Abstract:
OBJECTIVES:To evaluate the outcomes of hand-assisted laparoscopic nephrectomy in patients with significant complicating clinical factors. METHODS:We performed a retrospective review of 322 hand-assisted laparoscopic nephrectomy cases that were completed at a single institution from 1998 to 2004. Patients with a history of extensive abdominal surgery or prior procedures on the affected kidney, evidence of perirenal inflammation, renal lesions 10 cm or more in diameter, or level I renal vein thrombus were included. RESULTS:A total of 42 patients were included in this series. Of these, 16 patients had a lesion 10 cm or larger, 10 had a renal vein thrombus, and 10 had undergone prior major abdominal surgery. Many patients had more than one complicating factor. Another 6 patients had a history of prior renal procedures or chronic inflammatory processes involving the affected kidney. One Stage T4 renal tumor with paraspinous muscle invasion was successfully managed without conversion. The overall mean operative time and estimated blood loss was 235 minutes and 439 mL, respectively, with a mean hospital stay of 4 days. Four patients (9.5%) required open conversion (one renal hilar injury, two failure to progress, and one persistent bleeding from the renal fossa). Postoperative complications included pulmonary embolism in 1, ileus in 1, and chronic obstructive pulmonary disease exacerbation in 1 patient. One patient developed an incarcerated port site hernia requiring reoperation. CONCLUSIONS:Hand-assisted laparoscopic nephrectomy is an attractive minimally invasive option in the setting of significant complicating factors. This technique may facilitate the successful laparoscopic completion of these challenging cases with reasonable operative times, blood loss, and complication rates.
journal_name
Urologyjournal_title
Urologyauthors
Kalra P,Glassman DT,Gomella LG,Strup SE,McGinnis DE,Simon DR,Chang MF,Byrne DS,Kuo RLdoi
10.1016/j.urology.2005.07.043subject
Has Abstractpub_date
2006-01-01 00:00:00pages
45-9issue
1eissn
0090-4295issn
1527-9995pii
S0090-4295(05)01137-4journal_volume
67pub_type
杂志文章相关文献
UROLOGY文献大全abstract::Pulsatile scrotal masses are extremely rare. We report the first case of pulsatile and painful scrotal mass that had an arterial collateral circulation, equivalent to an arterioarterial shunt, feeding an excluded internal iliac artery aneurysm after aortobifemoral bypass surgery. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(03)00787-8
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVE:To compare pathological characteristics, treatment patterns, and survival in patients with ductal adenocarcinoma (DC) compared to those with acinar adenocarcinoma (AC). MATERIALS AND METHODS:Using the National Cancer Database, we identified patients diagnosed with clinically localized (cN0, cM0) pure DC (n =...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2015.07.009
更新日期:2015-10-01 00:00:00
abstract::Sympathomimetic drugs stimulate the receptors of the sympathetic nervous system. Although the bladder possesses sympathetic receptors, sympathomimetic drugs, in general, have little effect on bladder function. Their most useful clinical applications on the urinary tract are to increase or decrease bladder resistance. ...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/0090-4295(78)90180-2
更新日期:1978-05-01 00:00:00
abstract:OBJECTIVES:To evaluate the relationship between bedwetting and development in infancy. METHODS:Questionnaires concerning micturition habits and development at 3 and 5 years of age were completed by the parents of 157 children who had had their health checked by pediatricians at a group checkup at 3 years of age. RESU...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)01391-7
更新日期:2001-11-01 00:00:00
abstract::We report a case of a man with a testicular mixed germ cell tumor in whom the first symptom was severe anemia secondary to upper gastrointestinal bleeding from a metastatic pure choriocarcinoma. He underwent ileal enterectomy, radical orchiectomy, and several cycles of chemotherapy (cisplatin, etoposide, and bleomycin...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.06.102
更新日期:2005-12-01 00:00:00
abstract:OBJECTIVES:To investigate, by real-time quantitative reverse transcriptase-polymerase chain reaction, the expression of MUC3 and vascular endothelial growth factor (VEGF) to correlate them with histologic parameters and with prognosis. Human mucins are large O-glycoproteins expressed in epithelial tissues. Deregulation...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(03)00560-0
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVES:Laser tissue soldering (LTS) in the urinary tract provides an immediate leak-free seal and may avoid complications seen with conventional repair (such as fistula and stricture). We have begun a Phase I clinical trial investigating the use of LTS in performing urologic reconstructive surgery. METHODS:Ten pat...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(99)80206-4
更新日期:1995-08-01 00:00:00
abstract::A multicenter, randomized double-blind study was carried out in 203 patients with metastatic prostate cancer, in order to compare the efficacy of complete suppression of androgens achieved with surgical castration and nilutamide (Anandron), 100 mg t.i.d. The combined therapy was well-tolerated by patients, and they no...
journal_title:Urology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/0090-4295(91)80098-r
更新日期:1991-01-01 00:00:00
abstract:OBJECTIVE:To compare the risk of mortality among men treated for benign prostatic hyperplasia (BPH) with 5 alpha-reductase inhibitors (5ARI) to those treated with alpha-blockers (AB) in community practice settings. METHODS:We employed a retrospective matched cohort study in 4 regions of an integrated healthcare system...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2018.05.033
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:To determine the value of mid-infrared spectroscopy (MIRS) of ureteral stent encrustations in predicting urinary stone composition. METHODS:A retrospective study analyzed the composition of stent encrustations and urinary stones by MIRS in patients who had had a stent for ureteral obstruction between 2001 a...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.03.054
更新日期:2005-08-01 00:00:00
abstract:OBJECTIVE:To provide an anatomical atlas made of serially sectioned images of a female cadaver that clearly demonstrated the pudendal nerve. MATERIALS AND METHODS:The courses of the pudendal nerve, internal pudendal artery, and internal pudendal vein were observed on the sectioned images of a female cadaver. The spati...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.05.007
更新日期:2020-08-01 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:OBJECTIVES:With the widespread use of prostate-specific antigen (PSA)-based screening, there is now concern about the overdiagnosis and overtreatment of men with low-risk prostate cancer (PCa). One of the most difficult aspects of PCa management is a balance of the often-competing goals of cancer control with functiona...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.12.016
更新日期:2008-10-01 00:00:00
abstract:OBJECTIVES:Recent improvements in socioeconomic conditions have changed the clinical picture of urinary stones, including bladder calculi. With the ongoing changes in these predisposing factors, it is possible that the clinical picture of bladder calculi will show additional changes. Nevertheless, few contemporary seri...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.12.038
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVES:To investigate the effectiveness and durability of transurethral needle ablation (TUNA) in the treatment of symptoms of chronic pelvic pain syndrome (CPPS) in a randomized, single-blind, sham-controlled study. METHODS:Thirty-three patients with moderate-to-severe symptoms of CPPS were randomized to either T...
journal_title:Urology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0090-4295(02)01704-1
更新日期:2002-08-01 00:00:00
abstract:OBJECTIVES:To investigate the degree to which expenditures on symptom evaluations vary among urologists and the factors associated with such variation. As the medical and surgical specialists for men with lower urinary tract symptoms (LUTS), urologists provide testing to evaluate symptoms and determine therapy. METHOD...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.07.485
更新日期:2011-03-01 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:OBJECTIVES:To examine the safety, efficacy, and tolerability of tolterodine in four randomized, double-blind, parallel, multicenter, 12-week studies of patients with overactive bladder. METHODS:Two of the four studies compared tolterodine (2 mg twice daily) to oxybutynin (5 mg three times daily) and placebo, one study...
journal_title:Urology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1016/s0090-4295(97)00599-2
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVES:To evaluate the incidence and type of incontinence after external beam radiotherapy (RT) and brachytherapy. Distinct late effects on the urinary bladder can occur and are frequently mild after adjuvant RT for Stage I endometrial carcinoma. Not all side effects that impair quality of life (eg, urinary inconti...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2003.09.040
更新日期:2004-02-01 00:00:00
abstract:OBJECTIVES:Invasive penile and urethral tumors are traditionally treated with aggressive excision that requires involved organ and adjacent organ sacrifice. An alternative approach seeks to completely excise the tumor with adequate margins while preserving form and function of the organ. We present 6 patients who under...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(98)00483-x
更新日期:1999-02-01 00:00:00
abstract:OBJECTIVE:To analyze differences in length of stay, opioid use, and other perioperative outcomes in patients undergoing radical cystectomy with urinary diversion who received either liposomal bupivacaine (LB) or epidural analgesia. METHODS:This was a single center, retrospective cohort study of patients undergoing ope...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.11.036
更新日期:2020-12-03 00:00:00
abstract::The anterior bladder wall and actin- and myosin-like immunoreactivities within the detrusor muscles in patients with chronic obstruction of the lower urinary tract were examined by means of a MOP Videoplan image-processing system, electronmicroscopy, and light microscopic immunohistochemistry. The image-processing sys...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(91)80333-3
更新日期:1991-06-01 00:00:00
abstract::Since the initial report of renal hemangiopericytoma in 1955, only 39 cases of this rare vascular neoplasm, involving the renal capsule, parenchyma, or sinus have been described in the world literature. Herein we describe a case of a 15-year-old adolescent boy with this tumor arising from right renal pelvis. A radical...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.07.034
更新日期:2007-10-01 00:00:00
abstract::Experimental and clinical aspects of calculogenesis about foreign bodies are reviewed. Factors such as infections, urine dilution, urinary pH, and suture materials are discussed from an investigative point of view. The various kinds of clinical foreign body stones reported are categorized according to the manner of in...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/0090-4295(75)90582-8
更新日期:1975-07-01 00:00:00
abstract:OBJECTIVE:To describe and compare the management of WT and oncologic outcomes by patient age using a large national database. METHODS:The National Cancer Database was queried for patients with WT diagnosis from 2004 to 2013. Patients were grouped by age and compared: pediatric (<16 years), young adults (16-35 years) a...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2019.10.007
更新日期:2020-01-01 00:00:00
abstract::Paratesticular tumors are extremely rare, with paratesticular rhabdomyosarcoma being the most common finding. A 6-month-old boy presented with an asymptomatic, right intrascrotal mass whereby the testicle was surrounded by a friable lipomatous tumor. Frozen section revealed an inflammatory process, negative for malign...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2007.12.030
更新日期:2008-06-01 00:00:00
abstract::We describe a case of renovascular hypertension with renal artery stenosis concealed by aneurysms. Arteriography demonstrated no apparent renal artery stenosis, but did reveal aneurysms on the left renal artery. Captopril-loaded renoscintigraphy could not detect disturbed renal perfusion. High basal and exaggerated pl...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2004.09.045
更新日期:2005-03-01 00:00:00
abstract::Urethral diverticulum is a correctable cause of lower urinary tract symptoms in women. It has been found to be present in from 1.85 to 4.7 per cent of all females. The postvoid film of the intravenous urogram (IVP) is the simplest and least invasive method available to diagnose urethral diverticula. It should be a rou...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(81)90280-6
更新日期:1981-04-01 00:00:00
abstract:OBJECTIVES:To investigate the feasibility, safety, and efficacy of perineal cutaneous application of capsaicin as a test for the diagnosis, as well as a potential therapeutic tool, in patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). METHODS:We recruited 22 patients (mean age 34.5 years, range ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.11.028
更新日期:2006-05-01 00:00:00
abstract:OBJECTIVE:To assess effects of tadalafil vs placebo on prostatic blood flow measured by transrectal ultrasonography in men aged ≥45 years with moderate-to-severe benign prostatic hyperplasia-lower urinary tract symptoms. METHODS:After screening and washout, patients were randomized to placebo (n = 50) or tadalafil 5 m...
journal_title:Urology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.urology.2014.02.063
更新日期:2014-08-01 00:00:00