Abstract:
BACKGROUND AND PURPOSE:Port-site metastasis (PSM) is a rare complication of laparoscopic intervention in urologic malignancies. Of the greater than 50 reported cases of PSM in the urologic oncology literature, only 9 have occurred after surgery for renal-cell carcinoma (RCC). We report a 10th instance of RCC metastasis-in this case to the camera-port site after robot-assisted partial nephrectomy (RAPN). To our knowledge, this case is the first reported PSM of RCC after RAPN. PATIENT AND METHODS:A 68-year-old man underwent an uncomplicated right RAPN for a 4-cm right renal mass (stage T1aN0M0). Five months later, he was found to have metastatic disease with an isolated peritoneal recurrence at the camera-port site. Biopsy of the lesion confirmed RCC, and the lesion was surgically resected. A comprehensive MEDLINE search for all published studies of port-site recurrences after laparoscopic renal surgery for RCC was performed. RESULTS:Nine cases of PSM after successful laparoscopic radical or partial nephrectomy for locally confined RCC have been reported. Proposed etiologic factors for port-site recurrence include biologic aggressiveness of the tumor, patient immunosuppression, local wound factors, and technique-related factors. We report an unusual case of PSM to a camera port that was not used for specimen manipulation or extraction. CONCLUSION:PSM after laparoscopic renal surgery for RCC is a rare occurrence. Our case, in which PSM occurred without specimen bag rupture or extraction through the port in question, highlights the importance of local and systemic factors in contributing to PSM occurrence. We also demonstrate that when PSM is the only site of disease recurrence, it can be successfully managed with minimally invasive surgical resection.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Song JB,Tanagho YS,Kim EH,Abbosh PH,Vemana G,Figenshau RSdoi
10.1089/end.2012.0533subject
Has Abstractpub_date
2013-06-01 00:00:00pages
732-9issue
6eissn
0892-7790issn
1557-900Xjournal_volume
27pub_type
杂志文章abstract::Technique for apical dissection and control of the dorsal vein complex (DVC) during robot-assisted laparoscopic radical prostatectomy (RALP) affects blood loss, apical positive margins, and recovery of urinary control. Over the past 7 years, our technique for apical dissection has been spurred by the overarching goal ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0415
更新日期:2012-12-01 00:00:00
abstract:PURPOSE:To evaluate the oncologic results of our operative technique, hand-assisted retroperitoneoscopic nephroureterectomy (HRNU), for the treatment of upper-tract urothelial cancer, various perioperative parameters and oncologic outcomes were compared for HRNU and conventional open nephroureterectomy (CONU). PATIENT...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2006.0336
更新日期:2007-06-01 00:00:00
abstract::Laparoscopic nephrolysis was performed in an 81-year-old man with recurrent chyluria. A total of five trocars were used for approaching the lymphatic ducts over the right ureter and renal hilum. The lymphatic ducts identified were easily ligated under laparoscopic magnification. The recovery of this patient was quick ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1995.9.319
更新日期:1995-08-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:We evaluated patients who underwent treatment for prostate cancer and then subsequent robotic radical cystectomy (RARC). Our objective was to understand clinical, pathologic, and survival outcomes in these patients. MATERIALS AND METHODS:A total of 333 male patients underwent RARC with stan...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0627
更新日期:2020-12-02 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:BACKGROUND AND PURPOSE:A unilateral paravertebral (PVB) block with catheter can provide extendable analgesia without physiological changes. The objective of this study was to assess the efficacy of PVB bupivacaine for providing perioperative pain relief in adults undergoing percutaneous nephrolithotomy (PCNL) under gen...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2014.0179
更新日期:2014-09-01 00:00:00
abstract:PURPOSE:To assess the long-term survival and prognostic factors in patients with renal-cell carcinoma (RCC) who were treated with radiofrequency ablation (RFA). PATIENTS AND METHODS:A retrospective review of the records of all patients who underwent RFA of biopsy-proven RCC from February 2006 to December 2010 was perf...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0454
更新日期:2016-01-01 00:00:00
abstract::A trichobezoar with a calculus in the center was diagnosed in a young woman on long-term urethral catheter drainage. Urologists need to be aware of this potentially preventable complication to save patients from significant morbidity. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/0892779041271562
更新日期:2004-06-01 00:00:00
abstract:PURPOSE:Retroperitoneal lymph node dissection is the most sensitive and specific diagnostic modality for detecting occult lymph node metastases in clinical stage I testicular tumor. In stage II disease, residual tumors after chemotherapy have to be removed surgically. To reduce the morbidity of these procedures we have...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901300189538
更新日期:2001-05-01 00:00:00
abstract::To assess the durability of the results of transurethral microwave thermotherapy (TUMT) for symptomatic benign prostatic hyperplasia (BPH), we have reviewed publications describing trials with at least 3 years of follow-up. For men treated only by TUMT, improvement in symptoms and quality of life appears to be maintai...
journal_title:Journal of endourology
pub_type: 杂志文章,meta分析
doi:10.1089/end.2000.14.671
更新日期:2000-10-01 00:00:00
abstract:PURPOSE:To assess the feasibility and report early outcomes of robot-assisted anatrophic nephrolithotomy (RAN) as a treatment modality for patients with complex staghorn calculi. PATIENTS AND METHODS:In this single-center prospective study, seven consecutive patients underwent RAN for complex staghorn calculi. After d...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0597
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:We present the role of the transportal technique of laparoscopy-assisted surgeries.This report highlights the advantages of transportal technique over pure laparoscopic surgeries and laparoscopy-assisted surgeries. PATIENTS AND METHODS:In the last 3 years, we have adopted this approach for six p...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0209
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Since first being described in 1993, laparoscopic pyeloplasty has proven to be less morbid but equally as effective as open pyeloplasty. The technical complexity of the procedure, however, has made it difficult for many surgeons to adopt. The da Vinci robot-assisted laparoscopic pyeloplasty (RP) ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0081
更新日期:2008-06-01 00:00:00
abstract:: Objective: Kidney stone formers are at risk for opioid dependence. The aim of this study is to describe opiate exposure and determine predictors of prolonged opiate use among kidney stone formers after surgery. Materials and Methods: ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0796
更新日期:2019-06-01 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:BACKGROUND AND PURPOSE:Renal function outcomes after renal cryosurgery have not been widely scrutinized. We report 2-year renal function outcomes from a single-center cohort of patients who were treated with cryoablation for small renal masses. METHODS:We performed a retrospective review of our laparoscopic and percut...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0186
更新日期:2010-03-01 00:00:00
abstract::In this review, a simplified straightforward algorithmic approach to the metabolic evaluation and treatment of the at-risk or recurrent urolithiasis patient is provided. Eight diagnoses and eight therapies are provided, which cover over 95% of renal stone disease. ...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2017.0541
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVE:To determine if patients with pathological, medical renal disease, defined as evidence of pathological abnormalities indicative of renal damage in the non-neoplastic partial nephrectomy specimens, have worsened functional outcomes following robot-assisted partial nephrectomy (RPN). MATERIALS AND METHODS:Sixt...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0228
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Stents are used abundantly to maintain ureteral patency. The majority are plastic tubes that adjust easily to upper urinary-tract motion. Recently, a coiled-wire lumenless stent was introduced (ZebraStent, Neo Medical, Munich, Germany) to facilitate expulsion of stone fragments after lithotripsy. Its metal c...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.9862
更新日期:2008-02-01 00:00:00
abstract:INTRODUCTION:Functional outcome and quality of life (QOL) domains are important outcomes after curative therapy for prostate cancer. Although useful for scientific purposes, QOL questionnaires may be too extensive for daily routine, and single questions or interview-assessed outcomes may be more practical alternatives....
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0735
更新日期:2013-11-01 00:00:00
abstract:PURPOSE:This study evaluates the feasibility, perioperative, and renal functional outcomes with total, selective, and nonarterial clamping techniques during minimally invasive partial nephrectomy. METHODS:A retrospective review of laparoscopic and robot-assisted partial nephrectomies by a single surgeon from January 2...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0304
更新日期:2012-02-01 00:00:00
abstract:PURPOSE:To evaluate the suitability of a bioabsorbable stent as a partial internal catheter after percutaneous endopyelotomy in ureteropelvic junction (UPJ) obstruction therapy. PATIENT AND METHODS:The material for the helical spiral stents was a copolymer of polylactide and glycolide (PLGA; L:G ratio 80/20). The self...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277902760102785
更新日期:2002-06-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0048
更新日期:2008-06-01 00:00:00
abstract:PURPOSE:Since the holmium:yttrium-aluminum-garnet (Ho:YAG) laser is the flexible lithotrite of choice for ureteral stones, its application to ureteral strictures associated with ureteral calculi is convenient. The results of Ho:YAG laser endoureterotomy in this specific setting have not been defined. We report our expe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0387
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Retroperitoneoscopy is an established procedure for renal surgery. We evaluated our results with retroperitoneoscopic pyeloplasty for ureteropelvic junction (UPJ) obstruction. PATIENTS AND METHODS:In 14 female and 10 male patients, a retroperitoneoscopic pyeloplasty was performed (13 right/11 le...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.948
更新日期:2004-12-01 00:00:00
abstract::The preliminary experience with 64 patients who have undergone HoLEP combined with intravesical morcellation is presented. The mean preoperative prostate volume was 75.3 cc. The mean laser time was 46.9 minutes and the morcellator time a further 10.5 minutes. A mean total of 35.5 g of tissue was obtained, and 93% of t...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.457
更新日期:1998-10-01 00:00:00
abstract::Surgical removal with radical prostatectomy has been a cornerstone for the treatment of prostate cancer and is associated with level 1 evidence for survival advantage compared with watchful waiting. Since the first structured robotic program was launched in 2000, robot-assisted radical prostatectomy (RARP) has had a r...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0585
更新日期:2017-04-01 00:00:00
abstract::Endopyelotomy is currently advocated for management of the obstructed ureteropelvic junction (UPJ). Healing of the stented UPJ occurs by secondary intention. Regardless of the method employed, success rates approach 85%. In order to increase the rate of success, we have devised a method of performing endopyelotomy in ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.1996.10.147
更新日期:1996-04-01 00:00:00
abstract:: Purpose: To report on the safety, technical results, and oncologic outcomes of computed tomography guided percutaneous microwave ablation of stage cT1b renal cell carcinoma. Materials and Methods: This single-center retrospecti...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0382
更新日期:2020-10-01 00:00:00
abstract::Urinary incontinence may be the result of various forms of detrusor overactivity. Several surgical therapies have been devised, but with the exception of procedures to relieve urethral obstruction, none abolishes the overactivity or restores normal micturition. In general, ablative neurosurgery is considered only in p...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1996.10.213
更新日期:1996-06-01 00:00:00