Abstract:
OBJECTIVES:To evaluate retrospectively the outcome of laparoscopic donor nephrectomy in patients aged 65 years or older, because data regarding tolerance profile and renal allograft outcome of laparoscopic donor nephrectomy in the elderly patient are lacking. METHODS:Since February 1995, 6 patients aged 65 years or older underwent laparoscopic donor nephrectomy for living-related renal transplantation. Patient demographic, intraoperative, and postoperative parameters, as well as renal allograft outcome, were evaluated. RESULTS:The median donor age was 69.5 years (range 65 to 74), and the median American Society of Anesthesiologists score was 2 (range 2 to 3). The median operative time was 240 minutes (range 183 to 298), with a median blood loss of 300 mL (range 150 to 400). No intraoperative complications or open conversions occurred. Postoperatively, the median time to resumption of oral intake was 1 day (range 1 to 3), and the median hospital stay was 3 days (range 2 to 4). The median narcotic analgesic requirement was 17 mg (range 11 to 27) morphine sulfate equivalent, and the median convalescence was 2 weeks (range 1 to 4). The 1-year renal allograft survival was 100% (n = 6). CONCLUSIONS:Laparoscopic donor nephrectomy is well tolerated by the elderly patient and provides satisfactory patient and renal allograft outcome. Although our sample size was small, it appears that laparoscopy is an acceptable modality for renal donation in the elderly population.
journal_name
Urologyjournal_title
Urologyauthors
Hsu TH,Su LM,Ratner LE,Kavoussi LRdoi
10.1016/s0090-4295(02)01769-7subject
Has Abstractpub_date
2002-09-01 00:00:00pages
398-401issue
3eissn
0090-4295issn
1527-9995pii
S0090429502017697journal_volume
60pub_type
杂志文章相关文献
UROLOGY文献大全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: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 compare the biomechanical properties of allografts, autografts, and synthetic materials used in sling surgery using the Instron tensinometer. METHODS:The sling grafts we studied consisted of autologous tissues (dermis, rectus fascia, and vaginal mucosa), cadaver tissues (decellularized dermis and freeze-...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(01)01205-5
更新日期:2001-09-01 00:00:00
abstract::Adenomatoid tumors are rare benign neoplasms thought to be of mesothelial origin. Although most reported cases arise from the epididymis, rare cases have been reported in the spermatic cord, testicular tunica, ejaculatory ducts, prostate, and suprarenal recess. In female subjects, adenomatoid tumors are commonly found...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2003.11.035
更新日期:2004-04-01 00:00:00
abstract::We reviewed the clinical course and pathologic findings of 17 patients with adenocarcinoma of the urinary bladder at Massachusetts General Hospital between 1962 and 1978. The 12 men and 5 women were between thirty-eight and eighty-six years old (mean, sixty years). Five patients had urachal adenocarcinoma, 8 had pure ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(83)90117-6
更新日期:1983-01-01 00:00:00
abstract:OBJECTIVES:To test the delivery of prostaglandin E1 (PGE1) in novel transdermal liposomal formulations through foreskin and to determine whether there is a correlation between in vitro transdermal absorption and in vivo efficacy in patients with erectile dysfunction. METHODS:The in vitro transdermal absorption of PGE1...
journal_title:Urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0090-4295(98)00299-4
更新日期:1998-11-01 00:00:00
abstract::A murine transitional cell carcinoma tumor model has been used to evaluate the combined use of radiotherapy and three chemotherapeutic agents, doxorubicin hydrochloride (Adriamycin), cyclophosphamide, and cis-diamminedichloroplatinum. The preliminary radiation therapy evaluation demonstrated that the tumor is radiosen...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(79)90212-7
更新日期:1979-07-01 00:00:00
abstract:OBJECTIVE:To evaluate the correlation between ultrasonography (US) and computed tomography (CT) in prone position to detect retrorenal colon (RRC). MATERIALS AND METHODS:In this prospective study, we included 310 patients who presented to our clinic between April 2017 and June 2019. All patients were evaluated for RRC...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.07.016
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVES:To identify key papers in urology using a novel bibliometric index called the disruption score. METHODS:A PubMed search was conducted to identify papers published in Journal of Urology, European Urology, Urology, Urologic Oncology, Journal of Endourology, and BJU International, Nature Reviews Urology. Selec...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.10.073
更新日期:2021-01-04 00:00:00
abstract:OBJECTIVES:Pyruvate kinase type M2 (TuM2-PK) and thymidine kinase 1 (TK1) are the key enzymes involved in tumor cells metabolism and proliferation. We explored the association of their preoperative circulating levels with disease recurrence in patients with renal cell carcinoma (RCC). METHODS:We measured the plasma le...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2010.04.034
更新日期:2010-08-01 00:00:00
abstract:OBJECTIVES:To assess the practice preferences among urologists treating superficial bladder cancer in the United States. METHODS:We surveyed 226 urologists using a specially designed survey instrument. The type of practice, number of urologists in group practice, annual volume of patients with bladder cancer, and thos...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(03)00765-9
更新日期:2003-12-01 00:00:00
abstract:OBJECTIVE:To evaluate increases in Gleason grade because of sample bias after immediate rebiopsy or prostatectomy for patients considered active surveillance candidates by institutional protocol. METHODS:A contemporary medical literature search was performed using PubMed. Series were included if the patients had no mo...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2012.06.022
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:To classify defects in the penoscrotal region according to their specific anatomic sites. METHODS:From January 2002 to December 2012, 20 male patients underwent reconstruction for penoscrotal defects. The causative factors were Fournier's gangrene in 12 patients, extramammary Paget's disease in 4, skin tumor...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2014.06.023
更新日期:2014-11-01 00:00:00
abstract::A new device is described which enhances the treatment of impacted stones in association with the extracorporeal shock-wave lithotripsy. This technique may result in decreased number of shocks and increased efficiency, as well as, enhance outpatient treatment. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(90)80066-v
更新日期:1990-02-01 00:00:00
abstract::Unilateral multicystic kidneys are not infrequent during infancy. However, few cases in adults are reported. A case is presented in which a unilateral multicystic kidney with atresia of the ureter was found as an incidental finding in an asymptomatic elderly patient. The literature is reviewed, and a nonoperative diag...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(80)90609-3
更新日期:1980-11-01 00:00:00
abstract:OBJECTIVES:To use a human factors approach to conduct a needs assessment of patient preparedness, education, device usability, and satisfaction regarding all stages of sacral neuromodulation therapy and identify opportunities for improvement. Sacral neuromodulation, though minimally invasive, involves an initial testin...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.04.092
更新日期:2020-05-08 00:00:00
abstract:OBJECTIVE:To determine the effect of preoperative ureteral stenting on success rates of ureteroscopy (URS) for nephroureterolithiasis. MATERIALS AND METHODS:We retrospectively evaluated patients who underwent URS for nephroureterolithiasis without preoperative indwelling ureteral stents. These patients were matched ac...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2012.06.064
更新日期:2012-12-01 00:00:00
abstract::Renal fungus balls are rare in the adult population. A case of asymptomatic renal pelvic fungus balls is presented, and several approaches to treatment are discussed. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(93)90244-5
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:To prospectively test the hypothesis that end-fire transrectal ultrasound prostate biopsy probes have greater cancer detection rates than side-fire probes. Retrospective studies have suggested that such probes might have greater cancer detection rates. METHODS:The present prospective randomized multicenter t...
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.2012.01.061
更新日期:2012-07-01 00:00:00
abstract::We present a case of juvenile hemangioma of the testis associated with hemangiomas of the liver and skin. The testicular hemangioma appeared to progress after therapy with interferon alpha-2a (IFN alpha-2a), whereas the liver and skin hemangiomas regressed. Analysis of growth factors responsible for proliferation of h...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(96)00439-6
更新日期:1997-02-01 00:00:00
abstract::Wilms tumor is the most common malignant renal tumor in childhood, but it is rarely associated with a vascular tumor thrombus. We present a case of Wilms tumor with renal vein tumor thrombus treated with only a 3-port retroperitoneal laparoscopic technique in a 10-year-old girl. The patient was alive at the 12-month f...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2013.01.023
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVES:To assess the effects of finasteride on angiogenetic and hypoxia markers in benign prostatic hyperplasia. METHODS:A total of 178 patients aged 51 to 85 years (mean 68.7) with benign prostatic hyperplasia and awaiting transurethral prostate resection were prospectively randomized into a group of patients rec...
journal_title:Urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.urology.2006.03.038
更新日期:2006-08-01 00:00:00
abstract::The cell-mediated immune (CMI) response to tumor-associated antigens present in 3 M KCL extracts of renal cell carcinoma tissue was measured in patients with renal cell carcinoma (RCC) by the leukocyte migration inhibition (LMI) test. Of 30 patients with histologically proved RCC, 19 (63%) gave a positive LMI test; wh...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(78)90465-x
更新日期:1978-11-01 00:00:00
abstract:OBJECTIVE:To determine the probability of visible hematuria with antithrombotic agents and to evaluate association of urologic etiology in antithrombotic-related hematuria. METHODS:Preferred Reporting Items in Systematic Reviews and Meta-Analyses guidelines were followed to conduct a systematic review using search eng...
journal_title:Urology
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.urology.2017.11.023
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVE:To investigate the differences on clinical efficacy, complications, and safety profile between transurethral resection of the prostate (TURP) and bipolar plasmakinetic resection of the prostate (PKRP) for benign prostatic hyperplasia (BPH). PATIENTS AND METHODS:Six hundred ninety patients of BPH were recruit...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.02.006
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVES:To evaluate three urine markers, BTA stat, cytology, and urinary survivin levels, in the spinal cord injury (SCI) population. The incidence of bladder cancer in patients with SCI is up to 20 times greater than in the general population. However, bladder cancer biomarkers have not been assessed in this popula...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2005.05.022
更新日期:2005-10-01 00:00:00
abstract:OBJECTIVES:To provide fertility for men with nonobstructive azoospermia. METHODS:A retrospective review of treatment results at a university infertility center was undertaken. Sixteen couples entered an attempted in vitro fertilization (IVF)-intracytoplasmic sperm injection (ICSI) cycle for treatment of nonobstructive...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(97)00032-0
更新日期:1997-03-01 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::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:Numerous techniques have been described for supporting the vaginal vault after enterocele repair and hysterectomy. We describe a transvaginal culdosuspension that obliterates the cul-de-sac and supports the vaginal cuff high on the levator plate. The normal vaginal axis is restored, and adequate vaginal dept...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(99)00266-6
更新日期:1999-11-01 00:00:00