Abstract：
INTRODUCTION:Umbilical laparoendoscopic single-site (LESS) surgery represents an excellent alternative to laparoscopic or robotic multiport surgery. LESS surgery offers faster recovery, less postoperative pain and optimal cosmetic results. LESS is possible in virtually any urologic surgery. PATIENT AND METHOD:We present a 38-year-old male with BMI 31.2 and with history of stage I nonseminomatous mixed germ cell tumor showing interaortocaval lymph node recurrence without elevation of tumor markers. Patient was undergone to right laparoendoscopic single-site retroperitoneal lymph node dissection (LDRP-LESS) by umbilical approach using a single-site multichannel KeyPort (Richard Wolf GmbH, Knittlingen, Germany). RESULTS:After the placement of the device and triangulation of the clips, we proceeded to operate on posterior parietal peritoneum. The descending colon was mobilized to access the retroperitoneum. Complete retroperitoneal lymph node dissection on the right side from iliac vessels to renal vessels, including the paracaval and interaortocaval space, was performed. The specimen was inserted into a laparoscopic bag and was removed together with multichannel system. Abdominal drainage was not employed. Surgical time was 85 min and estimated bleeding 50 cc. The patient was very satisfied with the cosmetic results and was discharged the following day without needing analgesia. The pathology report revealed metastatic seminoma in 5 of 11 lymph nodes receiving systemic chemotherapy (VP16-CDDPs) for 4 cycles with good tolerance. A year later, the patient was disease-free and had no complications. CONCLUSIONS:Umbilical primary LDRP-LESS, with excellent oncologic and cosmetic results, is feasible in selected cases. This approach could be considered the least invasive surgical option economically advantageous due to the reusable nature of the instruments used.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Angulo JC,Redondo C,Gimbernat H,Ramón de Fata F,García-Tello A,García-Mediero JMdoi
10.1016/j.acuro.2014.07.004subject
Has Abstractpub_date
2015-05-01 00:00:00pages
253-8issue
4eissn
0210-4806issn
1699-7980pii
S0210-4806(14)00311-8journal_volume
39pub_type
杂志文章abstract：:The urolithiasis is a very common disease that it causes, in addition to the suffering for the patients, an important cost sanitary partner. The composition of the renal stones that can influence in the treatment and later evaluation of the disease, varies in the different zones. In our work the composition of the ren...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(04)73157-5
更新日期：2004-10-01 00:00:00
abstract：UNLABELLED:Pelvic physical therapy focuses on the prevention and the treatment of all kinds of functional disorders of the abdominal, pelvic and low back region, like urinary incontinence, that is considered as a high prevalent health problem in women, men, children and the elderly. Physical therapy is often considered...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：10.1016/s0210-4806(06)73412-x
更新日期：2006-02-01 00:00:00
abstract：:We present our experience in the diagnosis-through-image with 25 primitive retroperitoneal tumours over a period of 17 years. The histological type most frequently found was that derived from mesodermal tissue (64%). Abdominal pain and mass were the typical symptoms of the presentation. The paper analyzes the radiolog...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1991-03-01 00:00:00
abstract：:Since inguinal lymphadenectomy (LFD) technique in the treatment of epidermoid carcinoma of the penis was first described, control of its high mobility has been one of the concerns for oncological urologists. Our group has reviewed the complications of 21 inguinal LFDs performed since 1982 in our centre and found that ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1995-11-01 00:00:00
abstract：:Urinary tract complications continue to be a major cause of morbidity in renal transplant patients. This paper is a review of the urological complications developed in in 200 renal transplants performed in our service over a 10-year period, from January 1980 to December 1989, with a follow-up of at least 1 year. We in...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1992-11-01 00:00:00
abstract：:Transrectal ultrasound is a dynamic imaging diagnostic technique for the study of stress urinary incontinence (SUI). The highest efficiency is obtained in the study of failed corrective surgery of SUI. Our group studied 23 patients reporting clinical SUI after undergoing corrective surgery, 23.3% patients with transre...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1998-05-01 00:00:00
abstract：OBJECTIVES:To study the technical opinion of an expert panel and reach a consensus of professional criterion in relation to the most recent scientific evidence in Benign Prostatic Hyperplasia (BPH) in the scopes of diagnosis, progression criteria, medical treatment and surgical treatment. MATERIAL AND METHODS:Systemat...
journal_title：Actas urologicas espanolas
pub_type： 共识发展会议,杂志文章,评审
doi：10.1016/j.acuro.2012.01.004
更新日期：2012-05-01 00:00:00
abstract：:Penile fracture with urethral laceration usually presents with pain and haematoma, detumescence, erectile failure and blood loss through urethral meatus. We describe the third published case of urethrocavernous fistula following blunt penile trauma sustained durind sexual intercourse. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(08)73987-1
更新日期：2008-11-01 00:00:00
abstract：:We show a big renal cell carcinoma case in an aged woman with many pathology associated. In view of the family refuse to make the radical surgery and the high surgical risk we decided to apply transarterial embolization treatment with polivinil alcohol particles (PVA). 28 months later the patient becames with no sympt...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(05)73246-0
更新日期：2005-03-01 00:00:00
abstract：:Contribution of one left renal adenocarcinoma in a 54-year old women, where the initial data was the finding of erythrocytosis discovered during routine laboratory tests performed by her gynaecologist. Review of the diagnostic and therapeutic procedures followed in this case, establishing a differentiation between ery...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：:Treatment for testicular tumours has progress in such a manner in the last years that high cure percentages can at present be achieved. After chemotherapy, in most cases, residual mass can appear. In this cases surgery is considered a viable therapeutic option although it implies an advanced surgical training since it...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(04)73064-8
更新日期：2004-03-01 00:00:00
abstract：OBJECTIVE:To describe the outcome of patients diagnosed of incidental prostate adenocarcinoma managed by watchful waiting. MATERIAL AND METHODS:We included patients with PSA< 4 ng/mL or higher with previous negative biopsy, who underwent surgery for BPH being diagnosed of incidental prostate adenocarcinoma. We perform...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：2010-11-01 00:00:00
abstract：:Case report of a testicular lymphoma. A diagnosis of primary neoplasia of the testis was made since no involvement to the lymphoreticular system in any other organ was demonstrated. We review the clinical, diagnostic and therapeutical aspects and make a note on the rarity of our case, a type T tumour, due to the excep...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1997-09-01 00:00:00
abstract：OBJECTIVE:To compare the activity the Urology Department of a Portuguese Academic Hospital during the state of emergency and the equivalent period at the previous year. We compared the number of elective consultations and diagnostic urologic examinations, number and type of elective surgeries, as well as patients' demo...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2020.06.010
更新日期：2020-11-01 00:00:00
abstract：UNLABELLED:Overactive Bladder Syndrome (OAB) is defined by the ICS (International Continence Society) as urinary urgency, with or without urgency incontinence and frequently associated with increase of frequency and nocturia. PURPOSE:The aim of the study was to establish a correlation between OAB symptoms and Age in w...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2012.07.009
更新日期：2013-03-01 00:00:00
abstract：INTRODUCTION AND OBJECTIVES:The study was conducted to identify the risk factors of upper tract stone formation in patients with diversions after radical cystectomy (RC). MATERIALS AND METHODS:All patients with diversion after RC were collected in our center from January 2005 to December 2013. Three different common d...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2019.04.002
更新日期：2019-12-01 00:00:00
abstract：:The incidence of multiple tumours in renal cancer ranges between 1 and 30%. In these cases, it becomes very difficult to differentiate between adenoma and carcinoma just by using conventional methods, particularly in borderline cases. We carried out primary cultures and subsequent cytogenetic studies in 2 patients wit...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1993-06-01 00:00:00
abstract：:Lately, nuclear morphometry methods are being used to analyze the malignant potential of tumoral cells. This paper presents a retrospective study of a series of 163 patients with the three histological grades (WHO), of superficial papillary transitional cell carcinoma (pTa-pT1) of the bladder with a mean follow-up of ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1994-11-01 00:00:00
abstract：:Presentation of one case of seminal vesicle cyst with no associated anomalies. Review of diagnostic procedures useful in this type of disease, illustrating the relevance of transrectal ultrasound scanning due to its high specificity and low morbidity. Comments on the therapeutical options for this entity. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1993-02-01 00:00:00
abstract：:Presentation of one case of bacterial acute focal nephritis (acute lobe nephrosis) in a parenterally drug-abuser, HIV-infected male. From the clinical point of view, the picture was interpreted as acute hepatitis, and the lesion was detected by ultrasound techniques. A right side location, relative lack of urological ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：OBJECTIVE:To assess the safety of hospital discharge 24 hours after laparoscopic radical prostatectomy and to identify possible factors associated with longer hospital stays. MATERIAL AND METHODS:Retrospective study of patients diagnosed with localized prostate cancer underwent to laparoscopic radical prostatectomy co...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2013.12.004
更新日期：2014-07-01 00:00:00
abstract：:Congenital cysts in the seminal vesicle represent a rare by illustrative example of embryological malformation. They are often associated with ipsilateral urinary tract anomalies. We have analyzed the diagnostic and therapeutic schemes followed in the study of this uncommon pathology. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1990-05-01 00:00:00
abstract：:Muscular haematoma of the straight muscles of the abdomen are very rare to observe and, although there is a possibility of the haematoma extending to the retroperitoneum, they very rarely cause oligoanuria by compression of the urinary tract. Presentation of one case of spontaneous haematoma of the straight muscles of...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1992-05-01 00:00:00
abstract：:Stones with different compositions respond differently to shock wave lithofragmentation. Likewise, the various lithotrity systems used may have different effects on the stones. To determine the relationships between stone composition and their fragmentation patterns, we conducted an in vitro study using endoscopy, mag...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：
更新日期：1997-07-01 00:00:00
abstract：:About 2% of adults have an urachal cyst. The diagnosis is usually made due to its clinical complications. We report an inusual case of acute urinary retention due to an urachal cyst, with hipogastric pain and anuria as initial syntoms. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(05)73365-9
更新日期：2005-10-01 00:00:00
abstract：:Case of an 83 year-old male with metastatic penis cancer located at the glans, secondary to moderately differentiated prostatic adenocarcinoma. There was early metastasis clinically expressed as several painful and ulcerous nodes at the glans corona and paraphimosis. The clinical rareness of metastasis in a porous bod...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1991-05-01 00:00:00
abstract：:Contribution of one case report of papillary cystadenoma, a very uncommon benign epithelial tumour. Related to von Hippel-Lindau's disease, it may be associated to infertility. It tends to occur in young adults, lesions being bilateral in one third of cases. It is diagnosed through palpation and particularly with ultr...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/s0210-4806(00)72541-1
更新日期：2000-10-01 00:00:00
abstract：:As a result of finding some ectopic adrenal debris in the spermatic cord, the present report studies the embryogenesis and clinical implications that can derive from the existence of the referred adrenal debris. The relevant literature is reviewed and six new cases contributed, one of them bilateral. ...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章,评审
doi：
更新日期：1993-10-01 00:00:00
abstract：OBJETIVES:Radical cystectomy is the standard treatment for localised muscle invasive bladder cancer (MIBC). We offer a bladder-sparing treatment with TURB +/- Chemotherapy+Radiotherapy to selected patients as an alternative. MATERIAL AND METHODS:We analyze, retrospectively, 30 patients diagnosed with MIBC from March 1...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2013.03.004
更新日期：2014-01-01 00:00:00
abstract：INTRODUCTION:Laparoscopic surgery through a single port is an evolution of laparoscopic surgery, possible after recent technological development of new access systems. It is an established minimally invasive technique, although its indications in the field of Urology are currently under development. MATERIAL AND METHO...
journal_title：Actas urologicas espanolas
pub_type： 杂志文章
doi：10.1016/j.acuro.2011.10.003
更新日期：2012-02-01 00:00:00
