Abstract:
: Objective: The aim of this study was to introduce the "ultrathin parenchyma" resection in a robot-assisted partial nephrectomy (RAPN) via the retroperitoneal approach, and to assess the feasibility, security, and effectiveness of this technique. Methods: We collected and retrospectively reviewed the clinical data of patients with renal tumors who underwent ultrathin parenchyma resections in RAPNs via the retroperitoneal approach or traditional sharp dissection in RAPNs via the retroperitoneal approach from February 2015 to August 2018. The general data and other parameters, such as the operation time, blood loss (BL), warm ischemia time (WIT), positive surgical margin (PSM), glomerular filtration rate (GFR), and postoperative recurrence, were compared and analyzed between the two surgical techniques. Results: In ultrathin parenchyma resection groups, one case was converted to an open surgery, while the other cases were completed effectively. There were no significant differences in the general data, operation time, intraoperative BL, WIT, intraoperative complications, transfusion rate, PSM rate, hospital stay, and recurrence rate after the operation between the two groups (p > 0.05). The postoperative residual kidney volume percentage and the GFR (6 months postoperatively) were significantly higher in the ultrathin parenchyma resection group when compared with the traditional sharp dissection group (p < 0.05). Conclusion: The ultrathin parenchyma resection during robotic partial nephrectomy (RPN) is a safe and effective surgical technique for the resection of cT1 renal tumors. It can preserve the renal function under the premise of ensuring effective tumor control.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Guo J,Zhou X,Zhang C,Wang G,Fu Bdoi
10.1089/end.2019.0698subject
Has Abstractpub_date
2020-03-01 00:00:00pages
281-288issue
3eissn
0892-7790issn
1557-900Xjournal_volume
34pub_type
杂志文章abstract::Five patients with major (Grade IV) renal trauma required ureteral stent placement to facilitate urinary drainage. Three of these patients had stents placed for recurrent gross hematuria with flank pain. All three had obstructing blood clots present at the time of stent placement. The fourth patient had a stent placed...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.545
更新日期:1998-12-01 00:00:00
abstract:PURPOSE:To investigate the effect of metabolic syndrome (MS) and its components on the outcomes of transurethral resection of the prostate (TURP). PATIENTS AND METHODS:Fifty patients with MS and 50 without MS were enrolled for the study. Patients without MS were assigned to Group 1 and patients with MS were in Group 2...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0562
更新日期:2015-03-01 00:00:00
abstract::Bisphosphonates bind renal calculi and inhibit calcium oxalate crystal growth in vitro. We evaluated their ability to inhibit calcium oxalate urolithiasis in a lithogenic rat model. Male Sprague-Dawley rats (four groups, eight rats each) were fed 1.0% ethylene glycol in their drinking water for 6 weeks. All rats had i...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.1
更新日期:1997-02-01 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:PURPOSE:There are a variety of ureteral access sheath (UAS) lengths (13-55 cm) and diameters (9.5/11.5F-16/18F) available in the market. However, urologists are faced with a dilemma when choosing the ideal UAS diameter. Thus, we evaluated a case-control study of the efficacy and safety of 12/14F and 14/16F UASs in flex...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0222
更新日期:2018-10-01 00:00:00
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
更新日期:2009-02-01 00:00:00
abstract:PURPOSE:We report our initial experience with robot-assisted laparoscopic neurovascular bundle (NVB) sparing radical cystoprostatectomy (RALRC), bilateral extended lymph node dissection (BELND) with intracorporeal Studer pouch construction for invasive bladder cancer. PATIENTS AND METHODS:After initially performing >5...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0632
更新日期:2011-09-01 00:00:00
abstract::Severe urethral stricture disease as an isolated entity can be a management dilemma. In the patient described here, this problem was associated with prior external-beam radiation and cryosurgical ablation of the prostate, and a functional artificial urethral sphincter (AUS) had been placed. An attempt to relieve parti...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.585
更新日期:1999-10-01 00:00:00
abstract:INTRODUCTION:The current experimental study aimed at evaluating the temperature raise of the irrigation fluid caused by the use of the thulium (Tm:YAG) and holmium laser (Ho:YAG) in the upper urinary tract (UT) of pigs. MATERIALS AND METHODS:An experimental setting was designed for the investigation of differences in ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0768
更新日期:2016-05-01 00:00:00
abstract:: Introduction and Objective: Current available lithotrites have clinical stone clearance rates averaging 24 to 32 mm2/minute. The objective of this study was to critically evaluate the initial experience with the Swiss LithoClast ® ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0561
更新日期:2020-02-01 00:00:00
abstract::Ureteral obstruction secondary to extrinsic compression is uncommon. Extrinsic compression results from both benign and malignant conditions of the retroperitoneum. In certain patients, laparoscopic ureterolysis is a minimally invasive alternative to the open approach. To date, the largest numbers of patients have und...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2005.19.710
更新日期:2005-07-01 00:00:00
abstract::A patient with a lymphocele after laparoscopic pelvic lymphadenectomy and radical retropubic prostatectomy was treated successfully with a single instillation of diatrizoate meglumine through a Jackson-Pratt drain. The authors review the origin of lymphoceles and various methods for treating them. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.337
更新日期:1993-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Port-site metastasis (PSM) is a rare complication of laparoscopic intervention in urologic malignancies. Of the greater than 50 reported cases of PSM in the urologic oncology literature, only 9 have occurred after surgery for renal-cell carcinoma (RCC). We report a 10th instance of RCC metastasis...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0533
更新日期:2013-06-01 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:Our study sought to demonstrate the effects of remote ischemic preconditioning (R-IPC) on renal function in a large animal (porcine) solitary-kidney model. METHODS:Twelve pigs were assigned to two groups: Each underwent a right nephrectomy followed by a week of recovery. Group 1 (No-IPC) underwent left renal h...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0563
更新日期:2015-05-01 00:00:00
abstract::Because of the high rate of ipsilateral multifocal disease and the low incidence of contralateral disease, upper tract transitional-cell carcinoma has historically been treated with radical nephroureterectomy. This operation has been performed laparoscopically in many medical centers, with various techniques. The diff...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.859
更新日期:2000-12-01 00:00:00
abstract:PURPOSE:In this study, we tried to design a scheme for performing transrectal ultrasonographic (TRUS)-biopsies that would be accurate and include the optimal number of cores. PATIENTS AND METHODS:We included in this study 600 consecutive patients with suspicious findings on a per-rectum examination and/or an elevated ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2008.0260
更新日期:2009-06-01 00:00:00
abstract::After an extensive favorable experience with the Lapides-Ball open retropubic bladder neck suspension, we chose to perform this operation laparoscopically. We describe video-assisted extraperitoneal laparoscopic bladder neck suspension (VELBNS), in which we employ a single laparoscopic cannula and a laparoscopic bladd...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1995.9.259
更新日期:1995-06-01 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
abstract:BACKGROUND AND PURPOSE:It is known that extracorporeal shock wave lithotripsy (SWL) may be improved by increasing cavitation using tandem shock waves. However, fluid is needed for the cavitation to work. The purpose of this research was to evaluate the importance of a fluid-filled expansion chamber in enhancing stone f...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0334
更新日期:2009-04-01 00:00:00
abstract::The recent evolution of actively deflectable, flexible endoscopes has included the flexible cystoscope. Improvements in optics, deflectability, and the size of the outer sheath and working channel have been accomplished. A superior flexible cystoscope is one with an outer sheath of 16F or less and working channel larg...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.527
更新日期:1993-12-01 00:00:00
abstract:OBJECTIVE:Accurate tumor staging in renal cancer is critical for prognostic projections, follow-up schedules, clinical trials and potential systemic therapies. We studied patients undergoing laparoscopic radical nephrectomy (LRN) to determine the extent of upstaging on histopathology evaluation and correlated the clini...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0399
更新日期:2008-10-01 00:00:00
abstract:INTRODUCTION:Routine preoperative electrocardiogram (ECG) before shockwave lithotripsy (SWL) is frequently performed despite recommendations against its use in asymptomatic patients undergoing low-risk surgical procedures. This study assesses whether routine preoperative ECG before SWL is useful in patients at low risk...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0053
更新日期:2019-04-01 00:00:00
abstract::Ureteral stents and nephrostomy tubes have been used extensively in urology. Attendant to their use are their associated morbidities, such as pain, infection, and encrustation. We review the literature on the subject of the encrusted stents and drainage catheters, discuss the risk factors for encrustation, and describ...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2006.0382
更新日期:2008-05-01 00:00:00
abstract:PURPOSE:To assess the effectiveness of periurethral microballoon implantation for management of female urinary incontinence. PATIENTS AND METHODS:A total of 45 women with urinary incontinence (age range 47-88 years) were treated between May 2000 and June 2001. Microballoons were placed in the proximal periurethral tis...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.901
更新日期:2004-11-01 00:00:00
abstract:PURPOSE:To investigate prospectively the benefits of three-dimensional stereolithographic biomodeling produced from CT data as an aid to achieving optimal access for percutaneous nephrolithotripsy (PCNL). PATIENTS AND METHODS:Eight patients with complex urinary calculi were selected. Multislice CT scans of the kidney ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.92
更新日期:2006-02-01 00:00:00
abstract:PURPOSE:To review the management approach to and results of severely encrusted retained ureteral stents and analyze predictive risk factors. PATIENTS AND METHODS:Medical records from January 1996 to March 2006 were reviewed for Double-J stent complications and their final outcome. A total of 876 stents were inserted i...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0250
更新日期:2007-06-01 00:00:00
abstract::Vesicourethral reconstruction is the most critical and time-consuming step of laparoscopic radical prostatectomy. We describe the use of two hemicircumferential running sutures that has significantly simplified the procedure in our last 30 patients. The vesicourethral reconstruction took 31 minutes on average. Six mon...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.749
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:We have previously shown that men tolerate office flexible cystoscopy better when they simultaneously view the monitor during their procedure. We sought to demonstrate similar effects of distraction on women undergoing rigid office cystoscopy. PATIENTS AND METHODS:100 consecutive women underwent...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2008.0076
更新日期:2008-12-01 00:00:00
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
更新日期:2013-10-01 00:00:00