scholarly journals Robot-assisted right ureteral polypectomy: A case report

2013 ◽  
Vol 7 (5-6) ◽  
pp. 426 ◽  
Author(s):  
Brandon Karmo ◽  
Kenneth Lim ◽  
Richard Santucci ◽  
Sabry Mansour
Keyword(s):  
Ureteral Obstruction ◽  
Common Type ◽  
Flank Pain ◽  
Surgical Approaches ◽  
Robot Assisted ◽  
Upj Obstruction ◽  
Pediatric Populations ◽  
Pathological Report ◽  
Ureteral Polyps ◽  
Collecting System

Ureteral polyps are a rare cause of ureteral obstruction in the adult and pediatric populations. Fibroepitheial polyps (FEP) are the most common type of ureteral polyps. This clinical entity is very rare, warranting periodic clinical review by practitioners, and new advancements in laparoscopy allow new surgical approaches to its cure. We present the case of a 20-year-old male with right sided flank pain. He was found to have right uretero-pelvic junction (UPJ) obstruction and subsequently underwent laparoscopic robotic-assisted right collecting system exploration, excision of polyps and right ureteropyeloplasty. Ureteral polyps were excised and determined to be fibroepithelial in origin based on the pathological report. Our case highlights the importance of having FEP in the differential diagnosis of ureteral obstruction. We also found that laparoscopic robot-assisted polypectomy is a safe and acceptable surgical option for the excision of ureteral polyps.

Advantages and disadvantages of main surgical approaches for robot-assisted radical prostatectomy

2020 ◽  
Vol 10 (4) ◽  
pp. 347-354
Author(s):  
Dmitriy M. Il’in ◽  
Vladimir A. Makeev
Keyword(s):  
Radical Prostatectomy ◽  
Abdominal Cavity ◽  
Prostate Gland ◽  
Clinical Situation ◽  
Surgical Approaches ◽  
Robot Assisted ◽  
Scientific Databases ◽  
Advantages And Disadvantages ◽  
Robotic Assisted Surgery ◽  
History Of

The introduction of robotic-assisted surgery into clinical practice has opened up new possibilities for the surgical treatment of urological patients. Robot-assisted radical prostatectomy (RARP) is one of the most commonly performed robot-assisted surgery. The review is devoted to the main surgical approaches for RARP. An analysis of publications on this topic was carried out using the search engines of the scientific databases PubMed, Medscape, Google Scholar, eLibrary when writing the article The article presents an overview of the advantages and disadvantages of the existing four access options for RARP: anterior, perineal, lateral and posterior, as well as oncological and functional outcomes of operations. It has been shown that a surgeon with different approaches can choose the most suitable one for a given clinical situation, focusing on the stage of the disease, the patients age, anatomical features of the prostate gland, the state of the patients erectile function, and the history of operations on the abdominal cavity and pelvic organs.

scholarly journals Practical aspects of treatment of kidney cancer in a modern hospital: the evolution of surgical approaches

2018 ◽  
Vol 14 (2) ◽  
pp. 44-53
Author(s):  
S. A. Rakul ◽  
K. V. Pozdnyakov ◽  
R. A. Eloev ◽  
N. A. Pliskachevskiy
Keyword(s):  
Minimally Invasive ◽  
Locally Advanced ◽  
Renal Tumors ◽  
Da Vinci Surgical System ◽  
Surgical Approaches ◽  
City Hospital ◽  
Robot Assisted ◽  
Nephron Sparing ◽  
Analysis Of Results ◽  
Modern Hospital

Objective: analysis of results of the outcomes of surgical treatment for renal tumors in the Saint Petersburg City Hospital No. 40 over the last 5 years and determination the trends.Materials and methods. The study included 293 patients that underwent 296 surgeries for renal tumors. The majority of patients (87.84 %) were diagnosed with localized cancer, whereas locally advanced and metastatic forms were detected in 4.39 and 7.77 % of cases respectively. We performed radical nephrectomy (RNE) or nephron sparing (NS) via open or minimally invasive route (videoendoscopic or robot-assisted surgery using the da Vinci Surgical System).Results. Organ-preserving surgeries were performed in 52.36 % of patients, RNE – in 47.64 % of patients; minimally invasive and open surgeries were conducted in 95.95 and 4.05 % respectively. In individuals with stage cT1a cancer, NS and RNE were performed in 87 and 13 % of cases respectively; in patients with stage cT1b cancer, NS and RNE were performed in 50.82 and 49.18 % of cases respectively. The majority (90.2 %) of patients with renal tumors >7 cm underwent minimally invasive surgeries, primarily RNE. The incidence of severe postoperative complications after NS and RNE was comparable: 5.75–8.06 and 1.67–15.38 % respectively (р = 0.64).Conclusion. Minimally invasive NS is the method of choice for stage сT1 tumors; however, in some cases, we should also consider it for tumors >7 cm. Videoendoscopic surgery is the most preferable option for these patients, whereas robot-assisted techniques should be used for organpreserving surgeries and RNE in difficult cases.

scholarly journals A rare case of spontaneous parenchymal kidney explosion in a patient with ureteral obstruction caused by a single stone

2020 ◽  
pp. 039156032097588
Author(s):  
Francesco Chiancone ◽  
Clemente Meccariello ◽  
Maria Ferraiuolo ◽  
Giovanna Paola De Marco ◽  
Maurizio Fedelini ◽  
...  
Keyword(s):  
Ureteral Obstruction ◽  
Rare Complication ◽  
Hypovolemic Shock ◽  
Vascular Diseases ◽  
Renal Cysts ◽  
Urinary Stones ◽  
Periarteritis Nodosa ◽  
The Moment ◽  
Renal Rupture ◽  
Collecting System

Introduction: Spontaneous rupture of kidney may involve collecting system or parenchyma. Parenchymal rupture usually occurs in patients with renal cell carcinoma, angiomyolipoma, renal cysts, arteriovenous malformation or vascular diseases such as periarteritis nodosa. Collecting system rupture is usually a rare complication of obstructive urolithiasis. We describe the unusual cases of spontaneous kidney rupture in patients with acute urinary obstruction. Case presentation: The case report describes the left parenchymal kidney explosion related to ipsilateral ureteral obstruction caused by a single ureteral stone. The patient reached our emergency department with acute left flank pain and massive haematuria. At the moment of admission, the patient was in stage III hypovolemic shock and had a lower haematocrit (haemoglobin = 4.9 g/dL). Despite blood transfusions, emergency surgical exploration, extrafascial nephrectomy and intensive support care, the patient died twelve hours after surgery. Conclusions: Parenchymal renal rupture can be a life-threatening emergency. Despite its rarity, in the differential diagnosis of acute abdomen, parenchymal renal rupture should always be considered in patients with abdominal pain and an anamnesis or history of urinary stones, pointing out the need of early diagnosis also in benign urological conditions.

V7-09 PEDIATRIC ROBOT-ASSISTED LOWER POLE HEMINEPHRECTOMY WITH INTRAURETERAL INDOCYANINE GREEN IN A DUPLICATED COLLECTING SYSTEM NOT FOLLOWING WEIGERT-MEYER LAW

2017 ◽  
Vol 197 (4S) ◽  
Author(s):  
Ziho Lee ◽  
Michael Packer ◽  
Gregory Dean ◽  
Jonathan Roth ◽  
Daniel Eun
Keyword(s):  
Indocyanine Green ◽  
Lower Pole ◽  
Robot Assisted ◽  
Duplicated Collecting System ◽  
Collecting System

Comparative Effectiveness of Robot-Assisted and Open Radical Prostatectomy in the Postdissemination Era

2014 ◽  
Vol 32 (14) ◽  
pp. 1419-1426 ◽  
Author(s):  
Giorgio Gandaglia ◽  
Jesse D. Sammon ◽  
Steven L. Chang ◽  
Toni K. Choueiri ◽  
Jim C. Hu ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Length Of Stay ◽  
Lower Risk ◽  
Surgical Approaches ◽  
First Year ◽  
Blood Transfusions ◽  
Cancer Therapies ◽  
Robot Assisted ◽  
Prolonged Length ◽  
Open Radical Prostatectomy

Purpose Given the lack of randomized trials comparing robot-assisted radical prostatectomy (RARP) and open radical prostatectomy (ORP), we sought to re-examine the outcomes of these techniques using a cohort of patients treated in the postdissemination era. Patients and Methods Overall, data from 5,915 patients with prostate cancer treated with RARP or ORP within the SEER-Medicare linked database diagnosed between October 2008 and December 2009 were abstracted. Postoperative complications, blood transfusions, prolonged length of stay (pLOS), readmission, additional cancer therapies, and costs of care within the first year after surgery were compared between the two surgical approaches. To decrease the effect of unmeasured confounders, instrumental variable analysis was performed. Multivariable logistic regression analyses were then performed. Results Overall, 2,439 patients (41.2%) and 3,476 patients (58.8%) underwent ORP and RARP, respectively. In multivariable analyses, patients undergoing RARP had similar odds of overall complications, readmission, and additional cancer therapies compared with patients undergoing ORP. However, RARP was associated with a higher probability of experiencing 30- and 90-day genitourinary and miscellaneous medical complications (all P ≤ .02). Additionally, RARP led to a lower risk of experiencing blood transfusion and of having a pLOS (all P < .001). Finally, first-year reimbursements were greater for patients undergoing RARP compared with ORP (P < .001). Conclusion RARP and ORP have comparable rates of complications and additional cancer therapies, even in the postdissemination era. Although RARP was associated with lower risk of blood transfusions and a slightly shorter length of stay, these benefits do not translate to a decrease in expenditures.

scholarly journals Symptomatic Infundibulopelvic Dysgenesis in an Adolescent

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Daniel Pitts ◽  
David Chalmers ◽  
Brian Jumper
Keyword(s):  
Complete Resolution ◽  
Left Kidney ◽  
Rare Condition ◽  
Renal Calculi ◽  
Flank Pain ◽  
Pelvicalyceal System ◽  
Retrograde Pyelogram ◽  
History Of ◽  
The Right ◽  
Collecting System

Infundibulopelvic dysgenesis is a rare condition characterized by congenital malformation of the pelvicalyceal system. We present the case of an 18-year-old boy with chronic intermittent right flank pain and cystic dilation with parenchymal thinning on ultrasonography. The left kidney was normal. The patient denied dysuria, constipation, and history of UTIs or renal calculi. Cystoscopy with retrograde pyelogram showed marked stenosis of the right pelvicalyceal system and anatomy unfavorable to stenting. The patient’s symptoms were unresponsive to conservative management. Reconstruction of the right collecting system was unsuccessful and a simple nephrectomy was performed, which led to complete resolution of his symptoms.

Robot assisted heminephrectomy for duplicated renal collecting system: technique and outcomes

2014 ◽  
Vol 11 (2) ◽  
pp. 126-129 ◽  
Author(s):  
Oktay Akca ◽  
Jihad H. Kaouk ◽  
Homayoun Zargar ◽  
Luis F. Brandao ◽  
Georges-Pascal Haber ◽  
...  
Keyword(s):  
Robot Assisted ◽  
System Technique ◽  
Collecting System
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