Abstract：
OBJECTIVES:To evaluate the feasibility and clinical efficacy of retroperitoneal laparoscopic nephron-sparing surgery for renal tumors. METHODS:Between June 2002 and February 2004, 11 cases of renal benign tumor and 21 cases of renal malignant tumor underwent enucleation of the tumor and wedge resection of the tumor through retroperitoneal laparoscopy, respectively. Tumor resection and hemostasis were mainly achieved by harmonic scalpel. Follow-up studies were performed with an evaluation using renal spiral computed tomography. RESULTS:All procedures were technically successful. The mean operating time was 70 minutes for enucleation and 96 minutes for wedge resection. The mean estimated blood loss was 35 mL for enucleation and 65.5 mL for wedge resection. The mean hospital stay after surgery was 6.5 days. No intraoperative complications occurred. The pathologic examination confirmed renal cell carcinoma in 21 patients and angiomyolipoma in 11. The pathologic stage was pT1a in the 21 patients with renal cell carcinoma. All resected tumor specimens had negative surgical margins for cancer. No local recurrence or trocar site metastasis was observed during a mean follow-up period of 13 months. CONCLUSIONS:Our results indicate that retroperitoneal laparoscopic nephron-sparing surgery represents a feasible option for patients with localized renal tumors. This procedure could offer precise and complete tumor excision while minimizing morbidity, improving cosmesis, and shortening convalescence.
journal_name
Urologyjournal_title
Urologyauthors
Zhang X,Li HZ,Ma X,Zheng T,Li LC,Ye ZQdoi
10.1016/j.urology.2004.12.024subject
Has Abstractpub_date
2005-06-01 00:00:00pages
1080-4; discussion 1084-5issue
6eissn
0090-4295issn
1527-9995pii
S0090-4295(04)01484-0journal_volume
65pub_type
杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVE:To compare quality of life (QOL) outcomes after conversion from laparoscopic radical prostatectomy (LRP) to robot-assisted radical prostatectomy (RALP) as the routine procedure for surgical treatment of localized cancer of the prostate (CaP). METHODS:In November 2007, we changed the routine operative techniq...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.01.017
更新日期：2013-04-01 00:00:00
abstract：OBJECTIVE:To evaluate the efficacy of imidafenacin for nocturia and nocturnal polyuria in patients with overactive bladder. MATERIALS AND METHODS:A stratified analysis was conducted on data from a phase III randomized, double-blind, controlled trial of imidafenacin performed at 158 centers in Japan. The subjects recei...
journal_title：Urology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.urology.2013.05.017
更新日期：2013-09-01 00:00:00
abstract：:We describe a rapid and easily learned technique that greatly assists in exposure of the apical prostate during radical retropubic prostatectomy. The technique is a modification of the previously reported "bunching" maneuver. A curved Kocher clamp is used to compress the dorsal vein complex and surrounding fascia into...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(94)80021-9
更新日期：1994-07-01 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：OBJECTIVE:This study reviews the incidence and management of cyclophosphamide-induced hemorrhagic cystitis in a group of patients who received high-dose chemotherapy and bone marrow transplantation. METHODS:The records of 217 consecutive patients undergoing bone marrow transplantation were reviewed. The incidence, deg...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(94)90079-5
更新日期：1994-03-01 00:00:00
abstract：:In patients with complete disruption of the membranous urethra treated initially with placement of a suprapubic cystostomy, delayed synchronous retrograde and voiding cystourethrograms failed to demonstrate accurately the distance between the two urethral ends. Radiographic exposure obtained during synchronous instrum...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(87)90500-0
更新日期：1987-04-01 00:00:00
abstract：OBJECTIVES:To introduce a modified technique for urethral anastomosis in orthotopic neobladder reconstruction. METHODS:Between January 2002 and August 2008, about 141 consecutive patients (130 men and 11 women) underwent total cystectomy and orthotopic neobladder reconstruction in which a modified technique was used t...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2009.06.082
更新日期：2009-11-01 00:00:00
abstract：OBJECTIVES:To examine clinical and pathologic features and postoperative survival outcomes of men with prostate cancer detected by digital rectal examination (DRE) alone, elevated prostate-specific antigen (PSA) level alone, or abnormalities in both. METHODS:From 1989 to 2001, approximately 36,000 men participated in ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.07.019
更新日期：2007-12-01 00:00:00
abstract：:To determine whether a significant percentage of patients with a benign digital rectal examination (DRE) and an elevated serum prostate-specific antigen (PSA) level harbor a prostatic malignancy, 100 consecutive patients underwent transrectal ultrasound (TRUS)-guided biopsy of the prostate. The biopsy results were cor...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(93)90638-q
更新日期：1993-08-01 00:00:00
abstract：OBJECTIVE:To assess whether donor kidney Mayo Adhesive probability (MAP) score is associated with (total operative time) ORT in patients undergoing hand-assisted laparoscopic donor nephrectomy (HALDN). METHODS:Three hundred and thirty-one patients undergoing HALDN were reviewed. Donor kidney MAP scores were recorded b...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2018.10.041
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVE:To assess radical cystectomy (RC) outcomes and adjuvant chemotherapy (ACT) use in the elderly in routine practice. Bladder cancer occurs most commonly in the elderly. RC, standard treatment for muscle-invasive bladder cancer, presents challenges in older patients. Suboptimal evidence guides ACT use. METHODS:...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2014.12.027
更新日期：2015-04-01 00:00:00
abstract：OBJECTIVES:To investigate whether the excitatory amino acid receptor agonists can activate the paraventricular nucleus of the hypothalamus (PVN) and induce penile erections in the rat. METHODS:Male adult Sprague-Dawley rats were used. A 26-gauge needle was inserted into the corpus cavernosum to monitor the intracavern...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(03)00411-4
更新日期：2003-09-01 00:00:00
abstract：OBJECTIVE:To compare single-stage laparoscopic orchiopexy (SSLO) and staged Fowler-Stephens (SFS) procedures in the management of intra-abdominal undescended testes, and to analyze postoperative atrophy and malpositioning as end points. MATERIALS AND METHODS:A retrospective chart review identified laparoscopic orchiop...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2016.09.060
更新日期：2017-03-01 00:00:00
abstract：OBJECTIVES:To examine the contributions of fear of recurrence and the more commonly examined treatment-related symptoms to the health-related quality of life (HRQOL) of men treated for localized prostate cancer. METHODS:A total of 730 men with localized disease were identified from the Cancer of the Prostate Strategic...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.12.084
更新日期：2008-12-01 00:00:00
abstract：OBJECTIVE:To identify the appropriate characteristics of superficial bladder cancer that allow the physician to predict tumor behavior. METHODS:We analyzed 1,745 patients with primary superficial bladder cancer with regard to disease and patient characteristics. RESULTS:With the characteristics we found, the populati...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(94)90211-9
更新日期：1994-02-01 00:00:00
abstract：:Between March, 1978, and July, 1981, 86 patients with polychronotopic superficial papillary bladder tumors and concurrent carcinoma in situ were randomized to receive either transurethral resection alone (43) or TUR plus BCG (43). The results indicate that BCG is not only active in preventing recurrences of new tumors...
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)90525-4
更新日期：1985-02-01 00:00:00
abstract：OBJECTIVES:To assess the effects of saw palmetto on voiding symptoms and urodynamic parameters in men with lower urinary tract symptoms (LUTS) presumed secondary to benign prostatic hyperplasia (BPH). METHODS:Fifty men with previously untreated LUTS and a minimum International Prostate Symptom Score (IPSS) of 10 or gr...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/s0090-4295(98)00143-5
更新日期：1998-06-01 00:00:00
abstract：:A subfertile male with a history of left cryptorchism underwent scrotal ultrasound that revealed stippled calcifications, without associated mass, in the right testicle. Six months later, while on a regimen of clomiphene citrate, a testicular tumor became palpable. This was sonographically confirmed to be surrounding ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(90)80202-x
更新日期：1990-12-01 00:00:00
abstract：OBJECTIVE:To evaluate the agreement between radiologic staging of bladder cancer using multidetector row computed tomography (CT) and histopathologic staging and estimate the influence of interobserver variability of the CT findings as a potential limitation of this imaging modality. The available data on the value of ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.01.040
更新日期：2012-06-01 00:00:00
abstract：OBJECTIVE:To demonstrate our technique for glans sparing transurethral excision and circumferential buccal graft for severe strictures of the meatus and fossa navicularis. MATERIALS AND METHODS:Key steps of the procedure are use of a fixed retractor and stay sutures to retract the glans skin laterally, preplacing uret...
journal_title：Urology
pub_type：
doi：10.1016/j.urology.2020.09.008
更新日期：2020-12-01 00:00:00
abstract：INTRODUCTION:To describe the otherwise heretical technique of "blind" nonureteroscopic extraction of calculi from the intramural ureter using a 7-mm-diameter tapered coil called the "Stone Cone." TECHNICAL CONSIDERATIONS:After bypassing the stone and deploying the Stone Cone, slow traction was exerted. The Stone Cone'...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.02.007
更新日期：2007-04-01 00:00:00
abstract：OBJECTIVES:Elevated tumor markers after primary chemotherapy for metastatic testis cancer are usually an indication of persistent cancer. Subsequent treatment has usually been salvage chemotherapy. This article examines the possibility that selected patients can achieve long-term disease-free survival with surgery alon...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/S0090-4295(97)00458-5
更新日期：1997-12-01 00:00:00
abstract：OBJECTIVES:To assess the efficacy and safety of the thermoexpandable hourglass-shaped nitinol prostatic stent in the treatment of patients with lower urinary tract symptoms due to bladder outlet obstruction. METHODS:The stents were inserted in an outpatient setting under local anesthesia and direct vision. Five differ...
journal_title：Urology
pub_type： 临床试验,杂志文章
doi：10.1016/j.urology.2005.04.030
更新日期：2005-10-01 00:00:00
abstract：OBJECTIVE:To assess stone-free rates following ureteroscopy (URS) for renal calculi at our institution using low-dose renal only computed tomography (CT). METHODS:A retrospective review of patients undergoing flexible URS for renal stones only with subsequent CT scan within 3 months. Meticulous basketing of all stone ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2018.09.005
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVE:To evaluate the consequence of pharmacologic inhibition of voltage-gated Na(+) channels (Nav) in the conscious rat, based on Nav having been implicated as modulators of rodent urodynamics using knockout as well as antisense oligodeoxynucleotide approaches. METHODS:The urodynamic response to standard Nav bloc...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2012.02.016
更新日期：2012-06-01 00:00:00
abstract：OBJECTIVES:To compare the accuracy of testicular volume measurements with the Prader orchidometer versus ultrasonography. METHODS:The volume of 938 testes in 469 men with infertility (mean age 35.8 years) was measured using a Prader orchidometer and by ultrasonography. The ultrasound testicular volumes were calculated...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2006.09.013
更新日期：2007-01-01 00:00:00
abstract：OBJECTIVES:To develop a nomogram that allows the prediction of disease recurrence using preoperative clinical factors for patients with clinically localized prostate cancer who are candidates for laparoscopic radical prostatectomy. Few published studies have combined the clinical prognostic factors into risk profiles t...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.05.013
更新日期：2011-02-01 00:00:00
abstract：:A 47-year-old man complained of a constellation of prostatitis-like symptoms for 4 years. Physical examination revealed a firm nodule within the scrotum. Surgical excision was performed under local anesthesia and microscopic examination confirmed scrotal calcinosis. The patient remained symptom free for at least 12 mo...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(01)01509-6
更新日期：2002-01-01 00:00:00
abstract：OBJECTIVES:Multiple trials have shown the high specificity of urine prostate cancer gene 3 (PCA3) compared with serum prostate-specific antigen (PSA) for biopsy detection of prostate carcinoma. We characterized the patterns of use of PCA3 by community urologists and determined the performance of PCA3 testing as a labor...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2008.08.459
更新日期：2009-02-01 00:00:00
abstract：:Nutcracker syndrome is a rare condition of left renal vein entrapment manifesting with hematuria and flank pain. We report a case of nutcracker syndrome, where a robotic-assisted laparoscopic transposition of the left renal vein was performed. To our knowledge, this is the first case of robotic-assisted laparoscopic s...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2015.09.002
更新日期：2015-12-01 00:00:00
