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:Sixty patients with and 101 without pathologically proven renal disease on non-neoplastic renal specimens were evaluated for differences in postoperative outcomes following RPN. Multiple linear regression modeling assessed for factors influencing early and late declines in renal function. RESULTS:The two groups were similar in all preoperative parameters. Both patients with and without pathological renal disease had similar lengths of hospitalization, transfusions, and complication rates. The percent change in the glomerular filtration rate was similar for patients with and without pathological renal disease (-8.8% vs -12.2%, p=0.194). Patients with pathological renal disease had less chronic kidney disease (CKD) upstaging than patients without renal disease (18.3% vs 39.6%, p=0.006). Increasing age (p=0.030) and higher preoperative glomerular filtration rates (p=0.044) predicted worse late percentage declines in renal function, while increased warm ischemia time predicted late CKD upstaging (p=0.043). CONCLUSION:The presence of pathological renal disease in non-neoplastic renal tissue did not place patients at risk for worsened postoperative complications or renal function deterioration following RPN.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Mobley JM,Kim EH,Larson JA,Figenshau RS,Vetter JM,Johnson MH,Bhayani SBdoi
10.1089/end.2014.0228subject
Has Abstractpub_date
2014-12-01 00:00:00pages
1429-34issue
12eissn
0892-7790issn
1557-900Xjournal_volume
28pub_type
杂志文章abstract:OBJECTIVE:Symptomatic renal calculi found within caliceal diverticula are difficult to treat. We present a single-surgeon cohort of 21 consecutive patients undergoing percutaneous treatment of stones within caliceal diverticula over a 12-year period. PATIENTS AND METHODS:Each patient was managed by a one-stage percuta...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.83
更新日期:1999-03-01 00:00:00
abstract:PURPOSE:We describe a technique for safely accessing an upper pole calix through a 9th or 10th intercostal puncture. PATIENTS AND METHODS:A 9th or 10th intercostal access was used for percutaneous nephrolithotomy (PCNL) in nine patients. Thoracoscopy via the 5th or 6th intercostal space was used to ensure safe passage...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901750426337
更新日期:2001-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:A crucial step in laparoscopic nephrectomy is control and ligation of the renal pedicle. Commonly, an endovascular gastrointestinal anastomosis (GIA) stapling device, titanium staples, or both is employed for vascular control. Herein, we report on the use of the Hem-o-Lok polymer ligating clip (W...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/0892779041271490
更新日期:2004-06-01 00:00:00
abstract::Renal excursion during breathing is inevitable and is a cause of poor localization during extracorporeal shock-wave lithotripsy (SWL), which in theory might lead to poor treatment results. Eighty-one patients underwent lithotripsy treatment with and without the use of an image enhancement system designed for use with ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1089/end.1996.10.335
更新日期:1996-08-01 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:OBJECTIVE:To assess the current treatment of benign prostatic obstruction (BPO) in patients on ongoing oral anticoagulation (OA). METHODS:An Internet survey was sent to all active members of the Endourological Society. The survey contained 32 questions regarding transurethral treatment of BPO in patients on ongoing OA...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0627
更新日期:2017-02-01 00:00:00
abstract::Large bladder calculi are often outside the range of treatment with conventional endoscopic lithotrites because of either anatomic factors or the mechanical limits of available instruments. Alternative methods of cystolithotripsy: ultrasonic, electrohydraulic, or laser, can prove time-consuming or even hazardous, so t...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.183
更新日期:1994-06-01 00:00:00
abstract:INTRODUCTION:The Endockscope combines a smartphone, a battery powered flashlight and a fiberoptic cystoscope allowing for mobile videocystoscopy. We compared conventional videocystoscopy with the Endockscope paired with next generation smartphones in an ex-vivo porcine bladder to evaluate its image quality. MATERIALS ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0275
更新日期:2018-08-01 00:00:00
abstract:: Introduction: Nephrolithiasis is a known risk factor for chronic kidney disease (CKD); however, it is unknown how CKD affects urinary parameters related to stone risk. The purpose of this study was to assess the relationship of diminishing glomerular filtration rate (GFR) ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0403
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Ureteral stents are commonly used in urology today, but the biofilms that form on them within hours of placement may harbor bacteria that can result in infection or encrustation. Triclosan is an antimicrobial commonly used in consumer and medical products that inhibits bacterial fatty-acid synthe...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.949
更新日期:2006-11-01 00:00:00
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 div...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0283
更新日期:2014-02-01 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::The article entitled, "Mn-porphyrins as novel molecular MRI contrast agents" by Mouraviev et al., published online ahead of print on November 3, 2011 (DOI: 10.1089/end.2011.0133), in its unedited, uncorrected format, is being officially withdrawn from Journal of Endourology. This early version of the manuscript was no...
journal_title:Journal of endourology
pub_type: 撤回出版物
doi:10.1089/end.2011.0133.ret
更新日期:2012-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Oxalobacter formigenes is an anaerobic commensal colonic bacterium capable of degrading oxalate through the enzyme oxalyl-CoA decarboxylase. It has been theorized that individuals who lack this bacterium have higher intestinal oxalate absorption, leading to a higher urinary oxalate concentration ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277903321618743
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Comprehensive metabolic evaluation has become an important aspect of the management of recurrent nephrolithiasis, yet the role of stone analysis is often neglected or perhaps underestimated. The purpose of this study was to determine the role of stone analysis in medical decision making in patien...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/089277901750134548
更新日期:2001-03-01 00:00:00
abstract:: Objective: To assess the safety and efficacy of a novel vacuum-assisted access sheath (VAAS) in minimally invasive percutaneous nephrolithotomy (MPCNL). Materials and Methods: Seventy-five consecutive patients with single renal...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0652
更新日期:2020-03-01 00:00:00
abstract:: Introduction/Objectives: Despite minimal evidence that evaluates the effect of age on percutaneous nephrolithotomy (PCNL) morbidity, pediatric and elderly patients are considered high-risk groups. Our objective was to assess the effect of the extremes of ages on PCNL readm...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0239
更新日期:2019-09-01 00:00:00
abstract::The long-term effects of extracorporeal shockwave lithotripsy (SWL) on children treated for renal calculi are unclear. To study the effects on the immature animal, we evaluated 31 Wistar white rats that underwent right nephrectomy at 30 days of age. At 40 days of age they were divided into three groups: a control grou...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1995.9.45
更新日期:1995-02-01 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:PURPOSE:To assess the effectiveness of palladium-103 brachytherapy in stage T1 and T2 adenocarcinoma of the prostate. PATIENTS AND METHODS:The charts of 1048 patients treated between 1991 and 1999 with transperineal realtime ultrasound-guided (103)Pd (Theraseed) implants were reviewed to assess the effects on serum pr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.343
更新日期:2000-05-01 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:PURPOSE:To update our short-term potency outcomes from a cautery-free (CFT) versus bipolar cautery technique to preserve the neurovascular bundles (NVB) during robotic laparoscopic radical prostatectomy (RLP). PATIENTS AND METHODS:Previously, we reported on 3-month potency outcomes in 23 men, which we now extend to 51...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.586
更新日期:2006-08-01 00:00:00
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
更新日期:2014-05-01 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: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
更新日期:2014-12-01 00:00:00
abstract::This study aimed to measure acoustic access to the prostate for extracorporeal ultrasound ablation. Both transabdominal and transperineal approaches were considered. The objective was to measure the size and shape of the aperture available for unobstructed targeting of the prostate. CT images of 17 randomly selected m...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0567
更新日期:2010-11-01 00:00:00
abstract:PURPOSE:To develop a preoperative prediction model using a computer-assisted volumetric assessment of potential spared parenchyma to estimate the probability of chronic kidney disease (CKD, estimated glomerular filtration rate [eGFR] <60 mL/min/1.73 m(2)) 6 months from extirpative renal surgery (nephron-sparing surgery...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0411
更新日期:2016-01-01 00:00:00
abstract:INTRODUCTION:Renal papillary pits are commonly encountered during ureteroscopy. The mechanism by which such pits arise is unclear. One hypothesis is that pits represent sites where stones overgrowing Randall's plaque (RP) were dislodged. We sought to examine this theory by using digital ureteroscopy and stone μCT. MAT...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0589
更新日期:2019-04-01 00:00:00
abstract::A new semiflexible and steerable cannula was designed for endoscopic reflux operations on infants and children. Because of its small diameter (0.6 mm; < 2F), it fits even through the 9F infant cystoscope. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.131
更新日期:1994-04-01 00:00:00
abstract:INTRODUCTION:Radical prostatectomy undoubtedly causes inflammatory damage to surrounding neuromuscular tissues (i.e., bladder, urethra, and nerves) that may contribute to urinary incontinence. We report the use of local hypothermia during robot-assisted laparoscopic prostatectomy to attenuate this injury. METHODS:Regi...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0411
更新日期:2009-09-01 00:00:00