Abstract：
OBJECTIVES:To report experience with 100 robot-assisted partial nephrectomy (RAPN) operations performed at our institution. Nephron-sparing surgery is an established treatment for patients with small renal masses. The laparoscopic approach has emerged as an alternative to open nephron-sparing surgery, but it is recognized to be technically challenging. The robotic surgical system may enable faster and greater technical proficiency, facilitating a minimally invasive approach to more difficult lesions while reducing ischemia time. METHODS:A total of 100 RAPN operations were performed for suspicious solid renal lesions during a 21-month period. Clinicopathologic variables, nephrometry scores, operative parameters, and renal functional outcomes were prospectively recorded and analyzed. RESULTS:Median tumor size was 2.8 cm (range, 1.0-8). Nephrometry scores of resected lesions were low in 47.9% of patients, medium in 45.7%, and high in 6.4% of patients. Forty-seven percent of patients had tumors>50% intraparenchymal, and 61.7% had tumors located less than 7 mm away from the renal sinus or collecting system. In 17% of patients, the tumors were touching a first-order vessel in the renal hilum. Mean warm ischemia time was 25.5 minutes (range, 0-53). Mean change in postoperative glomerular filtration rate improved 6.32 mL/min/1.73 m2 (range, -41.9 to 68.9). Histology was renal cell carcinoma in 81% (87/107) of tumors. There were 5 microscopically positive margins on final pathology (5.7%). Major and minor complication rates were 6% and 5%, respectively. There were 2 conversions to open surgery. CONCLUSIONS:RAPN seems to be a safe and technically feasible minimally invasive approach to nephron-sparing surgery even in more complex cases, with acceptable pathologic and renal function outcomes.
journal_name
Urologyjournal_title
Urologyauthors
Scoll BJ,Uzzo RG,Chen DY,Boorjian SA,Kutikov A,Manley BJ,Viterbo Rdoi
10.1016/j.urology.2009.10.040subject
Has Abstractpub_date
2010-06-01 00:00:00pages
1328-34issue
6eissn
0090-4295issn
1527-9995pii
S0090-4295(09)02846-5journal_volume
75pub_type
杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVES:To detect and isolate disseminated prostate cancer cells because significant effort has been directed toward defining the characteristics of the primary tumor that predict progression, but little progress has been made on evaluating the disseminated prostate cancer cell. Prostate-specific antigen (PSA) rever...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)02291-4
更新日期：2003-02-01 00:00:00
abstract：OBJECTIVES:To examine the cellular, plasma, and urinary oxalate and erythrocyte oxalate flux in patients with calcium oxalate monohydrate (COM) stone formation vs normal controls. Pathologic oxalate clearance in humans is mostly integrated in calcium oxalate stone formation. An underlying cause of deficient oxalate cle...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.11.028
更新日期：2009-03-01 00:00:00
abstract：OBJECTIVES:To evaluate the effectiveness and safety of a new purified collagen gel with specific properties for renal artery embolization in an experimental model in dogs. METHODS:The new gel was prepared from type I bovine tendon collagen, highly purified to eliminate immunogenicity, and reconstituted through extensi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.10.043
更新日期：2006-04-01 00:00:00
abstract：:Urinary incontinence occurring during orgasm in women is an infrequently volunteered symptom. We studied 3 such patients to understand the mechanism behind such leakage. Urodynamic studies were performed prior to and during orgasm. It was found that during orgasm, there was involuntary bladder contraction with simulta...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(88)90160-4
更新日期：1988-03-01 00:00:00
abstract：OBJECTIVES:Photodynamic diagnosis (PDD) using 5-aminolevulinic acid has proved to be a procedure with an outstanding sensitivity for the detection of transitional cell carcinoma of the bladder, in particular in the detection of flat urothelial lesions. We report on our clinical results with 875 patients (1713 PDD proce...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2006.10.015
更新日期：2007-02-01 00:00:00
abstract：:A randomized prospective study was set up to assess the role of postoperative catheter drainage and the value of hydraulic self-dilatation of the urethra after internal urethrotomy. Sixty-two patients were admitted into the study and followed-up for two years. The results support the use of a no-catheter posturethroto...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0090-4295(85)90178-5
更新日期：1985-10-01 00:00:00
abstract：:Perinephric urinomas commonly arise following traumatic injury or high-grade obstruction from kidney stones or lower urinary tract disorders. Not only are spontaneous urinomas rare in the pediatric population, but malignancy presenting with perinephric urinomas have only been described in the adult population. In this...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2018.04.003
更新日期：2018-07-01 00:00:00
abstract：:Urinary retention and the possible consequence of infection after total joint replacement is an important subject to urologists and orthopedic surgeons. A prospective, randomized study was performed in 77 elderly female patients with total joint replacement to test whether twenty-four-hour catheterization perioperativ...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0090-4295(88)90381-0
更新日期：1988-09-01 00:00:00
abstract：:A patient with false elevation of serum creatinine level due to 5-fluorocytosine (5-FC) is reported. 5-FC interferes with the enzymatic method used for creatinine determination in the Kodak Ektachem analyzer. Clinicians should be aware of the potential for spurious azotemia in patients receiving 5-FC therapy for funga...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(90)80276-s
更新日期：1990-09-01 00:00:00
abstract：OBJECTIVES:To assess serum creatinine as a putative marker for staging/prognosis in localized prostate cancer. Although clinical stage, tumor grade, serum prostate-specific antigen (PSA), and tumor volume assessment by biopsy positivity are established prognostic markers in prostate cancer, the need for additional seru...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(01)01370-x
更新日期：2001-11-01 00:00:00
abstract：OBJECTIVES:To examine the potential for renal protection through incomplete renal artery (RA) occlusion with both assessments of creatinine changes and the use of hyperspectral imaging to monitor tissue oxygenation. Renal ischemia during partial nephrectomy can have adverse consequences on renal function. METHODS:Four...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.06.029
更新日期：2011-10-01 00:00:00
abstract：:The management of clinically localized renal masses suspicious for renal cell carcinoma varies, partially because of gaps in the evidence base. We conducted a systematic review to summarize research gaps for the evaluation of composite models for predicting malignancy; use of percutaneous renal sampling for diagnosis;...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2016.08.013
更新日期：2016-12-01 00:00:00
abstract：OBJECTIVE:To treat mild-to-moderate apical compartment prolapse while preserving the uterus, our extraperitoneal uterosacral ligament hysteropexy repair technique was developed. Hysterectomy for prolapse accounted for 13% of all benign hysterectomies, which is the third most common reason.1 Although concomitant hystere...
journal_title：Urology
pub_type：
doi：10.1016/j.urology.2020.02.026
更新日期：2020-06-01 00:00:00
abstract：:The effect of radiation combined with heat on three human prostatic carcinoma cell lines growing in vitro was investigated. Cells were exposed to different radiation doses followed by heat treatment at 43 degrees C for one hour. Heat treatment, given ten minutes after radiation, significantly enhanced the radiation re...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(91)80025-3
更新日期：1991-07-01 00:00:00
abstract：OBJECTIVE:To present a systematic review to assess efficacy and safety of tramadol for premature ejaculation. METHODS:A literature search was performed using the Cochrane Library, MEDLINE, EMBASE, and Science Citation Index Expanded. Literature reviewed included meta-analyses and randomized and nonrandomized prospecti...
journal_title：Urology
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.urology.2012.05.035
更新日期：2012-09-01 00:00:00
abstract：OBJECTIVES:To identify a population of patients within the group with positive surgical margins after radical prostatectomy who would benefit in terms of improved local control of disease by the administration of adjuvant radiation therapy to the prostate bed. METHODS:Postoperative prostate-specific antigen (PSA) valu...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)80422-1
更新日期：1996-02-01 00:00:00
abstract：:Thirty-two patients with primary carcinoma of the ureter were treated at our institution from 1961 to 1968 using various modes of therapy. Sixteen of these patients underwent segmental resections, with a five-year survival of 71.4 per cent and a ureteral recurrence rate of 6 per cent. Twelve other patients received a ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(83)90150-4
更新日期：1983-04-01 00:00:00
abstract：OBJECTIVES:To review a single surgeon's experience with the development of postoperative deep venous thrombosis after urologic reconstruction in the myelomeningocele population. This complication is rarely reported in this population, despite the multiple risk factors. We reviewed the risk factors for the development o...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2005.01.052
更新日期：2005-07-01 00:00:00
abstract：OBJECTIVE:To investigate the longitudinal changes in lower urinary tract symptoms (LUTS) after robot-assisted radical prostatectomy (RARP). METHODS:Data on 127 patients who underwent RARP and completed the American Urological Association Symptom Score (AUASS) preoperatively and at 3, 6, and 12 months after surgery wer...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.12.038
更新日期：2013-04-01 00:00:00
abstract：:A case is reported of bilateral hydronephrosis secondary to ureteropelvic junction obstruction, diagnosed at thirty-six weeks of gestation when ultrasound was performed on the mother for polyhydramnios. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(81)90048-0
更新日期：1981-03-01 00:00:00
abstract：:Fifty-four female patients with persistent or recurrent stress urinary incontinence who underwent between 1 and 9 previously unsuccessful operative procedures were treated with transvaginal mobilization of the urethra and anterior vaginal wall with subsequent modified Pereyra bladder neck suspension. The important poi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(84)90140-7
更新日期：1984-04-01 00:00:00
abstract：:Marked impairment of spermatogenesis was found in a group of men exposed to the pesticide 1,2-dibromo-3-chloropropane (DBCP), demonstrated by semen analyses, testicular biopsies, and hormone studies. The ramifications of the use of this pesticide are discussed. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(78)90128-0
更新日期：1978-03-01 00:00:00
abstract：OBJECTIVE:To increase the diagnostic sensitivity of standard MAG3 diuretic renal scans for ureteropelvic junction obstruction (UPJO) by exploring the utility of an alternative measurement P40, the percentage of maximal tracer counts present at 40 minutes. MATERIALS AND METHODS:Patients with strong clinical and anatomi...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.11.049
更新日期：2017-05-01 00:00:00
abstract：OBJECTIVES:There are large interindividual differences in response to medical therapy for men with benign prostatic hyperplasia. Selection of patients for alpha-blocker versus hormonal treatment is often based more on assumptions than on well-documented knowledge. A more scientifically based decision of therapy has a p...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00629-4
更新日期：2000-08-01 00:00:00
abstract：:Five hundred girls with recurrent urinary tract infections and documented reflux were seen in our private practice during the last twenty years. All patients received medical treatment for three to forty-eight months (an average of fifteen months) after which the 250 who were not cured were submitted to corrective sur...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(80)90329-5
更新日期：1980-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the safety and efficacy of mass circumcision performed using a plastic clamp. METHODS:A total of 2013 males, including infants, children, adolescents, and adults were circumcised during a 7-day period by using a plastic clamp technique. Complications were analyzed retrospectively in regard to 4 d...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.12.018
更新日期：2011-07-01 00:00:00
abstract：OBJECTIVES:Hyperhomocysteinemia (HHcy) is associated with cardiovascular disease such as coronary arteriosclerosis and stroke. However, its role in the development of vasculogenic erectile dysfunction (ED) is still putative. In this study, we evaluated the relationship between plasma total homocysteine (tHcy) and the p...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.01.024
更新日期：2008-05-01 00:00:00
abstract：:Patients with type IX Ehlers-Danlos syndrome have a tendency for development of diverticulae of the urinary bladder, and these often recur after surgical excision. We report on a patient with this syndrome in whom an extensively infiltrating transitional cell carcinoma developed in a diverticulum. To our knowledge, th...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/0090-4295(91)80181-6
更新日期：1991-12-01 00:00:00
abstract：:A unique case of bladder outlet obstruction secondary to posterior urethral valves in an octogenarian is presented. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(79)90343-1
更新日期：1979-04-01 00:00:00
abstract：:Turner syndrome is a chromosomal disorder that occurs in an estimated 1 in 2500 female live births. It is estimated that 6%-12% of all Turner syndrome patients will be a mosaic with Y-chromosomal elements putting them at risk for gonadoblastoma and subsequent dysgerminoma. While 30%-50% of this population demonstrate ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.01.031
更新日期：2020-05-01 00:00:00
