Multi-Institutional Assessment of Routine Same Day Discharge Surgery for Robot-Assisted Radical Prostatectomy.

Purpose: We assessed the multi-institutional safety of same day discharge for robot-assisted radical prostatectomy within a single health care system.

Materials And Methods: We included 358 patients undergoing planned same day discharge for robot-assisted radical prostatectomy at 6 French centers. Primary outcomes were same day discharge failure, and 30-day complication and readmission rates.

High-grade renal injury: non-operative management of urinary extravasation and prediction of long-term outcomes.

Objective: To predict the outcomes of a non-operative approach to managing urinary extravasation after blunt renal trauma.

Patients And Methods: A prospective observational study was conducted between January 2004 and October 2011. First-line non-operative management was proposed for 99 patients presenting with a grade IV blunt renal injury according to the revised American Association for the Surgery of Trauma (AAST) classification.

Long-term renal function assessment with dimercapto-succinic acid scintigraphy after conservative treatment of major renal trauma.

Purpose: The management of high grade blunt renal injury has evolved with time to become increasingly conservative with the ultimate objective of renal preservation. We evaluated relative renal function with dimercapto-succinic acid renal scintigraphy 6 months after major renal trauma (grade IV or V).

Materials And Methods: This prospective observational study was done between January 2004 and April 2010.

[Renin-secreting tumour: about a new diagnosed case during pregnancy].

A 29 year-old female patient developed severe arterial hypertension in the beginning of her second pregnancy. Investigations performed at 16 weeks of amenorrhea showed hypokaliemia in relation to severe hyperreninism: plasma active renin was 25 fold normal value, 94% as prorenin (prorenin representing 94% of total renin). Radiological investigations including ultrasonography and MRI disclosed an homogenous and avascular tumor in the right kidney.

[Preclinical development of the TIMC LER (light endoscope robot)].

Introduction: The authors participated in the development of an innovative endoscope robot in laparoscopic surgery designed by TIMC-GMCAO, providing a solution to the disadvantages of currently available systems, i.e. their cost and large dimensions.

[Use of robotics in laparoscopic urological surgery: state of the art].

Objective: To evaluate the current place of robotics in laparoscopic urological surgery.

Material And Methods: A review of the international literature was conducted to evaluate the various available endoscope robot systems and telemanipulator robots and to establish their practical limitations and their contribution to surgery.

Results: Robotic systems are based on various structures, which each present specific disadvantages.

[Report of a case of leiomyoma of the kidney].

The authors report a case of leiomyoma of the renal capsule. Although leiomyoma is a frequent tumour in the uterus, leiomyomas of the urinary tract are very rarely reported in the literature. This tumour has an excellent prognosis.