scholarly journals Review of the article “Laparoscopic single port radical nephrectomy challenges: a case presentation”

2021 ◽  
Vol 17 (2) ◽  
pp. 172-173
Author(s):  
Д. В. Перлин
Keyword(s):  
Radical Nephrectomy ◽  
Single Port ◽  
Case Presentation ◽  
Hand Assistance

Радикальная нефрэктомия продолжает оставаться «золотым стандартом» лечения злокачественных новообразований почки больших размеров [1]. Многими исследованиями показаны одинаковые онкологические результаты лапароскопических операций с открытыми вмешательствами, при гораздо лучшем косметическом эффекте и меньшем количестве осложнений [2]. В течение трех десятилетий, прошедших после выполнения Ральфом Клейманом первой лапароскопической радикальной нефрэктомии [3], продолжались поиски наименее инвазивных и наиболее эффективных методов этой  эндоскопической операции. Ряд исследований посвящен сравнительнению трансперитонеального и ретроперитонеального доступа, оценке методик hand-assistance, NOTES и даже роботической нефрэктомии [4].Разработка целого ряда специальных эндоскопических инструментов и портов для их введения привели к концу первой декады двухтысячных к достаточно бурному развитию, так называемой, однопортовой  (single‑port) хирургии [5]. Наша клиника, как и многие коллеги, тоже активно внедряли в этот период однопортовые операции, включая нефрэктомию. Поэтому я не только хорошо понимаю трудности, которые подробно описывают авторы при выполнении основных этапов операции, но и пути их разрешения, такие как перемещение камеры между портами или смена оптики с другим углом зрения. Кроме того, возможно дополнительно использовать отдельный 3-5 мм порт [6], что, впрочем, делает вмешательство «не совсем однопортовым».

scholarly journals Xanthogranulomatous pyelonephritis infected with the Providencia stuartii: a case report and literature review

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Zhunan Xu ◽  
Tong Cai ◽  
Xuebao Zhang ◽  
Jitao Wu ◽  
Chu Liu
Keyword(s):  
Radical Nephrectomy ◽  
Chronic Inflammatory Disease ◽  
Laser Lithotripsy ◽  
Xanthogranulomatous Pyelonephritis ◽  
Case Presentation ◽  
E Coli ◽  
Holmium Laser Lithotripsy ◽  
Pseudomonas Species ◽  
Ureteral Stenting ◽  
Providencia Stuartii

Abstract Background Xanthogranulomatous pyelonephritis (XGP) is a rare and severe chronic inflammatory disease of the renal parenchyma, which is most commonly associated with super-infections by bacteria such as E. coli, Proteus mirabilis, and occasionally Pseudomonas species. Case presentation Herein, we present a rare case of a patient with XGP infected with Providencia stuartii. Initially, the patient refused nephrectomy and underwent holmium laser lithotripsy and right ureteral stenting, followed by meropenem treatment of 7 days. Relapse occurred in the third month after discharge from the hospital, due to which she underwent a radical nephrectomy. Discussion The diagnosis of XGP is confirmed by histopathology. The standard treatment for XGP is antibiotic therapy and radical nephrectomy, but partial nephrectomy may be appropriate in select cases.

Surgical outcomes of gasless single port retroperitoneal radical nephrectomy for dialysis patients: A comparative analysis with nondialysis patients.

2011 ◽  
Vol 29 (7_suppl) ◽  
pp. 376-376 ◽  
Author(s):  
Y. Okada ◽  
H. Masuda ◽  
K. Saito ◽  
Y. Iimura ◽  
M. Yokoyama ◽  
...  
Keyword(s):  
High Risk ◽  
Surgical Outcomes ◽  
Surgical Complications ◽  
Radical Nephrectomy ◽  
Single Port ◽  
Oral Feeding ◽  
Transfusion Rate ◽  
Dialysis Access ◽  
Dialysis Patients ◽  
The Mean

376 Background: Gasless single port retroperitoneal radical nephrectomy is minimally invasive, curative and cost effective operation which we have developed since 1998 (Eur Urol Suppl 2009; 8: 392), and covered by the Japanese universal insurance system from April, 2008. Patients necessitating dialysis are considered high risk operative candidates because of their multiple comorbidities. We compared surgical outcomes of dialysis patients with non-dialysis patients to evaluate this operation as treatment for high risk group. Methods: We reviewed 304 consecutive patients including 59 (19.4%) dialysis patients who underwent CO2 gasless single port retroperitoneal radical nephrectomy at our institute between 2000 and 2009. Complications within the first 30 days after the surgery were graded retrospectively according to the modified Clavien classification system. Patient demographics, operative outcomes, and complications were compared between dialysis and non-dialysis patients. Results: In all patients, the median patient age and body mass index were 60 years and 23.0 kg/m2. The median length of surgical incision, operative time (OT) and estimated blood loss (EBL) were 6.5 cm, 189 minutes and 214 mL, respectively. The transfusion rate was 3.3%. The intra and postoperative complication rate were 3.9% and 10.1%. Two grade 3a (ureteral obstruction, 1; diverticulitis, 1), three grade 3b (occlusion of peripheral hemodialysis shunt, 3) and two grade 4 (pulmonary embolism, 1; acute heart failure, 1) surgical complications occurred. In dialysis patients, the mean BMI was lower (20.4 vs. 23.3, p<0.0001), the mean OT was shorter (170 vs. 201 minutes, p<0.0001) and the mean EBL was lower (216 vs. 311mL, p<0.0001) than non-dialysis patients. There was no Clavien grade 3 or 4 surgical complications except dialysis access occlusion in dialysis patients. The average time to oral feeding and walking were equivalent, but possible discharge were longer in dialysis patients (4.3 vs. 3.4 days, p<0.0037). Conclusions: Our data supports the safety and feasibility of gasless single port retroperitoneal radical nephrectomy for dialysis patients. No significant financial relationships to disclose.

scholarly journals Radical nephrectomy performed by open, laparoscopy with or without hand-assistance or robotic methods by the same surgeon produces comparable perioperative results

2006 ◽  
Vol 32 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Tanya Nazemi ◽  
Anton Galich ◽  
Samuel Sterrett ◽  
Douglas Klingler ◽  
Lynette Smith ◽  
...  
Keyword(s):  
Radical Nephrectomy ◽  
Open Laparoscopy ◽  
Hand Assistance

scholarly journals Multifocal pleural capillary hemangioma: a rare cause of hemorrhagic pleural effusion-case report

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Naifu Nie ◽  
Zhulin Liu ◽  
Jun Kang ◽  
Li Li ◽  
Guoqiang Cao
Keyword(s):  
Pleural Effusion ◽  
Single Port ◽  
Capillary Hemangioma ◽  
Parietal Pleura ◽  
Definite Diagnosis ◽  
Dexamethasone Treatment ◽  
Case Presentation ◽  
First Case ◽  
Hemorrhagic Pleural Effusion ◽  
Recurrent Pleural Effusion

Abstract Background Capillary hemangioma can be found in many organs, but rarely in pleura. Previously, only localized pleural capillary hemangioma cases have been reported. Corticosteroids are the most commonly recommended drugs in capillary hemangioma. Case presentation Here, we present a case of a young woman with recurrent hemorrhagic pleural effusion. Despite repeatedly thoracentesis, the routine examinations, including chest computed tomography (CT) scan, pleural effusion biochemical test, and cytology all failed to make a definite diagnosis. Thus, single port video-assisted thoracoscopy (VATS) was then performed. Numerous nodules arising from the parietal pleura were found, and biopsies showed multifocal pleural capillary. However, recurrent pleural effusion was successfully managed by oral azathioprine, after failure of dexamethasone treatment. Conclusions To our knowledge, this is the first case of a patient with recurrent hemorrhagic pleural effusion masquerading as malignant pleurisy, but in fact caused by multifocal pleural capillary hemangioma.

V37 GASLESS SINGLE PORT ACCESS RADICAL NEPHRECTOMY

2009 ◽  
Vol 8 (4) ◽  
pp. 392 ◽  
Author(s):  
K. Kihara ◽  
S. Kawakami ◽  
Y. Fujii ◽  
H. Masuda ◽  
F. Koga ◽  
...  
Keyword(s):  
Radical Nephrectomy ◽  
Single Port ◽  
Single Port Access ◽  
Port Access

scholarly journals Laparoscopic single port radical nephrectomy challenges: a case presentation

2021 ◽  
Vol 17 (2) ◽  
pp. 168-171
Author(s):  
M. R. Yusof ◽  
A. P. Arunasalam ◽  
M. Z. Saiful Azli ◽  
C. K.S. Lee ◽  
O. Fahmy ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Radical Nephrectomy ◽  
Single Port ◽  
Renal Cell Carcinoma Patient ◽  
Term Survival ◽  
Single Port Surgery ◽  
Successful Case ◽  
Conventional Open Surgery

Renal cell carcinoma accounts 2 % of global cancer diagnoses and death. In Malaysia, its occurrence is found in 1.9 in 100,000 patients and more predominantly in male with ratio male to female of 2.75:1 in 2006. Radical nephrectomy has been proven to give the best chance of cure and long term survival. Throughout the years, conventional open surgery has evolved to single port laparoscopic surgery. It has its own advantages, difficulties and cases selections criteria. We report a successful case of Laparoscopic single port surgery in a renal cell carcinoma patient with underlying prostate carcinoma. 

Sign in / Sign up

Export Citation Format

Share Document