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 January 2012, off-clamp RAPN was performed on 47 tumors in 39 patients. WIT was 0 minutes in all cases. The mean operative time was 147 minutes (SD=58); the mean and median estimated blood loss were 219 mL (SD=253) and 150 mL (range 50-1500), respectively; the mean length of stay was 1.9 days (SD=1.1). There were no intraoperative complications, and results for all surgical margins were negative. In experienced hands, our off-clamp technique for RAPN is a safe and feasible technique that eliminates WIT.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Sandhu GS,Kim EH,Tanagho YS,Bhayani SB,Figenshau RSdoi
10.1089/end.2012.0170subject
Has Abstractpub_date
2013-01-01 00:00:00pages
4-7issue
1eissn
0892-7790issn
1557-900Xjournal_volume
27pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:Robot-assisted partial nephrectomy has emerged as a viable surgical treatment for patients with certain renal tumors. We hypothesized that extirpation of more complex tumors, as graded with the nephrometry score, would result in worse operative and postoperative outcomes when compared with tumors...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0003
更新日期:2011-10-01 00:00:00
abstract:PURPOSE:To analyze the early outcome after single tract vs multiple tracts percutaneous nephrolithotomy (PCNL) in the management of staghorn calculi. PATIENTS AND METHODS:The records of 413 patients with staghorn calculi (223 [54%] had complete and 190 [46%] had partial) who underwent PCNL were reviewed retrospectivel...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0456
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:Among patients with renal insufficiency secondary to autosomal dominant polycystic kidney disease (ADPKD), the onset of refractory urinary infection, hypertension, pain, or hematuria often necessitates a nephrectomy. However, the huge size of these kidneys makes a standard laparoscopic approach difficult, an...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/089277904323056942
更新日期:2004-05-01 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:Published outcomes of pelvic lymph node dissection (PLND) during robot-assisted laparoscopic prostatectomy (RALP) demonstrate significant variability. The purpose of the study was to compare PLND outcomes in patients at risk for lymph node involvement (LNI) who were undergoing radical prostatecto...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0266
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:No literature exists examining the risk factors for failure after robot-assisted laparoscopic pyeloplasty for ureteropelvic junction obstruction (UPJO) in children. The goal of this study was to compare the success of robot-assisted pyeloplasty between UPJO kidneys with preoperative renal functio...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0876
更新日期:2015-08-01 00:00:00
abstract:: Objectives: To evaluate the outcomes of robot-assisted partial nephrectomy (RAPN) in cystic renal tumors. Materials and Methods: We retrospectively analyzed patients who underwent RAPN for either cystic (n = 46) or solid (n = 2...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0994
更新日期:2021-01-06 00:00:00
abstract:PURPOSE:In this study, we tried to design a scheme for performing transrectal ultrasonographic (TRUS)-biopsies that would be accurate and include the optimal number of cores. PATIENTS AND METHODS:We included in this study 600 consecutive patients with suspicious findings on a per-rectum examination and/or an elevated ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2008.0260
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVES:To evaluate the ex vivo accuracy of an MRI-TRUS fusion device for guiding targeted prostate biopsies, to identify the origin of errors, and to evaluate the likelihood that lesions can be accurately targeted. MATERIALS AND METHODS:Three prostate phantoms were used to perform 27 biopsies using transperineal M...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0864
更新日期:2016-06-01 00:00:00
abstract:PURPOSE:GreenLight HPS™ laser photoselective vaporization prostatectomy (PVP) is a treatment option for lower urinary tract symptoms secondary to benign prostatic hyperplasia. We review our experience using the 120 W GreenLight HPS laser system. MATERIALS AND METHODS:We prospectively evaluated our experience with Gree...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2010.0512
更新日期:2011-06-01 00:00:00
abstract:: Purpose: Photoselective vaporization of the prostate (PVP) with a 940-nm diode laser is an option for treating symptoms caused by benign prostatic hyperplasia (BPH). Here, we present our experience using this technology. Methods: ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0311
更新日期:2019-12-01 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:OBJECTIVE:The objective was to provide urologists with a simple basis for optimizing the number of prostate biopsy cores that should be taken. METHODS:The records of 1024 patients who had undergone transrectal ultrasound-guided biopsies were reviewed. The prostate volume was divided by the number of biopsies to obtain...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0285
更新日期:2010-01-01 00:00:00
abstract::A new tip design of a 3.3F electrohydraulic probe for endoureteral lithotripsy was evaluated in comparison to a regular probe. The peak pressure, as well as the slope of the shock front, depend solely on the voltage. Increasing the capacity leads merely to broader pulses. A laser-like short high-pressure pulse has a g...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.35
更新日期:1993-02-01 00:00:00
abstract:PURPOSE:To construct, train, and apply an artificial neural network (ANN) system for prediction of different outcome variables of percutaneous nephrolithotomy (PCNL). We calculated predictive accuracy, sensitivity, and precision for each outcome variable. METHODS:During the study period, all adult patients who underwe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0791
更新日期:2017-05-01 00:00:00
abstract::A 55-year-old man had a solid tumor in the right part of a horseshoe kidney. He had previously undergone open cholecystectomy and appendectomy with panperitonitis. Retroperitoneoscopic nephrectomy was performed, with rapid recovery and good short-term results. This appears to be the first case of endoscopic surgery on...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903772036253
更新日期:2003-12-01 00:00:00
abstract::Ureteral stents find wide application in urology. The majority of patients with indwelling ureteral stents are at an increased risk of urinary tract infection. Stent encrustation and its associated complications lead to significant morbidity. This review critically evaluates various polymers that find their applicatio...
journal_title:Journal of endourology
pub_type: 历史文章,杂志文章,评审
doi:10.1089/end.2009.0516
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The treatment of cystine stones is a clinical problem. This in vitro study was performed to establish an experimental system that enables standardized and reproducible investigations on chemolysis of cystine stones to look for an improvement of dissolution strategies. MATERIALS AND METHODS:Artif...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.451
更新日期:2000-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:A variety of ureteroscopic irrigation systems are available, ranging from gravity-driven pressure bags to hand-operated pumps. Endoscopic valves maintain a watertight seal during ureteroscopy (URS) while facilitating passage of instruments. The clinical utility and ergonomics of such devices have...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0891
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the effects on the potency of a bilateral cavernosal nerve-sparing approach to robot-assisted radical cystectomy (RARC) in a preoperatively potent population. PATIENTS AND METHODS:We conducted a retrospective review of 254 patients who underwent RARC between 2003 and 2012 at our single institutio...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0315
更新日期:2014-11-01 00:00:00
abstract:: Objective: To assess the effectiveness of laser lithotripsy in different holmium:yttrium aluminum garnet (Ho-YAG) laser settings with a wide range of energies, frequencies, and power. Materials and Methods: Two types of phantom...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0370
更新日期:2019-10-01 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:PURPOSE:To present our initial experience with single-port laparoscopic urologic surgery via the retroperitoneal approach using the Alexis wound retractor with flexible laparoscopic instrumentation. PATIENTS AND METHODS:Since December 2008, 14 patients have undergone single-port laparoscopic surgery for various urolog...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0254
更新日期:2009-11-01 00:00:00
abstract:PURPOSE:To review the outcome of transperitoneal laparoscopic dismembered pyeloplasty (LDP) in our institution. PATIENTS AND METHODS:From April 2001 to April 2005, 36 men and 34 women underwent LDP for symptomatic and radiologically proved ureteropelvic junction (UPJ) obstruction. A successful outcome was defined clin...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.1050
更新日期:2006-12-01 00:00:00
abstract::It seems likely, and indeed inevitable, that medical device usage will continue its rapid increase over the next 10 to 20 years and beyond. For surgeons, these new inventions will come in many forms but should take into account biocompatibility and resistance to encrustations and to microorganisms. This review focuses...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1999.13.1
更新日期:1999-02-01 00:00:00
abstract:INTRODUCTION:A "Negative" ureteroscopy (URS) is defined as a URS in which no stone is found during the procedure. It may occur when the stone has already been passed spontaneously or when it is located outside the collecting system. The aim of the study was to outline risk factors for Negative-URS. MATERIALS AND METHO...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0291
更新日期:2018-09-12 00:00:00
abstract:BACKGROUND AND PURPOSE:Renal cysts are common in the adult population. Symptomatic cysts traditionally have been treated by percutaneous aspiration with injection of sclerosant agents. Our aim was to compare the efficacy and side effects of ethanol and sodium tetradecyl sulfate (STDS) as sclerosants for symptomatic sim...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.0462
更新日期:2007-08-01 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:PURPOSE:We developed a genitourinary skills training (GUST) curriculum for incoming third year medical students (MS3) and performed a follow-up study of comfort with and utilization of these skills. MATERIALS AND METHODS:GUST consisted of a didactic lecture followed by skills sessions including standardized patient te...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0284
更新日期:2012-10-01 00:00:00
abstract:PURPOSE:To compare the effectiveness and efficacy of laparoscopic transperitoneal adrenalectomy (LTA) with those of open adrenalectomy (OA) in patients with pheochromocytoma. PATIENTS AND METHODS:Among 24 patients (13 male, 11 female) who underwent surgical removal of pheochromocytoma, LTA and OA were performed in 15 ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277904773582859
更新日期:2004-04-01 00:00:00