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Long-term oncologic outcomes and complications of robot-assisted radical cystectomy for the treatment of urothelial carcinoma of the bladder.
Urol Oncol
October 2024
Division of Urology and Urologic Oncology, Department of Surgery, City of Hope Comprehensive Cancer Center, Duarte, CA.
Introduction: To report the long-term outcomes of robot-assisted radical cystectomy (RARC) for the treatment of muscle invasive and high-risk non-muscle invasive bladder cancer.
Methods: We reviewed a single tertiary center database of RARC from 2004 to 2020. Concomitant extended pelvic lymph node dissection and extracorporeal urinary diversion were performed.
Asymmetrical primary vesicoureteral reflux: Which is the best surgical strategy?
J Pediatr Urol
December 2024
Department of Pediatric Surgery and Urology, Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France; Université Paris Cité, Paris, France.
Article Synopsis
- A study was conducted to evaluate the effectiveness of a combined surgical technique for treating primary asymmetrical vesicoureteral reflux in children, comparing it to the standard method of bilateral cross-trigonal reimplantation.
- The research focused on surgical complications, post-operative urinary tract infections (fUTIs), and the need for further interventions over an 18-year period, involving 80 children who had experienced febrile UTIs.
- Results showed comparable success rates between the two surgical groups, but the combined technique had a significantly shorter hospital stay and reduced need for bladder catheters and ureteral stents.
Single-port-plus-one robot-assisted laparoscopic Lich-Gregoir direct nipple ureteral extravesical reimplantation in pediatric primary obstructive megaureter, comparing to laparoscopic cohen.
Eur J Med Res
May 2024
Shengli Clinical Medical College of Fujian Medical University, 1 North Xuefu Road, Fuzhou, 350122, Fujian, China.
Article Synopsis
- - The study compared two surgical techniques for treating pediatric primary obstructive megaureter: the single-port-plus-one robotic laparoscopic-modified Lich-Gregoir approach (Group L) and the traditional laparoscopic Cohen method (Group C) using data from 24 children.
- - Both techniques resulted in a 100% obstruction resolution rate; however, Group L had a longer total operation time but shorter postoperative recovery metrics like blood loss and catheterization time compared to Group C.
- - Overall, both surgical approaches proved effective and safe for ureteral reimplantation, with no significant differences in outcomes such as ureteral diameter or function post-operation.
Single-port-plus-one robot-assisted laparoscopic modified Lich-Gregoir direct nipple ureteral extravesical reimplantation in children with a primary obstructive megaureter.
Front Pediatr
November 2023
Department of Pediatric Surgery, Children Medical Center, Fujian Provincial Hospital, Fuzhou, China.
Purpose: To introduce a new technique of single-port-plus-one robotic laparoscopic-modified Lich-Gregoir direct nipple ureteral extravesical reimplantation and ascertain its validity in the treatment of pediatric primary obstructive megaureter.
Methods: Between January 2021 and November 2021, we retrospectively analyzed the clinical data of 12 children with primary obstructive megaureter who were admitted to the Department of Pediatric Surgery of Fujian Provincial Hospital. All 12 children were treated with single-port-plus-one robotic laparoscopic Lich-Gregoir direct nipple ureteral extravesical reimplantation.
Improving Surgical Safety in Living Donor Renal Transplantation With Antiseptic Skin Preparation, Bladder Irrigation, Corner-Saving Vascular Anastomosis, DJ Stenting, and Extravesical Ureteroneocystostomy Modifications: A Comprehensive Approach.
Cureus
July 2023
Urology, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Srinagar, IND.
Introduction The antiseptic skin preparation, bladder irrigation, corner-saving vascular anastomosis, DJ stenting, and extravesical ureteroneocystostomy (ABCDE) approach encompasses a range of modifications applied during different stages of the surgical procedure in renal transplantation. These modifications include the following: A, antiseptic skin preparation sequentially with cetrimide 3.35%, chlorhexidine scrub 4%, spirit, and povidone-iodine 10%; B, bladder irrigation with amikacin and betadine solution; C, corner-saving end-to-side vascular anastomosis; D, DJ stenting with early postoperative removal within three weeks; and E, extravesical ureteroneocystostomy using our institute's modified Lich-Gregoir technique.
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