A 10-year single-center experience with surgical management of adrenal myelolipoma.

Abstract:

OBJECTIVE:The purpose is to report our 10-year experience with surgical management of large or symptomatic adrenal myelolipoma. PATIENTS AND METHODS:Patients receiving surgical treatment for adrenal myelolipoma between December 2001 and September 2011 in our institution were retrospectively reviewed. Patients were divided into two groups: open surgery and laparoscopic surgery. Patient demographic data, lesion size evaluated by computed tomography scan or magnetic resonance imaging, operation time, blood loss, time of returning to diets, perioperative complications, and length of hospital stay were collected and analyzed. RESULTS:Forty patients (14 received open surgery and 26 received laparoscopic surgery) were enrolled in our study. Both procedures were successful and no patient in the retroperitoneal laparoscopic group required conversion to open surgery. The mean age of the patients was 52.7 years. The median size of the tumor was 5.0 cm. Forty-three percent of patients suffered from lumbago. There was no statistical difference in perioperative complications between the two groups (p>0.05). Retroperitoneal laparoscopic adrenalectomy patients had a shorter operation time (90.66±37.97 min vs 141.82±62.78 min, p=0.017), less blood loss (150, 100-200 mL vs 450, 300-525 mL, p=0.000), earlier time of returning to diets (2, 2-3 days vs 3, 2-4.5 days, p=0.036), and a shorter hospital stay (6, 5-7 days vs 10, 8-11.25 days, p=0.000) when compared with open surgery patients. CONCLUSION:Both open and laparoscopic surgeries are efficient and safe treatments for large or symptomatic adrenal myelolipoma, and retroperitoneal laparoscopic surgery has the advantages of minimal invasion and rapid postoperative recovery.

journal_name

J Endourol

journal_title

Journal of endourology

authors

Yin L,Teng J,Zhou Q,Liu Y,Yao Y,Gao Y,Cui X,Ren J,Xu D

doi

10.1089/end.2013.0283

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

252-5

issue

2

eissn

0892-7790

issn

1557-900X

journal_volume

28

pub_type

杂志文章
  • High-intensity focused ultrasound energy for benign prostatic hyperplasia: clinical response at 6 months to treatment using Sonablate 200.

    abstract::We evaluated the safety and efficacy of high-intensity focused ultrasound (HIFU) using a modified Sonablate 200 and compared the clinical response with that of the prototype Sonablate at 6 months after treatment. Since 1995, 35 patients ages 66 +/- 7 years underwent HIFU with the Sonablate 200 for symptomatic benign p...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1997.11.197

    authors: Nakamura K,Baba S,Saito S,Tachibana M,Murai M

    更新日期:1997-06-01 00:00:00

  • Robot-Assisted Fluoroscopy Versus Ultrasound-Guided Renal Access for Nephrolithotomy: A Phantom Model Benchtop Study.

    abstract:: Objectives: To evaluate the feasibility of robot-assisted fluoroscopy-guided (RAG) puncture and to compare RAG puncture, utilizing a novel robot system for percutaneous renal access, with ultrasound-guided (USG) puncture. Materials and Methods: ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2019.0432

    authors: Taguchi K,Hamamoto S,Okada A,Tanaka Y,Sugino T,Unno R,Kato T,Ando R,Tan YK,Yasui T

    更新日期:2019-12-01 00:00:00

  • Factors Influencing Fluoroscopy Use During Ureteroscopy at a Residency Training Program.

    abstract:: Introduction: Ionizing radiation is used throughout urologic surgery and is known to cause a greater cancer risk with increasing exposure. The International Commission on Radiological Protection states that "it is the control of radiation dose that is important, no matter ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2020.0333

    authors: Hager SP,Balouch B,Desai S,Buckley M,Amster M,Belkoff L,May N

    更新日期:2021-01-01 00:00:00

  • Does previous open nephrolithotomy affect the outcome of percutaneous nephrolithotomy?

    abstract:PURPOSE:To determine the effects of previous open nephrolithotomy on the results and morbidity of subsequent percutaneous nephrolithotomy (PCNL). PATIENTS AND METHODS:Between March 2005 and January 2006, 89 patients underwent PCNL at our institution. We compared the patients who had had previous open surgery on the sa...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.0293

    authors: Sofikerim M,Demirci D,Gülmez I,Karacagil M

    更新日期:2007-04-01 00:00:00

  • Intracorporeal Double-J stent placement during robot-assisted urinary tract reconstruction: technical considerations.

    abstract:BACKGROUND AND PURPOSE:An integral component of many urologic reconstructive surgical procedures is the positioning of a Double-J stent to span the anastomosis. Some surgeons prefer to place a retrograde stent during cystoscopy, either during or after the reconstruction. In this communication, we describe our straightf...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2011.0296

    authors: Mufarrij PW,Rajamahanty S,Krane LS,Hemal AK

    更新日期:2012-09-01 00:00:00

  • Comparison of laparoscopic and open partial nephrectomy in clinical T1a renal tumors.

    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

    authors: Gong EM,Orvieto MA,Zorn KC,Lucioni A,Steinberg GD,Shalhav AL

    更新日期:2008-05-01 00:00:00

  • Ergonomics in endourology and laparoscopy: an overview of musculoskeletal problems in urology.

    abstract:PURPOSE:This study aims to provide an overview of type and frequency of musculoskeletal complaints among urologists. In addition, the urologists' knowledge about ergonomic conditions during minimally invasive urology was assessed, and they were asked how they would prefer to gain knowledge about this topic. MATERIALS ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0654

    authors: Tjiam IM,Goossens RH,Schout BM,Koldewijn EL,Hendrikx AJ,Muijtjens AM,Scherpbier AJ,Witjes JA

    更新日期:2014-05-01 00:00:00

  • Interview-based versus questionnaire-based quality of life outcomes before and after prostatectomy.

    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

    authors: van der Poel HG,Tillier C,de Blok WM,Acar C,van Muilekom EH,van den Bergh RC

    更新日期:2013-11-01 00:00:00

  • Genitourinary exam skills training curriculum for medical students: a follow-up study of comfort and skill utilization.

    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

    authors: Kaplan AG,Abdelshehid CS,Alipanah N,Zamansani T,Lee J,Kolla SB,Sountoulides PG,Graversen J,Lusch A,Kaufmann OG,Louie M,Clayman RV,McDougall EM

    更新日期:2012-10-01 00:00:00

  • An Ex Vivo Phantom Validation Study of an MRI-Transrectal Ultrasound Fusion Device for Targeted Prostate Biopsy.

    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

    authors: Wegelin O,Henken KR,Somford DM,Breuking FA,Bosch RJ,van Swol CF,van Melick HH

    更新日期:2016-06-01 00:00:00

  • Flexible ureteroscopy-directed retrograde nephrostomy for percutaneous nephrolithotomy: description of a technique.

    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

    authors: Wynberg JB,Borin JF,Vicena JZ,Hannosh V,Salmon SA

    更新日期:2012-10-01 00:00:00

  • Simplified bladder botulinum-toxin delivery technique using flexible cystoscope and 10 sites of injection.

    abstract::Recently, the use of botulinum toxin A has been extended to patients with non-neurogenic urologic disorders such as refractory idiopathic overactive bladder. We describe a modification of our original injection technique that allows one to deliver botulinum toxin into the bladder quickly and efficiently in an office s...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2005.19.880

    authors: Smith CP,Chancellor MB

    更新日期:2005-09-01 00:00:00

  • Retroperitoneal laparoscopic nephroureterectomy and management options for the distal ureter.

    abstract::Radical nephroureterectomy, including en bloc excision of the ureter with a bladder cuff, is the standard treatment for upper tract transitional-cell carcinoma (TCC). This procedure requires either a flank and lower abdominal incision or an extended flank incision. Laparoscopic surgery for TCC has been used at several...

    journal_title:Journal of endourology

    pub_type: 杂志文章,评审

    doi:10.1089/089277901300189394

    authors: Kaouk JH,Savage SJ,Gill IS

    更新日期:2001-05-01 00:00:00

  • Intraurethral brachytherapy for prevention of recurrent urethral stricture after internal urethrotomy or transurethral resection of scar.

    abstract:BACKGROUND PURPOSE:Restricture after internal urethrotomy is the major limitation to the long-term success of the procedure. The objective of this study was to evaluate the effect of intraurethral brachytherapy after internal urethrotomy or transurethral scar resection on recurrent urethral stricture. PATIENTS AND MET...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277901753205906

    authors: Sun YH,Xu CL,Gao X,Jin YN,Wang LH,Liao GQ,Wang ZF,Hou JG,Qian SX,Yong-Jiang MA

    更新日期:2001-10-01 00:00:00

  • Lower-caliceal stone clearance index to predict clearance of stone after SWL.

    abstract:BACKGROUND AND PURPOSE:There is no uniform consensus regarding the anatomic factors that influence the clearance rate of caliceal stones after SWL, as different authors have studied various independent factors separately. We correlated both favorable and unfavorable factors into a formula to predict the clearance rate....

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2006.20.248

    authors: Desai MR,Raghunath SK,Manohar T,Prajay S

    更新日期:2006-04-01 00:00:00

  • Ureteroscopy with and without safety guide wire: should the safety wire still be mandatory?

    abstract:BACKGROUND AND PURPOSE:Although the evidence is sparse, most urologists advise the insertion of a safety guide wire (SGW) alongside the ureteroscope whenever performing ureteroscopy (URS). The aim of the study was to compare the results of ureteroscopic treatment for ureteral stones at the Oslo University Hospital (OUH...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2013.0248

    authors: Ulvik Ø,Rennesund K,Gjengstø P,Wentzel-Larsen T,Ulvik NM

    更新日期:2013-10-01 00:00:00

  • Percutaneous stone implantation in the pig kidney: a new animal model for lithotripsy research.

    abstract:PURPOSE:This report describes a new animal model for research on the parameters of shockwave delivery and the mechanisms of shockwave action in SWL. MATERIALS AND METHODS:Female pigs (approximately 45 kg) were anesthetized for creation of an upper pole peripheral caliceal access. The tract was dilated with a 30F Nephr...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/089277902320913215

    authors: Paterson RF,Lingeman JE,Evan AP,Connors BA,Williams JC Jr,McAteer JA

    更新日期:2002-10-01 00:00:00

  • Laparoscopic partial nephrectomy versus laparoscopic ablative therapy: a comparison of surgical and functional outcomes in a matched control study.

    abstract:BACKGROUND AND PURPOSE:Patients who are undergoing laparoscopic ablative therapy (LAT) are often older with more comorbidities in comparison with patients who are undergoing laparoscopic partial nephrectomy (LPN). A matched control study was performed to compare the surgical and functional outcomes of LPN and LAT. PAT...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2011.0087

    authors: Kiriluk KJ,Shikanov SA,Steinberg GD,Shalhav AL,Lifshitz DA

    更新日期:2011-12-01 00:00:00

  • Percutaneous cryoablation of renal masses >or=3 cm: efficacy and safety in treatment of 108 patients.

    abstract:PURPOSE:To evaluate our single institution experience with percutaneous cryoablation of renal masses >or=3 cm in diameter for complications and short-term outcomes. PATIENTS AND METHODS:Between March 2003 and February 2009, 108 patients with 110 renal masses >or=3 cm in diameter were treated with percutaneous cryoabla...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2009.0328

    authors: Schmit GD,Atwell TD,Callstrom MR,Farrell MA,Leibovich BC,Patterson DE,Chow GK,Blute ML,Charboneau JW

    更新日期:2010-08-01 00:00:00

  • Laparoscopic nephroureterectomy: making management of upper-tract transitional-cell carcinoma entirely minimally invasive.

    abstract::Endoscopic treatment of upper-tract transitional-cell carcinoma (TCC) is well established. Nevertheless, many patients still required major ablative surgery. We have applied our experience with laparoscopic nephrectomy to the performance of laparoscopic nephroureterectomy in order to make the management of upper-tract...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1998.12.139

    authors: Keeley FX Jr,Tolley DA

    更新日期:1998-04-01 00:00:00

  • Efficacy of the Stone Cone for treatment of proximal ureteral stones.

    abstract:BACKGROUND AND PURPOSE:Whereas ureteroscopic lithotripsy is more efficacious than SWL in treating lower-ureteral stones, the same has not been universally said of its ability to treat proximal ureteral stones. Because failed proximal lithotripsy is often attributable to the complications associated with stone migration...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2004.18.862

    authors: Maislos SD,Volpe M,Albert PS,Raboy A

    更新日期:2004-11-01 00:00:00

  • Hand-assisted laparoscopic nephrectomy in autosomal dominant polycystic kidney disease.

    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

    authors: Lee DI,Clayman RV

    更新日期:2004-05-01 00:00:00

  • Upper-pole access for percutaneous nephrolithotomy.

    abstract::Although the supracostal approach is thought to increase the difficulties and patient morbidity of PCNL, it facilitates the management of certain urinary infirmities, such as UPJ obstruction, staghorn stone, upper pole stone, proximal ureteral abnormalities, impacted UPJ stone and upper calix diverticulum. Hereby the ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2009.1531

    authors: Pedro RN,Netto NR

    更新日期:2009-10-01 00:00:00

  • Robot-assisted laparoscopic skills development: formal versus informal training.

    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

    authors: Benson AD,Kramer BA,Boehler M,Schwind CJ,Schwartz BF

    更新日期:2010-08-01 00:00:00

  • Robot-assisted laparoscopic retroperitoneal lymph node dissection in an adolescent population.

    abstract::Abstract Laparoscopic retroperitoneal lymph node dissection (RPLND) has been shown to be safe and effective in appropriately selected pediatric and adolescent patients with paratesticular rhabdomyosarcoma (RMS) and testicular germ-cell tumors (T-GCT). While the use of robot-assisted laparoscopy has expanded rapidly ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2011.0214

    authors: Cost NG,DaJusta DG,Granberg CF,Cooksey RM,Laborde CE,Wickiser JE,Gargollo PC

    更新日期:2012-06-01 00:00:00

  • Two concomitant robot-assisted procedures in one anesthesia session: our experience.

    abstract:PURPOSE:To evaluate the feasibility and safety of two concomitant robot-assisted procedures in the same patient in one anesthesia setting. PATIENTS AND METHODS:Data were reviewed for 15 patients for whom two concomitant robot-assisted surgeries at our center were planned. Preoperative details, port position, intraoper...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2008.0481

    authors: Nayyar R,Gupta NP,Hemal AK,Kumar R

    更新日期:2009-02-01 00:00:00

  • Acute and chronic interstitial cryotherapy of the adrenal gland as a treatment modality.

    abstract:BACKGROUND AND OBJECTIVES:Adrenalectomy is indicated for patients with large adrenal lesions or functional tumors. Cryoablation is currently used as a surgical alternative for the treatment of prostate, lung, brain, pharynx, and liver tumors. The purpose of this study was to determine if cryosurgery could be delivered ...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1999.13.299

    authors: Schulsinger DA,Sosa RE,Perlmutter AA,Vaughan ED Jr

    更新日期:1999-05-01 00:00:00

  • Predicting an effective ureteral access sheath insertion: a bicenter prospective study.

    abstract:INTRODUCTION:The use of a ureteral access sheath (UAS) may provide significant advantages, particularly, in the treatment of a large renal stone burden. However, in some patients, the passage of a UAS up the ureter is impossible. We prospectively evaluated the ability to insert a 14F UAS and analyzed the possible predi...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.2014.0215

    authors: Mogilevkin Y,Sofer M,Margel D,Greenstein A,Lifshitz D

    更新日期:2014-12-01 00:00:00

  • Adrenal-sparing laparoscopic surgery for aldosterone-producing adenoma.

    abstract::We herein present the first case in the literature of enucleation of an aldosterone-producing adenoma by laparoscopy. The indication for adrenal-sparing surgery was bilateral adrenal adenoma. The operation turned out to be easier than laparoscopic adrenalectomy. The postoperative course was uneventful, and the patient...

    journal_title:Journal of endourology

    pub_type: 杂志文章

    doi:10.1089/end.1997.11.145

    authors: Janetschek G,Lhotta K,Gasser R,Finkenstedt G,Jaschke W,Bartsch G

    更新日期:1997-04-01 00:00:00

  • Blood Transfusion Requirement and Not Preoperative Anemia Are Associated with Perioperative Complications Following Intracorporeal Robot-Assisted Radical Cystectomy.

    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

    authors: Tan WS,Lamb BW,Khetrapal P,Tan MY,Tan ME,Sridhar A,Cervi E,Rodney S,Busuttil G,Nathan S,Hines J,Shaw G,Mohammed A,Baker H,Briggs TP,Klein A,Richards T,Kelly JD

    更新日期:2017-02-01 00:00:00