Publications by authors named "S Siemer"

Article Synopsis
  • Conversions from robot-assisted partial nephrectomy to more invasive surgeries happen in about 1-5% of cases, and this study looks at what could predict these conversions.
  • The research analyzed 2,549 patients operated on by 25 surgeons, finding a 3.5% conversion rate linked to factors like older age, higher BMI, tumor size, and the surgeon’s experience.
  • The study concludes that both patient characteristics and surgical expertise significantly impact the likelihood of conversion, suggesting that better training could enhance outcomes and allow for more kidney-sparing procedures.
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Tuberous sclerosis complex (TSC) is an autosomal dominant disorder characterized by the presence of proliferative lesions throughout the body. Management of TSC is challenging because patients have a multifaceted systemic illness with prominent neurological and developmental impact as well as potentially severe kidney, heart and lung phenotypes; however, every organ system can be involved. Adequate care for patients with TSC requires a coordinated effort involving a multidisciplinary team of clinicians and support staff.

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Background: The first robot-assisted kidney transplantation (RAKT) was conducted in 2010, and the first time in Germany in 2016. As more than 5 years have passed, current evidence, technological developments and the latest (German) experience are presented.

Objectives: The current evidence and experience of RAKT was investigated from an international and German perspective.

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Background: Three-dimensional (3D) reconstruction in renal surgery offers significant benefits in planning of the operation itself, in patient education and training fellows.

Objective: The goal was to study the possible application and use of 3D reconstruction in modern renal surgery.

Methods: A literature search in PubMed using keywords "3D" and "renal surgery" within the last 10 years of publication was performed.

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