Abstract:
OBJECTIVES:To assess the safety and efficacy of laparoscopic ablation of symptomatic renal cysts as minimally invasive therapeutic techniques have largely supplanted open surgical intervention for the treatment of symptomatic renal cysts. METHODS:The records of 32 consecutive adult patients who underwent laparoscopic ablation of renal cysts (11 peripelvic, 21 parenchymal) were retrospectively reviewed. All patients were symptomatic at presentation; 26 had a single cyst, 5 had two cysts, and 1 had four cysts. RESULTS:Twenty patients underwent a transperitoneal laparoscopic approach, and 12 patients underwent a retroperitoneal laparoscopic approach. An average of 3.2 ports were used for each procedure, and no open conversions or transfusions were necessary. When comparing patients with parenchymal and peripelvic cysts, statistically significant differences were noted in the mean operative time (164 versus 233 minutes, respectively; P = 0.003) and mean operative blood loss (98 versus 182 mL, respectively; P = 0.04). Four patients (13%) had complications (one major and three minor), including a persistent ureteral stricture. One patient with negative preoperative aspiration cytology and negative intraoperative frozen section analysis was later found to have malignancy within the cyst wall, necessitating radical nephrectomy and trocar site excision. One patient (3%) developed a recurrence. CONCLUSIONS:Laparoscopic ablation of symptomatic renal cysts is a safe and efficacious procedure. We report an overall complication rate of 13% and a recurrence rate of 3% with a mean follow-up of 18.1 months (median 10.0).
journal_name
Urologyjournal_title
Urologyauthors
Roberts WW,Bluebond-Langner R,Boyle KE,Jarrett TW,Kavoussi LRdoi
10.1016/s0090-4295(01)01145-1subject
Has Abstractpub_date
2001-08-01 00:00:00pages
165-9issue
2eissn
0090-4295issn
1527-9995pii
S0090-4295(01)01145-1journal_volume
58pub_type
杂志文章相关文献
UROLOGY文献大全abstract:OBJECTIVES:Prior investigations evaluating the presence of human papillomavirus (HPV) in prostatic tissue by polymerase chain reaction (PCR) technology have yielded detection rates of 0% to 100%. Contamination by viral DNA from prostatic urethral colonization or less than optimal laboratory conditions have been suggest...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/S0090-4295(97)00126-X
更新日期:1997-07-01 00:00:00
abstract::A successful percutaneous reanastomosis of a transplanted kidney is reported. The kidney already had been operated on several times. The kidney-ureter anastomosis was occluded. Using a combination of ureteroscopy and the percutaneous technique, the old anastomosis was bypassed, and a new one was made. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90448-7
更新日期:1988-07-01 00:00:00
abstract:OBJECTIVES:To determine the incidence of calcified Peyronie's disease plaque that cannot be cut with a blade in a 100-case series and to describe the use of a soft tissue-protecting bone saw for plaque incision. METHODS:Chart reviews were done of all surgically treated Peyronie's disease patients at our center between...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/j.urology.2015.04.027
更新日期:2015-08-01 00:00:00
abstract:OBJECTIVES:To evaluate the effectiveness and morbidity of salvage brachytherapy for locally recurrent or persistent prostate cancer after radiotherapy failure. METHODS:In this retrospective study, 49 patients of median age 73.3 years (range 52.9 to 86.9) with biopsy-proven localized prostate cancer underwent interacti...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(98)00492-0
更新日期:1999-01-01 00:00:00
abstract:OBJECTIVES:This analysis was performed to define the level of serum prostate-specific antigen (PSA) measured with the Abbott IMx assay that indicates residual or progressive prostate cancer after radical retropubic prostatectomy (RRP). METHODS:Since March 1992, we have used the Abbott IMx assay to determine PSA levels...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/S0090-4295(96)00050-7
更新日期:1996-06-01 00:00:00
abstract:OBJECTIVES:An association between prostatitis and male infertility has been suspected, yet is poorly understood. Prostatitis is often associated with granulocytes in the prostatic fluid that generate reactive oxygen species (ROS), known to impair male fertility. We compared ROS, the total antioxidant capacity (TAC), an...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(99)00613-5
更新日期:2000-06-01 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:OBJECTIVES:To investigate the long-term outcome of an organ-saving approach for renal cell carcinoma (RCC) with a normal opposite kidney (elective indication). METHODS:Since 1979, 180 patients have undergone nephron-sparing surgery at our institution for RCC in the presence of a normal contralateral kidney. The mean a...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(00)00656-7
更新日期:2000-09-01 00:00:00
abstract::The newest development in the treatment of female stress incontinence is the tension-free vaginal tape (TVT) procedure. This procedure was first described by Ulmsten et al. in 1996 and involves recreating suburethral support with a polypropylene mesh, without repositioning the bladder or urethra. In their initial stud...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(00)00707-x
更新日期:2000-12-04 00:00:00
abstract::The efficacy of Sacks solution for hypothermic preservation of dog kidneys was determined. Complete ischemia was produced in one kidney for thirty minutes by clamping the renal pedicle in situ, followed by excision and immediate washout with the cold preservation fluid. Kidneys were stored in Sacks solution at 2 degre...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(75)90502-6
更新日期:1975-11-01 00:00:00
abstract:OBJECTIVES:To compare aspiration and sclerotherapy using sodium tetradecylsulfate (STDS) with open hydrocelectomy in the treatment of hydroceles with regard to safety, efficacy, and cost-effectiveness. METHODS:Patients with symptomatic hydroceles were prospectively enrolled in an aspiration and sclerotherapy protocol ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/s0090-4295(02)02430-5
更新日期:2003-04-01 00:00:00
abstract::Eleven cases of cloacal dysgenesis from the experience in the Baylor affiliated hospitals from 1969 to 1977 are reviewed. Clinical features including radiographic studies are presented in representative case reports. Despite the initial urgent need for intestinal surgical intervention in these patients, the long-term ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(78)90001-8
更新日期:1978-06-01 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::Prostate cancer is dependent on androgen stimulation mediated by the androgen receptor (AR), a member of the steroid hormone receptor family of ligand-dependent nuclear receptors. Most patients respond to standard androgen ablation therapies, but virtually all patients eventually relapse with disease that has been ter...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/s0090-4295(02)01593-5
更新日期:2002-09-01 00:00:00
abstract:OBJECTIVE:To study the expression of cannabinoid receptor 1 (CB1) in human urinary bladder hypersensitivity and overactivity disorders, and correlate changes with symptoms. Cannabinoid receptor agonists have been shown to modulate urinary bladder contractility and reduce pain after bladder inflammation; their clinical ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.12.051
更新日期:2010-06-01 00:00:00
abstract::The efficacy of treating carcinoma of the prostate with levodopa (L-dopa), a known inhibitor of prolactin secretion, has been tested in 11 Stage D patients who were refractory to conventional modalities. Relief of bone pain and recovery of mobility was excellent in 6, fair in 2, questionable in 1, and nonexistent in 2...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(77)90034-6
更新日期:1977-07-01 00:00:00
abstract::A new technique for microvascular anastomosis of the polar artery to the renal artery, end to side, is presented. It was performed in 5 cases of renal transplantation with a successful result in all. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(75)90808-0
更新日期:1975-12-01 00:00:00
abstract:OBJECTIVE:To determine (1) the frequency of testosterone (T) use in 2 academic male infertility practices, (2) the effect on semen parameters, and (3) the potential for reversibility. METHODS:We performed a retrospective review. Inclusion criteria were supplemental T usage at the time of initial visit, T cessation, an...
journal_title:Urology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.urology.2014.12.052
更新日期:2015-05-01 00:00:00
abstract::We report on a peculiar congenital duplication anomaly of the kidney and collecting system. A bifid left renal pelvis receives the ureter draining the lower moiety of a fully duplicated right system. To our knowledge, such an anomaly has not been previously described. ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2009.09.059
更新日期:2010-10-01 00:00:00
abstract::Quantitative computerized tomography (QCT) of vertebral bodies could reveal metastatic spread of prostatic cancer before such lesions are seen with standard examinations. Focal increase in the density of the spongious bone in face of normal bone scan and serum acid phosphatase is suggestive of metastasis, but certitud...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(86)90163-9
更新日期:1986-12-01 00:00:00
abstract:OBJECTIVE:To report our experience in applying the Lich-Gregoir extravesical ureteral reimplantation (EVR) approach to complex cases (megaureter, duplex systems) through a small inguinal incision, with the goal of minimizing invasiveness. MATERIALS AND METHODS:We reviewed the records of all patients who underwent comm...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2017.04.034
更新日期:2017-08-01 00:00:00
abstract::We present a clinical imaging question focusing on a patient with a history of gross hematuria and an enhancing mass abutting the left renal collecting system. In patients with nondiagnostic cytology and imaging, upper tract urothelial carcinoma should be explored as a potential etiology prior to definitive surgical m...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2020.08.042
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the clinic characteristics, diagnosis, management, and costs of the adult acute scrotum in the emergency room (ER). Acute scrotum is a syndrome characterized by intense, acute scrotal pain that may be accompanied by other symptoms. It is usual in children and commonly found as well in adults, with...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.05.018
更新日期:2016-08-01 00:00:00
abstract::Urethral diverticular clear cell adenocarcinoma in a female patient is extremely rare. This tumor sometimes displays a characteristic image on magnetic resonance imaging, surrounding the urethra like the prostate does in men. We report a patient with this tumor who underwent cystourethrectomy and ileal conduit diversi...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.10.021
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:To show the noninferiority of silodosin 8-mg once-daily (QD) to 4-mg twice-daily (BID) in efficacy and safety in patients with lower urinary tract symptoms or benign prostatic hyperplasia in the Korean population. METHODS:A prospective, multicenter, double-blind, randomized, comparative study was conducted. ...
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.2013.11.013
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the relationship between changes in weight, waist circumference (WC), metabolic syndrome (MetS), and prostate growth over 5 years in the adult population. MATERIALS AND METHODS:Data were collected from 1088 adult men (age ≥40 years) without history of prostate cancer who underwent more than 2 gen...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2016.09.044
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:To review the evidence suggesting a significant association between gout and erectile dysfunction (ED) and evaluate possible underlying pathways that may explain this relationship. METHODS:English medical literature was searched from January 1, 2010, to January 1, 2020, for randomized or quasi-randomized con...
journal_title:Urology
pub_type: 杂志文章,评审
doi:10.1016/j.urology.2020.12.005
更新日期:2020-12-17 00:00:00
abstract::In an attempt to solve the problem of chemosensitivity testing of renal cell carcinoma in vitro, a modified short-term culture technique was developed. The kinetic study of hypernephroma cells and normal renal cells showed that the uptake of H3-uridine and H3-thymidine is at its maximum after eighty hours. The effect ...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/0090-4295(88)90150-1
更新日期:1988-03-01 00:00:00
abstract:OBJECTIVES:To report the initial experience with incorporation of needlescopic (2 mm) instruments and optics in various therapeutic minimally invasive urologic procedures. METHODS:Needlescopic techniques were used to successfully perform a variety of urologic surgeries including adrenalectomy, nephrectomy, renal cyst ...
journal_title:Urology
pub_type: 临床试验,杂志文章
doi:10.1016/s0090-4295(98)00234-9
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:To determine if partial nephrectomy (PN) confers a renal functional benefit compared to radical nephrectomy (RN) for clinical T2 renal masses (T2RM) when adjusting for tumor complexity characterized by the RENAL nephrometry score. METHODS:A 2-center study of 202 patients with T2RM undergoing RN (122) or PN (...
journal_title:Urology
pub_type: 杂志文章
doi:10.1016/j.urology.2015.02.067
更新日期:2015-08-01 00:00:00