Abstract:
PURPOSE:To investigate a modified laparoscopic retroperitoneal lymph node dissection technique using an extraperitoneal approach and to evaluate its feasibility. PATIENTS AND METHODS:A group of consecutive patients from a single institution underwent extraperitoneal laparoscopic retroperitoneal lymph node dissection (EL-RLND) at weeks after orchiectomy for primary testicular nonseminomatous germ cell tumors (NSGCT). All patients were placed in the supine position and tilted up 15 degrees on the affected side. Four trocars were introduced. The templates of lymph node dissection conformed to those of Weissbach and Boedefeld. RESULTS:EL-RLND was successfully performed in 15 patients (left, 6 patients; right, 9 patients). The mean total operative time for the entire series was 164 ± 49 minutes. The mean blood loss was 118 ± 74 mL. One intraoperative complication was injury of the vena cava, which occurred in one patient. Ureteral obstruction occurred in another patient. The mean postoperative intestinal function recovery time was 2 days. The mean postoperative hospitalization was 5.5 ± 1.1 days. Normal antegrade ejaculation was preserved in all patients. Pathologic studies revealed positive lymph nodes in three (20%) patients. No recurrence or distant metastasis occurred during 2 to 32 months of follow-up. CONCLUSIONS:EL-RLND is a safe and feasible procedure using an improved extraperitoneal approach that provides minimal invasion and rapid recovery of patients.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Qin C,Shao P,Meng X,Li P,Cao Q,Lv Q,Li J,Ju X,Wang M,Zhang Z,Gu M,Zhang W,Yin Cdoi
10.1089/end.2011.0545subject
Has Abstractpub_date
2012-09-01 00:00:00pages
1203-9issue
9eissn
0892-7790issn
1557-900Xjournal_volume
26pub_type
杂志文章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
更新日期:2018-06-01 00:00:00
abstract::The tissue effects of a laser are responsible for the therapeutic value as well as the potential for complications. Within certain constraints, the type and depth of energy effect can be controlled by the selection of the wavelength as well as of appropriate energy parameters. In a clinical endoscopic setting, however...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1993.7.389
更新日期:1993-10-01 00:00:00
abstract::The identification of calcium-binding proteins in urine and kidney stones has led to a closer look at the role of matrix proteins in urolithiasis. We analyzed five struvite stones for protein content and identified two bands (8 and 14 KDa) that were confirmed by gel electrophoresis and amino acid sequencing to be calg...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.95
更新日期:1994-04-01 00:00:00
abstract:PURPOSE:To describe the surgical technique of robot-assisted sacral colpopexy (RASCP) and to assess its feasibility and safety in a high-volume laparoscopic center. PATIENT AND METHODS:12 women with symptomatic urogenital prolapse with or without concomitant urinary stress incontinence were treated with RASCP by one s...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2010.0160
更新日期:2010-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Percutaneous nephrolithotomy for staghorn calculi is reported to have a residual stone rate of 28%, while shockwave lithotripsy alone results in residual stones in approximately 50% of cases. Combination therapy, sandwich therapy, and multiple percutaneous accesses have also been advocated for st...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277902760367430
更新日期:2002-09-01 00:00:00
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
更新日期:2006-09-01 00:00:00
abstract:PURPOSE:To determine the effect of cryoablation on the collecting system in the porcine kidney and the possible development of pelvic injury or fistula. MATERIALS AND METHODS:Six kidneys from three domestic swine were utilized. Under MRI guidance, a 3-mm cryoprobe was placed percutaneously and advanced to a point adja...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903321196779
更新日期:2003-02-01 00:00:00
abstract::Bisphosphonates bind renal calculi and inhibit calcium oxalate crystal growth in vitro. We evaluated their ability to inhibit calcium oxalate urolithiasis in a lithogenic rat model. Male Sprague-Dawley rats (four groups, eight rats each) were fed 1.0% ethylene glycol in their drinking water for 6 weeks. All rats had i...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.1
更新日期:1997-02-01 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::Vesicoureteral reflux (VUR) in the animal model for experimental purposes can be created either by open transvesical or endoscopic techniques. The concept of reflux creation is the same for both techniques: incision of the roof of the intramural portion of the ureter at the 12 o'clock position. The open method has the...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.41
更新日期:1998-02-01 00:00:00
abstract:: Aims: To investigate whether spinal anesthesia with an obturator nerve block (SA+ONB) can be effectively used for transurethral resection of bladder tumor (TURBT) during the coronavirus disease 2019 (COVID-19) pandemic to improve patient outcomes while also avoiding aeroso...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.1054
更新日期:2020-12-22 00:00:00
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
更新日期:2010-12-01 00:00:00
abstract:PURPOSE:Laparoscopic surgery for large renal lesion or kidneys with chronic inflammation has proved to be technically challenging. Hand-assisted laparoscopic surgery might be useful in these complex cases, as it provides surgeons the benefits of tactile feedback, digital retraction, and facilitated dissection of the re...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.770
更新日期:2004-10-01 00:00:00
abstract::In current clinical practice, lidocaine gel is widely used as a local anesthetic lubricant before various forms of transurethral instrumentation. Over the past few years, the value of local anesthesia during urethral catheterization and flexible or rigid cystoscopy has been questioned. Strong data are lacking, and the...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2008.0650
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Despite the frequency at which urologists endoscopically estimate lesion size, their accuracy has not been established. Our objectives were to determine the accuracy of cystoscopic and ureteroscopic estimates of lesion size using in vitro models of the urinary tract and to assess potential impact...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2013.0214
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Current guidelines recommend routine second transurethral resection (TUR) for accurate diagnosis and to prevent understaging of muscle-invasive bladder cancer. We evaluated the diagnostic accuracy of immediate second resection of the tumor bed during initial TUR and its prognostic significance. ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2011.0576
更新日期:2012-08-01 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:PURPOSE:To assess the accuracy of prostate histoscanning (PHS) for spatial detection and localization of prostate cancer (PCa). PATIENTS AND METHODS:Prospective, single center study from January to September 2012 was conducted. Inclusion criterion was biopsy confirmed PCa in patients scheduled for radical prostatectom...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0419
更新日期:2014-03-01 00:00:00
abstract:: Objectives: To describe our surgical technique of robotic ureteroileal reimplantation (RUIR) for ureteroileal anastomosis strictures with the use of near-infrared fluorescence imaging (NIFI) after transnephrostomic antegrade injection of indocyanine green in patients previ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0376
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Percutaneous nephrolithotomy (PCNL) requires the urologist to have detailed knowledge of the stone and its relationship with the renal anatomy. Immersive virtual reality (iVR) provides patient-specific three-dimensional models that might be beneficial in this regard. Our objective is to present the initial e...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0626
更新日期:2019-04-01 00:00:00
abstract:PURPOSE:The aim of this study is to validate a training model that combines the use of nonbiologic and biologic simulators as well as live porcine animal model in endoscopic retrograde intrarenal surgery (RIRS). MATERIALS AND METHODS:A total of 60 urologists took part in this study, and the activity lasted for 2 days....
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0421
更新日期:2015-11-01 00:00:00
abstract:PURPOSE:Partial nephrectomy has been established as a standard of care for T(1a) renal tumors. Laparoscopic partial nephrectomy (LPN) has been described as more difficult to perform than open partial nephrectomy (OPN). We compare our series of LPN and OPN. PATIENTS AND METHODS:From October 2002 to January 2006, 76 LPN...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0300
更新日期:2008-05-01 00:00:00
abstract:: Objectives: Malignant ureteral obstruction (MUO) is a devastating complication of cancer, and it is commonly treated by drainage via percutaneous nephrostomy (PCN). The objective of this study was to determine the efficacy, safety, and functional outcome of tandem ureteral...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0685
更新日期:2020-02-01 00:00:00
abstract:: Objective: To evaluate the safety of irreversible electroporation (IRE) for renal ablation adjacent to the ureter or bowel. Materials and Methods: Six adult pigs each underwent bilateral IRE of the kidney. To simulate adjacence...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0856
更新日期:2020-12-17 00:00:00
abstract:BACKGROUND AND PURPOSE:The use of flexible ureteroscopy for diagnosis and management of upper urinary tract diseases is limited both by loss of maximum active deflection through the inserted working probes and a high frequency of damage with consequent costs. A newly developed ureteroscope (Flex-X, Karl Storz) with a m...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.0291
更新日期:2007-12-01 00:00:00
abstract::We describe flexible ureteroscopy-directed retrograde nephrostomy access using a puncture wire to achieve renal access. This is a natural extension of modern retrograde intrarenal surgical techniques and a modernization of the original Lawson technique for retrograde nephrostomy tract creation. In appropriately select...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0160
更新日期:2012-10-01 00:00:00
abstract:PURPOSE:To determine whether day-case surgery (DS) laparoscopic pyeloplasty (LP) is feasible and safe. PATIENTS AND METHODS:Thirty-two consecutive patients, planned for DS LP between March 2006 and January 2010 at a single urologic center, were enrolled in this retrospective observational study. Every patient underwen...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0486
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Renal artery aneurysm (RAA) is an infrequently seen disease entity but one with the potential for significant morbidity and mortality. Complications related to RAA include pain, hematuria, hypertension, and, rarely, rupture. Management is often based on symptomatology or, if symptoms are not pres...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0338
更新日期:2010-01-01 00:00:00
abstract:AIM AND BACKGROUND:Posttransplant vesicoureteral reflux (VUR) is a common urologic complication after renal transplantation, although its management is controversial. The treatment of choice is open surgical revision ureteral reimplantation with significant morbidity. Recently, endoscopic correction by using nonanimal ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0219
更新日期:2010-10-01 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