Abstract：
OBJECTIVE:To investigate the role of contemporary minilaparoscopy (ML; 3 mm instruments and laparoscope) and to identify predictive factors for complications in a prospective multicenter series for renal and adrenal surgeries. MATERIALS AND METHODS:From July 2013 to December 2014, 110 patients from 6 laparoscopic Spanish centers were enrolled. A common database was used and data were collected in a prospective manner. Standard approach was defined as 3 to 4 3-mm trocars with a 3-mm laparoscope and 3-mm instruments (Karl Storz, Tuttlingen, Germany). Descriptive variables were analyzed and statistical analysis was performed for predictive factors for complications. RESULTS:Patient mean age was 57.8 ± 14.6 years, with an average body mass index of 25.3 ± 3.6 kg/m(2). Median American Society of Anesthesiologists score was II and 32% (n = 35) of the patients had a previous surgery. A total of 59 nephrectomies, 20 partial nephrectomies, 9 nephroureterectomies, 13 pyeloplasties, 3 pyelolithotomies, and 6 adrenalectomies were performed. Overall operative time was 180 ± 64 minutes. There were 12 clampless partials and 8 with a mean warm ischemia time of 14 ± 7 min. There were 5% of intraoperative and 8% of postoperative complications (Clavien II-IV). Mean hospital stay was 5 ± 2.3 days, with optimal pain and cosmetic control. CONCLUSION:To our knowledge, this is one of the largest prospective series of ML for renal and adrenal surgeries. Despite a mean operative time possibly longer than in standard laparoscopy, clinical and safety outcomes are not compromised. Furthermore, ML results in excellent pain control and cosmetic outcomes.
journal_name
Urologyjournal_title
Urologyauthors
Breda A,Castellan P,Freitas RA,Schwartzmann I,Álvarez Osorio JL,Amón-Sesmero JH,Bellido JA,Ramos E,Rengifo D,Peña JA,Villavicencio Hdoi
10.1016/j.urology.2016.02.048subject
Has Abstractpub_date
2016-06-01 00:00:00pages
44-50eissn
0090-4295issn
1527-9995pii
S0090-4295(16)00278-8journal_volume
92pub_type
杂志文章,多中心研究相关文献
UROLOGY文献大全abstract：:A prostatic tumor removed suprapubically in a sixty-three-year-old man was found to be a malignant fibrous histiocytoma. Various aspects of prostatic sarcomas and malignant fibrous histiocytomas are considered. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(86)90317-1
更新日期：1986-04-01 00:00:00
abstract：OBJECTIVE:To evaluate the factors that affect the enzymatic dissolution rate of calcium oxalate monohydrate (COM), calcium phosphate (brushite), and magnesium ammonium phosphate (struvite) crystals as enzymatic digestion of kidney stones could enhance lithotripsy or provide alternatives to surgical removal. METHODS:At...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.04.046
更新日期：2011-09-01 00:00:00
abstract：OBJECTIVE:To assess the efficacy of exchanging the pressure regulating balloon (PRB) to 71-80 cm H2O in patients with persistent or recurrent stress urinary incontinence (SUI) following artificial urinary sphincter (AUS) placement. METHODS:Patients with SUI following AUS placement who underwent PRB replacement between...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2018.07.052
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVES:To evaluate the incidence and sites of retroperitoneal recurrence after modified retroperitoneal lymph node dissection (RPLND) for low-stage nonseminomatous germ cell tumors (NSGCTs). METHODS:A retrospective review of 88 patients who underwent RPLND for Stage I or II NSGCTs between 1971 and 1991 was perform...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)00180-6
更新日期：1999-09-01 00:00:00
abstract：OBJECTIVES:To assess the effects of finasteride on angiogenetic and hypoxia markers in benign prostatic hyperplasia. METHODS:A total of 178 patients aged 51 to 85 years (mean 68.7) with benign prostatic hyperplasia and awaiting transurethral prostate resection were prospectively randomized into a group of patients rec...
journal_title：Urology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.urology.2006.03.038
更新日期：2006-08-01 00:00:00
abstract：:Rhabdomyosarcoma is the most common sarcoma diagnosed in childhood and adolescence, arising from the bladder/prostate in only 5%-10% of cases. Treatment-induced cytodifferention of tumor cells into mature rhabdomyoblasts has been reported following chemoradiation and is thought to suggest a more favorable outcome. We ...
journal_title：Urology
pub_type：
doi：10.1016/j.urology.2019.11.050
更新日期：2020-03-01 00:00:00
abstract：:Urinary stone disease (USD) is an important healthcare problem in the US affecting both adults and children, and costs $10 billion to the nation. Prevalence of USD has nearly doubled during the last 15 years in parallel to the obesity and type 2 diabetes epidemic. Despite the advances in the management of an acute epi...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2015.07.006
更新日期：2015-10-01 00:00:00
abstract：:Infective penile gangrene is a rare but known complication of circumcision. The causes may vary from neutropenia, diabetes mellitus, and human immunodeficiency virus infection to lymphoproliferative malignancy. Penile mycosis leading to penile gangrene is a rare entity. Only 1 case has been reported in an adult. Juven...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.03.073
更新日期：2013-09-01 00:00:00
abstract：OBJECTIVES:To analyze the relationships among socioeconomic status (SES), race, and the clinical parameters of patients undergoing radical prostatectomy (RP) in an equal access health care system. METHODS:The Department of Defense Center for Prostate Disease Research longitudinal prostate cancer database from multiple...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/s0090-4295(00)00808-6
更新日期：2000-12-20 00:00:00
abstract：:We present a rare case of classic seminoma in an 86-year-old man. Combined mitotic count, the presence or absence of intravascular invasion, and the expression of PCNA, Ki67, and p53 were compared between this octogenarian and the tumors of four randomly selected standard younger men. These histologic features were ch...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.08.006
更新日期：2007-11-01 00:00:00
abstract：:A papilloma in the renal pelvis of a five-year-old girl is reported. The transitional cell tumors of the renal pelvis in the pediatric age group are reviewed, and this is found to be the first case of a benign papilloma in childhood. We believe this pathologic entity should be included in the differential diagnosis of...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(90)80108-y
更新日期：1990-06-01 00:00:00
abstract：OBJECTIVE:We describe our experience with single and 4-layer small intestine submucosa in the repair of proximal hypospadias and severe chordee. METHODS:Between 2000 and 2004, 15 boys with proximal hypospadias and/or severe ventral chordee underwent SIS grafting to correct the curvature. Single layer and 4-layer small...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.08.489
更新日期：2009-02-01 00:00:00
abstract：:An 84-year-old man presented to our department with a recurrence of a primary amyloidosis of the bladder 14 years after the first diagnosis. Follow-up had been stopped 5 years after the first procedure because no cystoscopic anomalies were noted. General evaluation confirmed the diagnosis of primary amyloidosis. The l...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(01)01565-5
更新日期：2002-03-01 00:00:00
abstract：:Making the distinction between a benign hepatic mass and renal cell carcinoma metastatic to the liver is crucial in evaluating a patient with renal cell carcinoma. The erroneous diagnosis of metastatic renal cell carcinoma may deter the surgeon from performing a potentially curative nephrectomy. In this report, we pre...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(89)90405-6
更新日期：1989-03-01 00:00:00
abstract：OBJECTIVES:Sildenafil has been demonstrated to be safe and effective in the treatment of men with erectile dysfunction. The role of sildenafil in treating women with sexual dysfunction has heretofore not been reported. The purpose of this preliminary study was to ascertain the response of postmenopausal women with self...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(98)00633-5
更新日期：1999-03-01 00:00:00
abstract：:A case of persistent and uncorrected cloaca in a twenty-five-year-old woman is presented. In spite of the anomaly not being corrected, no deterioration of her kidney function was noted. She is continent for both urine and stools. In addition to two uteri which were removed at different times, she has only one kidney o...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(83)90347-3
更新日期：1983-07-01 00:00:00
abstract：:Androgen deprivation therapy remains the mainstay of therapy for patients with advanced prostate cancer and for selected patients with localized prostate cancer. Androgen deprivation therapy is the model of target-based therapies in this disease. Although it is clear that other target-based therapies need to be develo...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/s0090-4295(02)01583-2
更新日期：2002-09-01 00:00:00
abstract：OBJECTIVES:To address the incidence of local recurrence and port site metastasis in patients who underwent laparoscopic radical nephroureterectomy (RNU) for upper tract transitional cell carcinoma (TCC). METHODS:Between August 1993 and February 2006 116 laparoscopic RNU were performed in 115 patients at our institutio...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.07.027
更新日期：2007-11-01 00:00:00
abstract：:The charts of all patients receiving radical surgery and radiation therapy for cancer localized to the prostate in the years 1950 to 1977 in the State of Connecticut were reviewed. Long-term survival rates at ten and fifteen years were considerably better in those patients treated with radical surgery. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(85)90483-2
更新日期：1985-04-01 00:00:00
abstract：:Immunoglobulin A (IgA) levels in semen and in prostatic fluid of 48 patients with benign and malignant diseases of the prostate were estimated. It is speculated from this small study that the IgA levels rise in benign prostatic hyperplasia; in early adenocarcinoma of the prostate (Stages A and B) the rise if furthered...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(76)90384-8
更新日期：1976-09-01 00:00:00
abstract：:Overactive bladder (OAB) is a common, disabling condition associated with considerable negative impact on quality of life, quality of sleep, and mental health. The age-specific prevalence of OAB is similar among men and women. Urge incontinence affects only a portion of the OAB population: 33% of patients have OAB wit...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2004.10.047
更新日期：2004-12-01 00:00:00
abstract：OBJECTIVES:To identify key papers in urology using a novel bibliometric index called the disruption score. METHODS:A PubMed search was conducted to identify papers published in Journal of Urology, European Urology, Urology, Urologic Oncology, Journal of Endourology, and BJU International, Nature Reviews Urology. Selec...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.10.073
更新日期：2021-01-04 00:00:00
abstract：OBJECTIVES:The pediatric application of ureteroscopy was initially hindered by the size of the instruments and the fear of damaging the urethra and ureterovesical junction during endoscopic maneuvers. This review of our experience is focused on the usefulness of thin and ultrathin ureteroscopes such as the 7 F Gautier ...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/S0090-4295(99)80358-6
更新日期：1995-12-01 00:00:00
abstract：:In 83 patients with non-neurologic, nonoperated vesicoureteral reflux the relation between enuresis and nephropathy was analyzed. The material showed that in spite of identical age, sex distribution, previous history of recurrent urinary tract infections, and the number of refluxing units, patients with enuresis showe...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(85)90156-6
更新日期：1985-11-01 00:00:00
abstract：OBJECTIVE:To characterize the clinical and metabolic abnormalities of patients presenting with multiple stones and determine their risk of new stone formation. MATERIALS AND METHODS:This retrospective case-controlled study consisted of 911 patients who had ureter stones for the first time and 107 age- and sex-matched ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2014.02.029
更新日期：2014-08-01 00:00:00
abstract：:The sera from patients with prostatic cancer have been observed to posses an unidentified factor capable of inhibiting the migration of leukocytes and the proliferative response to the nonspecific mitogen, phytohemagglutinin. Observation of inhibition of these two suggested in vitro correlates fo cell-mediated immuno...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(75)90586-5
更新日期：1975-07-01 00:00:00
abstract：OBJECTIVE:To describe total and component radical prostatectomy (RP) episode costs across a diverse set of hospitals in Michigan, and examine drivers of variation in such payments. METHODS:We identified Medicare and private payer patients undergoing RP from 2012 to 2014 from the claims-based registry maintained by the...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.05.071
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVE:To determine whether Charlson comorbidity index (CCI) predicts the postoperative complications after percutaneous nephrolithotomy (PCNL) and could be a plausible option to avoid surgery and its potential risks in elderly patients with significant comorbidites. METHODS:The data from 283 elderly patients (age ...
journal_title：Urology
pub_type： 杂志文章,多中心研究
doi：10.1016/j.urology.2011.10.060
更新日期：2012-05-01 00:00:00
abstract：:The effect of introducing a fine catheter on the urethral wall was studied by electromyography in rabbits. On introducing the catheter, increased electrical activity in the form of biphasic potentials was recorded from the external sphincter and bladder neck. This indicates active muscular contraction of these regions...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(82)90371-5
更新日期：1982-08-01 00:00:00
abstract：:The efficacy of treating carcinoma of the prostate with levodopa (L-dopa), a known inhibitor of prolactin secretion, has been tested in 11 Stage D patients who were refractory to conventional modalities. Relief of bone pain and recovery of mobility was excellent in 6, fair in 2, questionable in 1, and nonexistent in 2...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(77)90034-6
更新日期：1977-07-01 00:00:00
