Temporal improvements in renal surgery outcomes across surgical approaches

OBJECTIVEThe goal of this study was to systematically review the outcomes of endoscopic endonasal surgery (EES) for pediatric craniopharyngiomas so as to assess its safety and efficacy.METHODSA systematic literature review was performed using the PubMed and MEDLINE databases for studies published between 1986 and 2019. All studies assessing outcomes following EES for pediatric craniopharyngiomas were included.RESULTSOf the total 48 articles identified in the original literature search, 13 studies were ultimately selected. This includes comparative studies with other surgical approaches, retrospective cohort studies, and case series.CONCLUSIONSEES for pediatric craniopharyngiomas is a safe and efficacious alternative to other surgical approaches. Achieving gross-total resection with minimal complications is feasible with EES and is comparable, if not superior in some cases, to traditional means of resection. Ideally, a randomized controlled trial might be implemented in the future to further elucidate the effectiveness of EES for resection of craniopharyngiomas.

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1269 OUTCOMES FOLLOWING RENAL SURGERY IN HIGH-RISK PATIENTS: A NON-RANDOMIZED COMPARISON OF OPEN AND MINIMALLY INVASIVE SURGICAL APPROACHES

The Journal of Urology ◽

10.1016/j.juro.2011.02.954 ◽

2011 ◽

Vol 185 (4S) ◽

Author(s):

Preston Sprenkle ◽

Alex Sankin ◽

Caroline Savage ◽

John Musser ◽

Karim Touijer ◽

...

Keyword(s):

High Risk ◽

Minimally Invasive ◽

Surgical Approaches ◽

Renal Surgery ◽

High Risk Patients ◽

Minimally Invasive Surgical ◽

Risk Patients

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707: Flank Position is Associated with Higher Skin to Surface Interface Pressures in Men Versus Women: Implications for Laparoscopic Renal Surgery and the Risk of Rhabdomyol YSIS

The Journal of Urology ◽

10.1016/s0022-5347(18)30947-9 ◽

2007 ◽

Vol 177 (4S) ◽

pp. 237-237 ◽

Cited By ~ 1

Author(s):

Leslie A. Deane ◽

Hak J. Lee ◽

Geoffrey N. Box ◽

Jose B.A. Abraham ◽

Corollas S. Abdelshehid ◽

...

Keyword(s):

Renal Surgery ◽

Interface Pressures

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26: Cost Trends for Oncologic Renal Surgery: Support for a Laparoscopic Standard of Care

The Journal of Urology ◽

10.1016/s0022-5347(18)34291-5 ◽

2005 ◽

Vol 173 (4S) ◽

pp. 8-8

Author(s):

John M. Hollingsworth ◽

David C. Miller ◽

J. Stuart Wolf

Keyword(s):

Standard Of Care ◽

Renal Surgery

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206: Meta-Analysis of the Complications of Laparoscopic Renal Surgery: Comparison of Procedures and Techniques

The Journal of Urology ◽

10.1016/s0022-5347(18)34471-9 ◽

2005 ◽

Vol 173 (4S) ◽

pp. 56-57

Author(s):

Gyan Pareek ◽

Sean P. Hedican ◽

Jason R. Gee ◽

Reginald C. Bruskewitz ◽

Stephen Y. Nakada

Keyword(s):

Meta Analysis ◽

Renal Surgery

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Surgical Approaches to the Brain Stem

Neurosurgery Clinics of North America ◽

10.1016/s1042-3680(18)30570-9 ◽

1993 ◽

Vol 4 (3) ◽

pp. 457-468 ◽

Cited By ~ 16

Author(s):

Dennis Y. Wen ◽

Roberto C. Heros

Keyword(s):

Brain Stem ◽

Surgical Approaches ◽

The Brain

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Current Strategies in the Management of Spinal Metastatic Disease

Swiss Surgery ◽

10.1024/1023-9332.9.2.55 ◽

2003 ◽

Vol 9 (2) ◽

pp. 55-62 ◽

Cited By ~ 7

Author(s):

Bartanusz ◽

Porchet

Keyword(s):

Spinal Cord ◽

Surgical Techniques ◽

Cord Compression ◽

Treatment Modalities ◽

Surgical Approaches ◽

Spinal Stabilization ◽

Management Algorithm ◽

Specific Manner ◽

Extensive Surgery ◽

Selection Of

The treatment of metastatic spinal cord compression is complex. The three treatment modalities that are currently applied (in a histologically non-specific manner) are surgery, radiotherapy and the administration of steroids. The development of new spinal instrumentations and surgical approaches considerably changed the extent of therapeutic options in this field. These new surgical techniques have made it possible to resect these tumours totally, with subsequent vertebral reconstruction and spinal stabilization. In this respect, it is important to clearly identify those patients who can benefit from such an extensive surgery. We present our management algorithm to help select patients for surgery and at the same time identifying those for whom primary non-surgical therapy would be indicated. The retrospective review of surgically treated patients in our department in the last four years reveals a meagre application of conventional guidelines for the selection of the appropriate operative approach in the surgical management of these patients. The reasons for this discrepancy are discussed.

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