Publications by authors named "Paul Panayotopoulos"
Article Synopsis
- - The study aimed to analyze the 30-day mortality rate after renal trauma and determine factors that contribute to mortality, using data from 1,799 patients across 17 hospitals in France from 2005 to 2015.
- - The findings revealed a 30-day mortality rate of 3.27%, with only a small percentage of deaths directly attributable to renal trauma; significant risk factors included age over 40, hemodynamic instability, anemia, bilateral renal trauma, arterial contrast extravasation, and concurrent visceral and bone injuries.
- - The study highlights that mortality rates after renal trauma are primarily linked to multiple associated injuries rather than solely from the trauma itself, providing insights that could assist healthcare professionals in identifying patients at higher risk
Background: Some health care systems have set up referral trauma centers to centralize expertise to improve trauma management. There is scant and controversial evidence regarding the impact of provider's volume on the outcomes of trauma management.
Objective: To evaluate the impact of hospital volume on the outcomes of renal trauma management in a European health care system.
Background: Angiography with selective angioembolization (SAE) is safe and effective in addressing bleeding in patients with renal trauma. However, there are no validated criteria to predict SAE efficacy.
Objective: To evaluate factors predictive of SAE failure after moderate- to high-grade renal trauma.
Background: In a cadaveric model with healthy kidneys, it has recently been highlighted that a single renal segment could be supplied by one or more arterial branches originating from an artery supplying another segment.
Objective: To demonstrate occurrences of anatomical variations of renal vascularization and to analyze vascularization of renal tumors.
Design, Setting, And Participants: This prospective monocentric study included all patients treated for a renal tumor between May 2015 and June 2017 by laparoscopic partial nephrectomy after superselective tumor embolization in a hybrid operating room.
Background: Partial nephrectomy (PN) is the standard treatment for localized renal tumors. Laparoscopic PN (LPN) after selective embolization of tumor (LPNE) in a hybrid operating room has been developed to make LPN easier and safer. The aim of this study was to compare outcomes of LPNE and robot-assisted PN (RAPN).
View Article and Find Full Text PDFPurpose: In order to limit ischemia and operative bleeding during and after partial nephrectomy we developed a clampless laparoscopic technique, in a hybrid operating room, immediately after super-selective arterial embolization of the renal tumor. We evaluated feasibility and morbidity of this new approach of zero ischemia in partial nephrectomy.
Methods: We included prospectively 50 consecutive patients treated in a hybrid operating room by this new technique for a localized renal tumor in a university hospital between May 2015 and January 2017.
Objective: Evaluate the feasibility of laparoscopic nephrectomy for big tumors.
Material And Methods: Data from 116 patients were retrospectively collected from 16 tertiary centres. Clinical and operative parameters, tumor characteristics, pre- and postoperative parameters, and renal function before and after surgery were analyzed.
It is established that partial nephrectomy is the standard of care for tumors confined to the kidney. Achieving a partial nephrectomy without renal ischemia and limiting operative bleeding is the subject of numerous researches. Since 2010, hybrid operating rooms have been used to perform both interventional radiology and surgical procedures at the same place and time.
View Article and Find Full Text PDFIntroduction: The aim of this study was to identify predictive factors of urolithiasis etiology for acute renal colic (ARC) during pregnancy.
Materials And Methods: We performed a retrospective review of all pregnant women hospitalized for an ARC between January 2007 and October 2012 in the department of Obstetrics and Gynecology of a University Hospital. Univariate and multivariate regression models were used to assess potential predictive factors of urolithiasis etiology.