Abstract:
OBJECTIVE:To present our experience of 2-port laparoscopic donor nephrectomy (TPLDN) and to introduce a simple retraction suture technique. MATERIAL AND METHODS:From October 2010 to November 2010, 10 consecutive, left TPLDNs were performed. The SILS Port was inserted through the umbilicus and was used for 5-mm laparoscope and laparoscopic instruments. A 12-mm trocar, for another working channel, was inserted along the midclavicular line at the umbilicus level. No articulating or bent laparoscopic instruments were needed. Two retraction sutures were used; a 3-0 Prolene suture was passed through the pericolic fat and then brought out of the abdominal wall and secured to the skin. Another suture was passed around the lower pole fat of the kidney, which was then fixed on the abdominal wall with a clamp. RESULTS:TPLDN was performed successfully in all patients, with no conversions to a conventional laparoscopic procedure or additional trocar insertion needed. The mean operative time was 152 ± 16.3 minutes, and the mean warm ischemia time was 2.9 ± 0.9. The average estimated blood loss was 77.3 ± 70 mL, and the postoperative hospital stay was 3.6 ± 0.6 days. No perioperative or postoperative complications were observed. Cosmesis was excellent, with a mean incision length of 5.6 ± 0.4 cm. All allografts functioned after transplantation. CONCLUSION:Our initial experience suggests that TPLDN appears safe and cosmetically effective and a feasible option for donor nephrectomy. The appropriate use of retraction sutures, during TPLDN, helps to overcome the technical problems associated with the inadequate retraction and exposure.
journal_name
Urologyjournal_title
Urologyauthors
Cho HJ,Choi YS,Bae WJ,Bae JH,Hong SH,Lee JY,Kim SW,Hwang TK,Cho YHdoi
10.1016/j.urology.2012.08.036subject
Has Abstractpub_date
2012-12-01 00:00:00pages
1379-82issue
6eissn
0090-4295issn
1527-9995pii
S0090-4295(12)00979-Xjournal_volume
80pub_type
杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVES:To evaluate the effect of extracorporeal magnetic innervation (ExMI) therapy in children with refractory monosymptomatic nocturnal enuresis (MNE). METHODS:A total of 55 children (34 boys and 21 girls, median age 8.0 years, range 5 to 13) who wetted the bed more than twice per week because of MNE that was re...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/j.urology.2007.05.027
更新日期:2007-09-01 00:00:00
abstract::Human semen containing normal number of sperm was exposed to concentrations of Escherichia coli varying from 500 to 10-8 colonies per cubic centimeter. A significant decrease in motility was abserved at 10-6 colonies per cubic centimeter. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(75)90116-8
更新日期:1975-05-01 00:00:00
abstract:OBJECTIVE:To determine whether conservative management of benign prostatic hyperplasia (BPH) is an appropriate option for patients with bladder stones. METHODS:The study cohort comprised 34 men who underwent endoscopic bladder stone removal with subsequent conservative management of BPH, including watchful waiting and...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.04.022
更新日期:2015-09-01 00:00:00
abstract::Acute renal failure and a syndrome characteristic of acute renal vein thrombosis developed in a patient with sickle trait and gram-negative bacteremia. It is suggested that intrarenal vaso-occlusion by sickled erythrocytes produced signs and symptoms typical of renal vein thrombosis and contributed to the severity of ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(75)90716-5
更新日期:1975-08-01 00:00:00
abstract:OBJECTIVES:This study examined the clinical significance of non-complexed (free) prostate-specific antigen (PSA) in the differential diagnosis of prostate cancer with an emphasis on patients with total PSA values between 4.0 and 10.0 ng/mL (the diagnostic gray zone). METHODS:Serum samples were obtained from three spec...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(99)80192-7
更新日期:1995-08-01 00:00:00
abstract::We present a case of a 30-year-old pregnant woman with renal cell carcinoma who underwent successful laparoscopic radical nephrectomy at 11 weeks of gestational age. The remainder of the pregnancy was uncomplicated, and the patient gave birth to a healthy baby boy at term. Although previous cases of successful nephrec...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.06.038
更新日期:2004-12-01 00:00:00
abstract:OBJECTIVES:We evaluated 11 currently available biopsy devices using a standard and a novel renal biopsy technique in a porcine model. We then applied our laboratory findings to clinical practice to improve our biopsy results during laparoscopic renal cryoablation procedures. METHODS:A total of 11 biopsy devices were a...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.04.028
更新日期:2007-09-01 00:00:00
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::A 45-year-old woman had an asymptomatic abnormality on a screening abdominal radiograph. The radiopaque mass in her right upper abdomen was surrounded by numerous "pearls" and resembled an abalone on the supine abdominal radiograph. We advised an additional upright abdominal radiograph, which showed a calcium fluid le...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.03.056
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:To evaluate the impact of extended warm ischemia on incidence of acute kidney injury (AKI) and ultimate functional recovery after partial nephrectomy (PN), incorporating rigorous control for loss of parenchymal mass, and embedded within comparison to cohorts of patients managed with hypothermia or limited war...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.08.034
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:Patients with posterior urethral valves (PUV) are at significant risk for progression to end-stage renal disease, despite early correction of the obstruction. Experimental models of urinary obstruction demonstrate increased renal expression of the profibrotic inflammatory mediator, transforming growth factor...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(00)00591-4
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:To examine the relationship between the body mass index and the size of renal stones in a group of patients with urolithiasis. METHODS:One-hundred seventy-three patients with renal stones were enrolled. Body mass index was calculated on the basis of height and weight measurements, and stone size was either m...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.07.027
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the immediate effects of neoadjuvant androgen deprivation therapy (NADT) on health-related quality of life (HRQOL) among patients undergoing radiation therapy (RT) for newly diagnosed prostate cancer. METHODS:The Prostate Cancer Outcomes and Satisfaction with Treatment Quality Assessment Consorti...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2013.06.062
更新日期:2013-12-01 00:00:00
abstract::A rare case of renal xanthine stone in association with the Lesch-Nyhan syndrome is presented. The xanthine stone is thought to be a complication of allopurinol therapy. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(85)90256-0
更新日期:1985-07-01 00:00:00
abstract:OBJECTIVE:To compare pressure, dilation, and histology in a porcine model after stenting with a pigtail suture stent (PSS)-where the ureteral and bladder component consists of a suture and a double J (DJ) stent. METHODS:Twelve pigs were studied with a PSS (4.8F/MiniJFil®) and DJ stent (4.8F/RocaJJ Soft) inserted in bo...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.11.031
更新日期:2020-11-27 00:00:00
abstract:OBJECTIVES:To determine the clinical implication of the loss of transforming growth factor-beta (TGF-beta) receptor (TbetaR) expression for the pathologic features in renal cell carcinoma (RCC) and the prognosis of 62 patients (Stage I, 4; Stage II, 28; Stage III, 11; and Stage IV, 19) who underwent radical nephrectomy...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)02553-0
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVES:In many institutions, cystography is obtained routinely after radical retropubic prostatectomy to assess the integrity of the vesicourethral anastomosis before the removal of the catheter. This study presents the Indiana experience with cystograms performed following radical retropubic prostatectomy. METHOD...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(99)80163-0
更新日期:1995-07-01 00:00:00
abstract:OBJECTIVES:To describe a modified onlay preputial island flap (OIF) urethroplasty to also be used in patients requiring urethral plate transection for penile straightening. METHODS:A total of 14 cases with primary severe hypospadias underwent the modified OIF urethroplasty as follows. After skin degloving, the corpora...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.09.048
更新日期:2011-06-01 00:00:00
abstract:OBJECTIVE:To confirm the role of cathelicidin (LL-37) in the internalization of bacille Calmette-Guérin (BCG) into bladder cancer cells. METHODS:Enzyme-linked immunosorbent assay and reverse transcription polymerase chain reaction analysis evaluated the changes in protein and messenger ribonucleic acid (RNA) expressio...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2014.12.028
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVES:To test the effectiveness of the sterilization process of the transducer while applying the Food and Drug Administration recommendations on a routine basis in a high-volume clinical setup. In June 2006, the Food and Drug Administration issued a Public Health notification about reprocessing of the reusable ul...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/j.urology.2010.06.069
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:To determine trends in management and factors associated with men receiving either chemotherapy or radiation therapy post orchiectomy for clinical stage I (CSI) seminoma in a contemporary setting. PATIENTS AND METHODS:The National Cancer Data Base was queried for all patients with CSI seminoma from 1998 to 2...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2016.07.037
更新日期:2016-12-01 00:00:00
abstract:OBJECTIVES:To evaluate whether the relationship between sexual desire and quality of life (QOL) is moderated by sexual functioning in 91 men who had received treatment for localized prostate cancer within the past 18 months. METHODS:Items from the University of California, Los Angeles, Prostate Cancer Index and Expand...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2003.09.048
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVE:To determine the exact anatomical structure for establishing penile veno-occlusive function, we sought to conduct a hemodynamic study on defrosted human cadavers. MATERIALS AND METHODS:Thirteen penises were used for this experiment, and 11 intact penises were allocated into the electrocautery group (EG, n = ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.07.054
更新日期:2015-12-01 00:00:00
abstract::Using an occlusion balloon catheter during percutaneous removal of renal calculi can increase the success of obtaining a nephrostomy as well as enhance the removal of stone fragments. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(86)90333-x
更新日期:1986-06-01 00:00:00
abstract::In an attempt to solve the problem of chemosensitivity testing of renal cell carcinoma in vitro, a modified short-term culture technique was developed. The kinetic study of hypernephroma cells and normal renal cells showed that the uptake of H3-uridine and H3-thymidine is at its maximum after eighty hours. The effect ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90150-1
更新日期:1988-03-01 00:00:00
abstract::For clinical practice and research of overactive bladder syndrome, it is essential to evaluate urgency symptoms in daily life. We have developed a portable patient-activated device to record bladder sensations. This electronic device is pocket-size and light, with five grading buttons and another button for cancellati...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.01.036
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVES:To compare the urodynamic parameters and continence rates among five different continent urinary reservoirs. METHODS:Continent urinary reservoirs were constructed in 40 patients with an average age of 60 years (range 23 to 81). Twenty-three had orthotopic neobladders ("neobladders"), and in 17 the reservoir...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/s0090-4295(99)00098-9
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVES:To evaluate the financial implications of how the costs of new minimally invasive surgery such as laparoscopic robotic prostatectomy (LRP) and cryosurgical ablation of the prostate (CAP) technologies compare with those of conventional surgery. METHODS:From January 2002 to July 2005, 452 consecutive patients...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2006.10.025
更新日期:2007-02-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of intermittent percutaneous tibial nerve stimulation (PTNS) as a treatment modality for patients with refractory interstitial cystitis/bladder pain syndrome (IC/BPS). PATIENTS AND METHODS:Twenty female patients with IC/BPS (mean symptom duration of 4.5 ± 2.4 years) each had a 30-min...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.06.041
更新日期:2015-10-01 00:00:00
abstract::A rare case of inverted papilloma of the ureter in a sixty-eight-year-old man is presented, and the literature is reviewed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(83)80018-1
更新日期:1983-09-01 00:00:00