Publications by authors named "Z A Lone"

Objectives: To assess whether the effect of sarcopenia on neoadjuvant chemotherapy (NAC) toxicity is modified by borderline renal function (estimated glomerular filtration rate [eGFR] 40-65 mL/min) and whether sarcopenia and borderline renal function are independently associated with NAC toxicity risk.

Patients And Methods: All patients with muscle-invasive bladder cancer (MIBC) who underwent radical cystectomy (RC) between 2010 and 2022, with available cross-sectional imaging prior to NAC initiation, were included. Skeletal mass was measured from axial computed tomography images obtained at the level of the L3 vertebral body, using Aquarius Intuition software.

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  • The study investigates the effects of prolonged ischaemia during partial nephrectomy (PN) on kidney function, highlighting a lack of research in this area despite its clinical importance.
  • Among 1371 patients, the analysis focused on 759 who had assessments on kidney function pre- and post-surgery, looking at recovery rates related to ischaemia type and duration.
  • Findings revealed that while warm ischaemia showed a significant negative impact on kidney recovery after 30 minutes, cold ischaemia maintained higher recovery rates, suggesting the need to limit warm ischaemia duration for better patient outcomes.
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  • Micropapillary variant urothelial carcinoma (MPUC) is linked to higher treatment failure risks and occult lymph node metastasis, impacting outcomes after radical cystectomy (RC).
  • The study evaluated 67 patients with MPUC to see how the percentage of MPUC in tissue samples affects lymph node positivity and patient survival following treatment.
  • Results indicated that a higher percentage of MPUC (≥30%) and advanced clinical stage (≥T2) were significant predictors of lymph node metastasis at RC, with patients having cT1 disease showing the lowest metastasis rates.
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Purpose: To study the pathologic and short-term oncological and survival outcomes following Transvesical Single-Port Robot-Assisted Radical Prostatectomy.

Materials And Methods: A retrospective review was performed on prospectively collected data on 169 patients with low and intermediate-risks prostate cancer, who either underwent Single-Port Transvesical or Multi-Port Transperitoneal Radical Prostatectomy by a single surgeon between 2015 and 2022. Preoperative clinicopathologic characteristics, as well as final histopathology outcomes, were compared.

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