scholarly journals Pediatric laparoscopic partial cystectomy for the treatment of benign bladder tumors and urachal cysts

BMC Urology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hongjie Gao ◽  
Jiawei Chen ◽  
Guowei Li ◽  
Xinhai Cui ◽  
Fengyin Sun
Keyword(s):  
Operation Time ◽  
Female Child ◽  
Partial Cystectomy ◽  
Urachal Cyst ◽  
Bladder Tumors ◽  
Quick Recovery ◽  
Hospitalization Time ◽  
Intestinal Adhesion ◽  
Average Loss ◽  
Clinical Cases

Abstract Objective To investigate the feasibility and efficacy of carrying out pediatric laparoscopic partial cystectomies (LPC) when treating benign bladder tumors and urachal cysts. Methods Retrospectivey analyzing 4 clinical cases involving children with bladder tumors, which were collected from October 2017 to December 2018. In these clinical cases, there were 3 male children and 1 female child, aged from 4.5 to 9.4 years old, with an average age of 6.5 years. An intraperitoneal laparoscopic partial cystectomy was performed in the treatment of 3 of these patients with benign bladder tumors and in 1 patient with an urachal cyst. The surgical procedures included a partial cystectomy and a complete intracavitary bladder suture. Results All 4 cases were successful and no operation was transferred to opensurgery. The operation time was 100–120 min, with an average time of 108 min. The intraoperative blood loss was 10–20 ml, with an average loss of 15 ml. 6 h after the operation, the patients still maintained a fluid diet and 1 case of hematuria had occurred, with the catheter removed 12 days after the operation. No postoperative urine leakage, intestinal adhesion or intestinal obstruction occurred, and the average postoperative hospitalization time was 14 days. Conclusion Laparoscopic partial cystectomy is a safe and feasible method to be used for the treatment of benign bladder tumors and urachal cysts. It presents the advantages of being minimally invasive, and having a quick recovery and short hospitalization time. It is an alternative surgical method for the treatment of pediatric benign bladder tumors.

scholarly journals Outcomes and Complications of Bipolar vs. Monopolar Energy for Transurethral Resection of Bladder Tumors: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

2021 ◽  
Vol 8 ◽  
Author(s):  
Xin Mao ◽  
Zhongbao Zhou ◽  
Yuanshan Cui ◽  
Yong Zhang ◽  
Mingshan Yang
Keyword(s):  
Randomized Controlled Trials ◽  
Transurethral Resection ◽  
Meta Analysis ◽  
Postoperative Bleeding ◽  
Operation Time ◽  
Controlled Trials ◽  
Bladder Tumors ◽  
Randomized Controlled ◽  
Hospitalization Time ◽  
Significant Difference

Background: Bipolar and monopolar transurethral resections have a stable status for non-muscle invasive bladder cancer (NMIBC). We conducted a meta-analysis to analyze the outcomes and complications of bipolar vs. monopolar energy for transurethral resection of bladder tumors (TURB).Methods: The Preferred Reporting Items for Systematic Reviews and Meta-analyses was followed. Based on the Population, Intervention, Comparator, Outcomes, and Study Designs (PICOS) strategy, randomized controlled trials were searched in MEDLINE, EMBASE, and the Cochrane Controlled Trials Register. The reference lists of the associated articles were also retrieved. The data were calculated by Rev Man v5.3.0.Results: Eleven publications containing an amount of 2, 099 patients were involved in the study. Two groups did not show a significant difference in the mean age and the number of bladder tumors. The results showed that m-TURB had a greater decrease in postoperative hemoglobin level [mean difference (MD) −0.26, 95% confidence interval (CI) −0.48 to −0.04, P = 0.02] and sodium level (MD −0.36, 95% CI −0.62 to −0.10, P = 0.007) compared with b-TURB. B-TURB spent relatively little in hospitalization time (MD −0.52, 95% CI −0.88 to −0.15, P = 0.005) than m-TURB with the exception of operation time (P = 0.47) and catheterization time (P = 0.19). B-TURB did not show a significant difference in the incidence rate of obturator reflex (P = 0.10), bladder perforation (P = 0.32), postoperative blood transfusion (P = 0.28), and clot retention (P = 0.21) compared with the b-TURB group. Besides, there were no significant difference in terms of muscle tissue sampling (P = 0.43), recurrence-free survival at 6 months (P = 0.68) and 12 months (P = 0.78).Conclusions: B-TURB was more effective than m-TURB in minimizing intraoperative or postoperative bleeding with the smaller loss of hemoglobin and the shorter hospitalization time for patients with NMIBC.

Partial cystectomy with a bipolar sealing device in seven dogs with naturally occurring bladder tumors

2020 ◽  
Vol 49 (4) ◽  
pp. 794-799
Author(s):  
Milan Milovancev ◽  
Valery F. Scharf ◽  
Katy L. Townsend ◽  
Ameet Singh ◽  
Giovanni Tremolada ◽  
...  
Keyword(s):  
Partial Cystectomy ◽  
Bladder Tumors ◽  
Naturally Occurring ◽  
Sealing Device

scholarly journals Functional Bladder Paraganglioma Treated by Partial Cystectomy

2019 ◽  
Vol 2019 ◽  
pp. 1-4
Author(s):  
Amine Hermi ◽  
Hamza Ichaoui ◽  
Aziz Kacem ◽  
Houcem Hedhli ◽  
Faten Gargouri ◽  
...  
Keyword(s):  
Nervous System ◽  
Autonomic Nervous System ◽  
Urinary Bladder ◽  
Neuroendocrine Tumor ◽  
Transurethral Resection ◽  
Partial Cystectomy ◽  
Treatment Modalities ◽  
Rare Tumor ◽  
Bladder Tumors ◽  
Specific Symptoms

Paraganglioma is a rare neuroendocrine tumor that arises from the autonomic nervous system. The urinary bladder paraganglioma accounts for less than 0.1% of bladder tumors. It remains a challenging entity to diagnose and treat due to its rareness and the lack of specific symptoms. Treatment modalities include transurethral resection and cystectomy (partial or total). The authors report a new case of an isolated paraganglioma of the urinary bladder in a 52-year-old female patient that underwent partial cystectomy. This case aims to remind the clinical, histological and therapeutic features of this rare tumor.

scholarly journals What is the main problem in the conservative management of complicated appendicitis? A meta-analysis

2020 ◽  
Author(s):  
Chi Zhang ◽  
Xuemeng Ren ◽  
Peng Gao
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Conservative Management ◽  
Meta Analysis ◽  
Operation Time ◽  
Complicated Appendicitis ◽  
Management Group ◽  
Hospitalization Time ◽  
Standardized Treatment ◽  
The Difference

Abstract Background: As one of the classified groups of appendicitis, complicated appendicitis has no standardized treatment methods for adults.Method: The efficacy of surgical treatment and conservative treatment for complicated appendicitis was evaluated based on the literatures systematically searched on PubMed, Cochrane and Web of Science. A focus was given to important aspects, such as the outcomes of the length of stay, operation time, postoperative complications and unplanned additional interventions. Result: A total of 14 studies were involved in the meta-analysis, which included 845 patients in the immediate operation group (IO) and 756 patients in the conservative management group (CM). The total hospitalization time for patients with surgical treatment was decreased by 1 day (WMD= -1.29, 95% CI [-2.42, -0.16], P= 0.03< 0.05) compared to that of patients with conservative treatment. The incidence of unplanned additional interventions in patients who underwent emergency surgery is lower than that of patients with conservative treatment (OR=0.18, 95%CI [0.11, 0.30], P<0.00001). Compared to patients with conservative treatment, patients who received surgery are more likely to develop complications such as wound infection (OR=2.41, 95%CI [1.08, 5.38], P=0.03<0.05) and intestinal obstruction (OR=4.14, 95%CI [2.21, 7.75], P<0.00001). The incidence of abdominal abscess in patients with surgery treatment was lower than that of patients with conservative treatment, but the difference was not statistically significant (OR=0.9, 95%CI [0.54, 1.47], P=0.66>0.05). Conclusion: In treating complicated appendicitis, patients who received immediate operation, when compared to patients managed under conservative treatment, have shorter hospitalization time and less unplanned interventions; hence significantly reduce the likelihood of readmission. This can decrease the requirements for follow-up treatments and ultimately lower the consumption of medical resources.

scholarly journals Ultrasound-Guided Thermal Ablation of Bethesda IV Thyroid Nodules: A Pilot Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Xinyang Li ◽  
Yu Lan ◽  
Nan Li ◽  
Lin Yan ◽  
Jing Xiao ◽  
...  
Keyword(s):  
Blood Loss ◽  
Thermal Ablation ◽  
Thyroid Nodules ◽  
Metastatic Lymph Node ◽  
Operation Time ◽  
Distant Metastases ◽  
Complication Rates ◽  
Incision Length ◽  
Hospitalization Time

ObjectiveThe purpose of our study was to evaluate the effectiveness of thermal ablation (TA) for Bethesda IV thyroid nodules, and to compare TA and surgery in terms of treatment outcomes, complications, and costs.MethodThis study was approved by the local ethics committee. From January 2017 to December 2019, 30 patients elected TA and 31 patients elected surgery for treatment of Bethesda IV thyroid nodules. Demographics information and conventional ultrasound before treatment for each patient was obtained. For the TA group, the ablation extent was 3 mm beyond the edge of the tumor to prevent marginal residual and recurrence. Patients were followed up at 1, 3, and 6 months after intervention, and every 6 months thereafter. Postoperative complications, operation time, hospitalization time, blood loss, and incision length were recorded.ResultsIn the TA group, the volume reduction ratio (VRR) was 94.63 ± 8.99% (range:76%-100%) at the final follow-up. The mean follow-up time was 16.4 ± 5.2months (range:12–24 months). No recurrences, no metastatic lymph node, and no distant metastases were detected during follow-up. The TA group had fewer complications, shorter operation time, smaller incision length, less blood loss, shorter hospitalization time, and lower treatment costs compared to the surgery group (all P&lt;0.001).ConclusionsTA is technically feasible for the complete destruction of Bethesda IV thyroid nodules, and also safe and effective during the follow-up period, with high VRR and low complication rates, especially in patients who were ineligible for or refused surgery.

scholarly journals Preoperative anemia and total hospitalization time are the independent factors of preoperative deep venous thromboembolism in Chinese elderly undergoing hip surgery

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Long Feng ◽  
Longhe Xu ◽  
Weixiu Yuan ◽  
Zhipeng Xu ◽  
Zeguo Feng ◽  
...  
Keyword(s):  
Risk Factors ◽  
Venous Thromboembolism ◽  
Operation Time ◽  
Hemoglobin Level ◽  
Preoperative Anemia ◽  
Chinese Elderly ◽  
Preoperative Hemoglobin ◽  
Hospitalization Time ◽  
Independent Risk Factors ◽  
Preoperative Hemoglobin Level

Abstract Background This study was designed to explore the prevalence and risk factors of preoperative deep venous thromboembolism (DVT) in Chinese elderly with hip fracture. Methods From January 1, 2012, to December 31, 2018, 273 elderly patients over 70 years old with elective hip surgery were collected from the electronic medical records. Collected data included demographic characteristics, comorbidities, ASA classification, types of previous operations, types of anesthesia, operation time, fracture to operation time, preoperative hemoglobin level, anemia, blood-gas analysis, cardiac function, whether transfusion, preoperative hospitalization, postoperative hospitalization, electrocardiograph, lower limb venous ultrasonography and total hospitalization time. Results In these 273 patients, 15(5.6%) had ultrasonography evidence of DVT in affected limbs before surgery. Three of all patients received an temporary inferior vena cave filter placement preoperatively. Fracture to surgery time, preoperative hemoglobin level, anemia, preoperative hospitalization, pulmonary disease and total hospitalization time were statistically different between DVT group and non-DVT group (P < 0.05 for all). Moreover, preoperative anemia (OR: 0.144, 95%CI: 0.026–0.799, P = 0.027) and total hospitalization time (OR: 1.135; 95%CI: 1.023–1.259, P = 0.017) were the two independent risk factors for preoperative DVT. Conclusion Preoperative anemia and total hospitalization time were independent risk factors for venous DVT in Chinese elderly with hip fracture.

scholarly journals Natal and neonatal teeth: two clinical cases report

2018 ◽  
Vol 66 (1) ◽  
pp. 101-105
Author(s):  
Thaisa Cezária TRICHES ◽  
Bruna MONDARDO ◽  
Rodrigo Henrique Cezário TRICHES ◽  
Mabel Mariela Rodríguez Cordeiro ◽  
Marcos Antonio da Silva Cristovam
Keyword(s):  
Family History ◽  
Clinical Evaluation ◽  
Rare Condition ◽  
Female Child ◽  
Male Child ◽  
Therapeutic Approaches ◽  
History Of ◽  
Clinical Cases

ABSTRACT The aim of this study was to report two cases of newborns with natal and neonatal teeth. Case 1 - a female child presented a natal tooth in the region of lower central incisors since birth. Mother’s child reported a family history of this feature. Since the tooth did not present either mobility, prevent breastfeeding, cause discomfort to the child or hurt mother's breast, it was chosen for its maintenance and monitoring. Case 2 - a male child presented, during the first two weeks of life, the eruption of two neonatal teeth in the region of lower central incisors. During the interview, his mother reported no familiar history of this condition. Because the teeth has tapered edges, causing the Riga-Fede's disease, impairing breastfeeding, causing discomfort to the child and injuring the mother's breast, it was decided for its extraction. It may be concluded that the presence of natal and neonatal teeth represent a rare condition that requires further studies to confirm its etiology. Therapeutic approaches must be preceded by a careful clinical evaluation since, as it was seen in this report, both cases were submitted to different treatments showing good evolution.

Partial Cystectomy for Primary Bladder Tumors in Contemporary Patients with Diverse Tumor Locations

2016 ◽  
Vol 3 (1) ◽  
pp. 55-61
Author(s):  
Matthew R. Danzig ◽  
Ari R. Berg ◽  
Rashed A. Ghandour ◽  
Danny Lascano ◽  
Michael J. Whalen ◽  
...  
Keyword(s):  
Partial Cystectomy ◽  
Bladder Tumors ◽  
Primary Bladder

scholarly journals Simultaneous or staged operation for tandem spinal stenosis: surgical strategy and efficacy comparison

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Junming Cao ◽  
Xianda Gao ◽  
Yipeng Yang ◽  
Tao Lei ◽  
Yong Shen ◽  
...  
Keyword(s):  
Blood Loss ◽  
Spinal Stenosis ◽  
Operation Time ◽  
Surgical Strategy ◽  
Hospitalization Time ◽  
Estimated Blood Loss ◽  
Simultaneous Group ◽  
Operation Rate ◽  
Tandem Spinal Stenosis ◽  
Staged Operations

Abstract Background Tandem spinal stenosis (TSS) has a complex clinical presentation, and there is no consensus on the optimal surgical strategy. This study retrospectively compared the efficacy of different staged operations and simultaneous decompression for patients with TSS. Methods We reviewed data from 132 patients with TSS who received surgical procedures from January 2011 to June 2018. Patients were classified into three groups according to the most symptomatic area of compression (group C: first-stage surgery for cervical compression; group L: first-stage surgery for lumbar compression; group CL: simultaneous surgery for both). Medical records were reviewed for age, gender, comorbidities, operation time, combined estimated blood loss, and time of hospitalization. The JOA-C, JOA-L, NDI, and ODI scores, and complications were also examined. Results Postoperative outcomes were followed for 32.1 ± 5.4 months. There were significant differences in the re-operation rate and the interval time between the two types of staged operations (p = 0.005 and p = 0.001, respectively). There were no significant differences in gender (p = 0.639), operation time (p = 0.138), combined estimated blood loss (p = 0.116), or complications (p = 0.652) among the three groups, while the simultaneous group was significantly younger (p = 0.027), with fewer comorbidities (p < 0.001) and a shorter hospitalization time (p < 0.001). At the final follow-up, the JOA-C and JOA-L scores were increased, while the NDI and ODI scores were decreased, compared with the preoperative scores. Conclusions TSS can be effectively managed by either simultaneous or staged decompressions. First-stage surgery for cervical stenosis significantly lowers the requirement for second-stage lumbar surgery. One-stage simultaneous decompression is safe and effective with the advantage of reduce hospitalization time, without an increase in operative time or bleeding. However, the surgical indications should be strictly controlled and is recommended for younger patients with fewer comorbidities.

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