Abstract:
:Standard laparoscopic surgery requires maintenance of the working cavity by continual carbon dioxide insufflation and exaggerated Trendelenburg positioning. Both cardiopulmonary and metabolic adverse effects may result from these maneuvers, which may be avoided by a gasless approach to laparoscopic surgery. We investigated a new mechanical retraction system designed to maintain exposure of either intraperitoneal or retroperitoneal contents in a gasless laparoscopic cavity and assessed its performance in both laparoscopic approaches. Gasless laparoscopic surgery was attempted using the Laprolift/Laparofan system for retroperitoneal procedures: left varicocele ligation (three cases), renal biopsy (one case), extraperitoneal pelvic lymph node dissection (one case), and intraperitoneal bilateral varicocelectomy (two cases). Renal biopsy and varicocelectomy were accomplished successfully with the gasless approach and with technical ease comparable to that of the standard insufflative laparoscopic approach. Gasless pelvic lymph node dissection and intraperitoneal varicocelectomy were converted to insufflative laparoscopic or open procedures because of inadequate exposure of the pelvic contents. This early experience with gasless laparoscopy indicates that it may best be reserved for retroperitoneal urologic procedures.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Hirsch IH,Moreno JG,Lotfi MA,Gomella LGdoi
10.1089/end.1995.9.483subject
Has Abstractpub_date
1995-12-01 00:00:00pages
483-6issue
6eissn
0892-7790issn
1557-900Xjournal_volume
9pub_type
杂志文章abstract:PURPOSE:To assess the accuracy of prostate histoscanning (PHS) for spatial detection and localization of prostate cancer (PCa). PATIENTS AND METHODS:Prospective, single center study from January to September 2012 was conducted. Inclusion criterion was biopsy confirmed PCa in patients scheduled for radical prostatectom...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0419
更新日期:2014-03-01 00:00:00
abstract:PURPOSE:To evaluate the oncologic results of our operative technique, hand-assisted retroperitoneoscopic nephroureterectomy (HRNU), for the treatment of upper-tract urothelial cancer, various perioperative parameters and oncologic outcomes were compared for HRNU and conventional open nephroureterectomy (CONU). PATIENT...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2006.0336
更新日期:2007-06-01 00:00:00
abstract:BACKGROUND:Among patients with renal insufficiency secondary to autosomal dominant polycystic kidney disease (ADPKD), the onset of refractory urinary infection, hypertension, pain, or hematuria often necessitates a nephrectomy. However, the huge size of these kidneys makes a standard laparoscopic approach difficult, an...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/089277904323056942
更新日期:2004-05-01 00:00:00
abstract::Since the advantages of using ureteral stents in conjunction with extracorporeal shock wave lithotripsy were first recognized, the growing demand for outpatient stone treatment has made stent use much more frequent. However, prophylactic stent placement must be judicious to maximize success and minimize associated mor...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.1993.7.155
更新日期:1993-04-01 00:00:00
abstract:PURPOSE:To assess the safety and effectiveness of laparoscopic retroperitoneal surgery and attempt to define its role in the management of urolithiasis. PATIENTS AND METHODS:Laparoscopic retroperitoneal surgery (LRS) was undertaken in 72 male and 42 female patients with calculous disease from March 1994 to April 2000 ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/08927790152596271
更新日期:2001-09-01 00:00:00
abstract:BACKGROUND:Few studies have addressed the effect of skin-to-stone distance (SSD) on the success of extracorporeal shockwave lithotripsy (SWL). Nevertheless, the effect of the two components of SSD, that is, the fat SSD (FSSD) and nonfat SSD (NFSSD) components, was not previously investigated. METHODS:In this prospecti...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0685
更新日期:2010-11-01 00:00:00
abstract:PURPOSE:The impact of drainage type after percutaneous nephrolithotomy (PCNL) on the health-related quality of life (HRQoL) has been rarely studied. We conducted a prospective randomized study to evaluate the differences in HRQoL among patients who received different drainage types. METHODS:A total of 90 patients who ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2017.0444
更新日期:2017-11-01 00:00:00
abstract:PURPOSE:To present our initial experience with single-port laparoscopic urologic surgery via the retroperitoneal approach using the Alexis wound retractor with flexible laparoscopic instrumentation. PATIENTS AND METHODS:Since December 2008, 14 patients have undergone single-port laparoscopic surgery for various urolog...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2009.0254
更新日期:2009-11-01 00:00:00
abstract::Laser systems used for prostatectomy may be right-angle (sidefiring) devices, which are either refractive or reflective, or contact devices. The tissue physics of these systems differ, and as a result, there are very real differences in the optimal exposure techniques. An understanding of the device being used is esse...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1995.9.85
更新日期:1995-04-01 00:00:00
abstract::Complications from laparoscopically placed staples are rare. We present two patients with ureteral obstruction secondary to eroded staples. Each patient had a remote history of laparoscopic abdominal or pelvic surgery and was treated with endoscopic removal and short-term ureteral stenting. The clinical presentation a...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.659
更新日期:2006-09-01 00:00:00
abstract::Patients with large median prostate lobes undergoing robot-assisted radical prostatectomy are at potential risk of ureteric orifice injury, during posterior bladder neck transection and vesicourethral anastomosis reconstruction. We describe our technique of in situ robot-assisted ureteral stenting with double-pigtail ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2009.0133
更新日期:2009-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Bleeding is a major concern during percutaneous nephrolithotomy (PCNL), especially with the use of multiple tracts. This prospective study aimed to identify factors affecting blood loss during PCNL. PATIENTS AND METHODS:Data were collected prospectively from 236 patients undergoing 301 PCNL proc...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2004.18.715
更新日期:2004-10-01 00:00:00
abstract:PURPOSE:To evaluate the feasibility of using the potassium titanyl phosphate (KTP) laser to perform laparoscopic partial nephrectomy in a porcine model, with saline irrigation to reduce intraoperative smoke formation. MATERIALS AND METHODS:A high-power (80 W) KTP laser was used without hilar occlusion in 14 laparoscop...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.1096
更新日期:2006-12-01 00:00:00
abstract:INTRODUCTION:Intradetrusor injection of onabotulinumtoxinA (BTX-A) can be performed with rigid or flexible cystoscopy. The primary aim of this study was to analyze irrigant flow rate and total angle of deflection for the intradetrusor injection needles used for flexible cystoscopic injection of BTX-A to see if any need...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0128
更新日期:2015-11-01 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 demonstrate the safety and efficacy of percutaneous nephrolithotomy (PCNL) for management of large renal stones between single-functioning kidney and double-kidney patients. PATIENTS AND METHODS:Thirty single-functioning kidneys and 30 double-kidney patients with a mean age of 38.5 (±15.6) years in the sing...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0083
更新日期:2012-03-01 00:00:00
abstract::Lasertripsy of upper urinary tract calculi after unsuccessful extracorporeal lithotripsy (SWL) or ureteroscopy (Group 1; N = 26 patients, 36 calculi) was compared with primary lasertripsy (Group 2; N = 56 patients, 79 calculi). Access to calculi was achieved by a Candela miniscope or flexible ureteroscope, and laser f...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1993.7.473
更新日期:1993-12-01 00:00:00
abstract:PURPOSE:We present a series of cystinuric patients with renal cystine calculi between 1.5 and 3.0 cm treated with retrograde renoscopy and intracorporeal lithotripsy and report our results, complications, and inpatient utilization with this approach. PATIENTS AND METHODS:The hospital and office charts of five consecut...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.1999.13.483
更新日期:1999-09-01 00:00:00
abstract:: Purpose: To review the literature on optimal methods of drainage for obstructive urolithiasis in adult patients, comparing percutaneous nephrostomy (PCN) with retrograde ureteral catheterization (Double J [JJ]) regarding success of procedure, efficacy, complications, quali...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2019.0309
更新日期:2019-10-01 00:00:00
abstract::We report our experience in the laparoscopic transperitoneal repair of retrocaval ureter in two cases, highlighting a new technique of stenting. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/08927790360587397
更新日期:2003-03-01 00:00:00
abstract:: Objectives: Malignant ureteral obstruction (MUO) is a devastating complication of cancer, and it is commonly treated by drainage via percutaneous nephrostomy (PCN). The objective of this study was to determine the efficacy, safety, and functional outcome of tandem ureteral...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0685
更新日期:2020-02-01 00:00:00
abstract:PURPOSE:We created an Internet-based survey of patients treated for urolithiasis to evaluate for trends in treatment, outcome, and patient satisfaction and to establish internet surveys as a feasible medium for future research of patient urolithiasis treatment experiences. MATERIALS AND METHODS:We used the website "ki...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0643
更新日期:2015-06-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVE:Despite guidelines, routine 24-hour urine testing is completed in <10% of high-risk, recurrent stone formers. Using surrogates for metabolic testing, such as key patient characteristics, could obviate the cost and burden of this test while providing information needed for proper stone prevent...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0352
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Percutaneous nephrolithotomy (PCNL) requires the urologist to have detailed knowledge of the stone and its relationship with the renal anatomy. Immersive virtual reality (iVR) provides patient-specific three-dimensional models that might be beneficial in this regard. Our objective is to present the initial e...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0626
更新日期:2019-04-01 00:00:00
abstract::Seminal vesicle cysts associated with other genitourologic abnormalities are rare. We describe the first known robot-assisted excision of a cystic seminal vesicle associated with ipsilateral renal agenesis in a symptomatic pediatric patient. The patient was discharged home on postoperative day 1 and remains symptom fr...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2006.0279
更新日期:2007-07-01 00:00:00
abstract::Renal excursion during breathing is inevitable and is a cause of poor localization during extracorporeal shock-wave lithotripsy (SWL), which in theory might lead to poor treatment results. Eighty-one patients underwent lithotripsy treatment with and without the use of an image enhancement system designed for use with ...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1089/end.1996.10.335
更新日期:1996-08-01 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:To estimate the acceptance rate of peer-reviewed journals, to describe the time course of subsequent full publication, and to identify those with characteristics associated with publication of the abstracts presented at the World Congress of Endourology (WCE). METHODS:All abstracts accepted for presentation at...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.20.996
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Performing warm-up exercises before athletic competition or stage performance is very common; however, most surgeons do not "warm up" before performing complex surgery. We analyzed the intraoperative effects of warming up before surgery in an experienced laparoscopic surgeon. METHODS:A retrospec...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0134
更新日期:2012-07-01 00:00:00
abstract::Vesicoureteral reflux (VUR) in the animal model for experimental purposes can be created either by open transvesical or endoscopic techniques. The concept of reflux creation is the same for both techniques: incision of the roof of the intramural portion of the ureter at the 12 o'clock position. The open method has the...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.41
更新日期:1998-02-01 00:00:00