamond DA

    更新日期:2007-07-01 00:00:00

  • Current status of tissue engineering in urology.

    abstract:PURPOSE OF REVIEW:Tissue engineering is a rapidly advancing technology that is shifting from the laboratory to urological practice. The review explores recent developments and considers the relationship to existing treatments. RECENT FINDINGS:Different strategies to generate transplantable tissue grafts in vitro and h...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32830f9402

    authors: Wood D,Southgate J

    更新日期:2008-11-01 00:00:00

  • Virtual endoscopy in urology.

    abstract::Recent years have seen notable advances in virtual reality technology and increased interest in potential medical applications. Computed tomography and magnetic resonance imaging data sets, historically viewed as axial images, may now be used to construct a virtual reality endoscopic image, and navigator software syst...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200103000-00010

    authors: Allan JD,Tolley DA

    更新日期:2001-03-01 00:00:00

  • Novel focal therapy treatment options for prostate cancer.

    abstract:PURPOSE OF REVIEW:Examine and discuss novel focal therapy treatment options for prostate cancer. RECENT FINDINGS:With the widespread adoption of mpMRI-guided biopsies for prostate cancer, use of image-guided treatment of prostate cancer has increased. Focal therapies leading to partial gland ablation such as partial p...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000469

    authors: Werntz RP,Eggener SE

    更新日期:2018-03-01 00:00:00

  • Predictive factors for recurrence progression and cancer specific survival in high-risk bladder cancer.

    abstract:PURPOSE OF REVIEW:Despite standard treatment with transurethral resection (TUR) and adjuvant Bacillus Calmette-Guérin (BCG), a large percentage of high-risk bladder cancer (HRBC) recur, and some progress. On the basis of review of the current guidelines and literature, we have developed actualized clinical and molecula...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328356ac20

    authors: Rodríguez Faba O,Palou J

    更新日期:2012-09-01 00:00:00

  • Improving quality through clinical registries in urology.

    abstract:PURPOSE OF REVIEW:In this review, we highlight the use of clinical registries for quality improvement and research purposes in urology. We focus on national and regional clinical database registries, such as the National Surgical Quality Improvement Programme, the Cancer of the Prostate Strategic Urologic Research Ende...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000406

    authors: Tyson MD,Barocas DA

    更新日期:2017-07-01 00:00:00

  • Contemporary management of urethral trauma and the post-traumatic stricture.

    abstract::This review discusses the contemporary management of urethral trauma and post-traumatic urethral strictures occurring in both the anterior and posterior urethra. Experience in the full spectrum of urethral reconstructive procedures is important. The initial management of patients relies upon adequate drainage of the b...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-199905000-00011

    authors: Chapple CR,Png D

    更新日期:1999-05-01 00:00:00

  • Neurogenic voiding dysfunction.

    abstract:PURPOSE OF REVIEW:This review aims to analyze and discuss all recently published articles associated with neurogenic voiding discussion providing readers with the most updated knowledge and trigger for further research. RECENT FINDINGS:They include the proposal of a novel classification system for the pathophysiology ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0000000000000392

    authors: Georgopoulos P,Apostolidis A

    更新日期:2017-05-01 00:00:00

  • The utility of 5-alpha reductase inhibitors in the prevention and diagnosis of prostate cancer.

    abstract:PURPOSE OF REVIEW:We examine the role of 5-alpha reductase inhibitors in prevention and diagnosis of prostate cancer, highlight the basic science supporting this role, and analyze the phase III clinical trials addressing the association between 5-alpha reductase inhibitor use and prostate cancer. RECENT FINDINGS:To da...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328329eb29

    authors: Reed AB,Parekh DJ

    更新日期:2009-05-01 00:00:00

  • Predicting cancer-control outcomes in patients with renal cell carcinoma.

    abstract:PURPOSE OF REVIEW:Several novel treatment modalities have been introduced for patients across all renal cell carcinoma stages. Observation or a variety of minimally invasive approaches can be applied to small renal masses. Conversely, aggressive loco-regional resections may be performed for locally advanced disease. Cy...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e3282a4a6b7

    authors: Karakiewicz PI,Hutterer GC

    更新日期:2007-09-01 00:00:00

  • Healthcare economics of bladder cancer: cost-enhancing and cost-reducing factors.

    abstract:PURPOSE OF REVIEW:The diagnosis and treatment of bladder cancer represents a significant financial burden to the population in the United States. Therapeutic advances in bladder cancer care have come at a high cost to payers, providers, and patients. This study describes the principals of cost-effectiveness evaluation ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32830b8910

    authors: Noyes K,Singer EA,Messing EM

    更新日期:2008-09-01 00:00:00

  • Should cystectomy only be performed at high-volume hospitals by high-volume surgeons?

    abstract:PURPOSE OF REVIEW:Monitoring and improving the quality of healthcare is an evolving process that involves patients, physicians, and healthcare purchasers. Growing interest is seen in addressing quality concerns with policy changes. Surgeon and hospital volumes for specific high-risk procedures have been shown to be pre...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/01.mou.0000240307.85829.7a

    authors: Black PC,Brown GA,Dinney CP

    更新日期:2006-09-01 00:00:00

  • Salvage therapeutic strategies for bacillus Calmette-Guerin failure.

    abstract:PURPOSE OF REVIEW:To give an overview of current options for conservative treatment of patients failing intravesical bacillus Calmette-Guerin (BCG) and to discuss emerging approaches with potential future clinical applications. RECENT FINDINGS:Radical cystectomy is the standard-of-care for patients failing BCG therapy...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/MOU.0000000000000593

    authors: Hassler MR,Shariat SF,Soria F

    更新日期:2019-05-01 00:00:00

  • Risk prediction in the management of small renal masses.

    abstract:PURPOSE OF REVIEW:Small renal masses (SRMs) are frequently encountered due to the ubiquitous use of abdominal cross-sectional imaging. Enhanced risk prediction in the management of SRMs would allow for a more informed decision of which, if any, patients would benefit from the available intervention modalities. RECENT ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328355ede9

    authors: Bagrodia A,Darwish OM,Rapoport Y,Margulis V

    更新日期:2012-09-01 00:00:00

  • Urodynamic assessment of patients with stress incontinence: how effective are urethral pressure profilometry and abdominal leak point pressures at case selection and predicting outcome?

    abstract:PURPOSE OF REVIEW:Disagreement exists as to the extent of evaluation required prior to offering surgical intervention for the treatment of stress urinary incontinence in women. While few would argue that additional information can be gleaned from a properly performed urodynamic investigation, it remains unclear exactly...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200411000-00002

    authors: Lemack GE

    更新日期:2004-11-01 00:00:00

  • Male incontinence surgery in the 21st century: past, present, and future.

    abstract:PURPOSE OF REVIEW:Surgery is the mainstay for treating postprostatectomy stress urinary incontinence. Although the artificial urinary sphincter (AUS) remains a popular treatment option, a decade worth of innovations have expanded the role of male sling surgery. RECENT FINDINGS:AUS surgery has an approximately 80-85% s...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e328339b795

    authors: Comiter CV

    更新日期:2010-07-01 00:00:00

  • Renal magnetic resonance angiography: an update.

    abstract::Recent developments in renal magnetic resonance angiography have led to a significant improvement in the technical success rate and diagnostic accuracy of the methods. Specifically, three-dimensional contrast-enhanced magnetic resonance angiography methods have been shown to provide a more reliable depiction of renal ...

    journal_title:Current opinion in urology

    pub_type: 杂志文章

    doi:10.1097/00042307-199803000-00006

    authors: Grist TM

    更新日期:1998-03-01 00:00:00

  • Update on hormone-refractory prostate cancer.

    abstract:PURPOSE OF REVIEW:Androgen deprivation therapy is the cornerstone treatment for men with de novo or recurrent metastatic prostate cancer. Unfortunately, androgen deprivation therapy is primarily palliative, with nearly all men progressing to an androgen-independent state. Hormone-refractory prostate cancer presents sig...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/00042307-200405000-00008

    authors: Kasamon KM,Dawson NA

    更新日期:2004-05-01 00:00:00

  • Cytoreductive nephrectomy in metastatic renal cell carcinoma.

    abstract:PURPOSE OF REVIEW:Cytoreductive nephrectomy has an established role in management of metastatic renal cell carcinoma when performed in properly selected patients prior to administration of systemic cytokine therapy. Within the past several years, novel molecular targeted agents have not only revolutionized management o...

    journal_title:Current opinion in urology

    pub_type: 杂志文章,评审

    doi:10.1097/MOU.0b013e32830a4f21

    authors: Margulis V,Matin SF,Wood CG

    更新日期:2008-09-01 00:00:00