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Conversions in robot-assisted partial nephrectomy: a multicentric analysis of 2549 cases.
Minerva Urol Nephrol
November 2024
Department of Urology, Hannover Medical School, Hannover, Germany -
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.
A case of asymptomatic giant renal angiomyolipoma with extrusion of fat content with literature review.
J Surg Case Rep
November 2024
Department of Surgery, Jawaharlal Nehru Medical College, Medical College Road, Aligarh Muslim University, Aligarh 202002, India.
Angiomyolipoma is a benign mesenchymal tumour of kidney that consists of adipose tissue, muscle cells and blood vessels. Renal angiomyolipomas represent almost one percent of all renal tumours. We reported a case of a 50-year-old woman complaining of mild abdominal discomfort with no other symptoms and no remarkable medical history.
View Article and Find Full Text PDFA review on optimization of Wilms tumour management using radiomics.
BJR Open
January 2024
Department of Radiation Oncology, Chris O'Brien Lifehouse, Sydney 2050, Australia.
Background: Wilms tumour, a common paediatric cancer, is difficult to treat in low- and middle-income countries due to limited access to imaging. Artificial intelligence (AI) has been introduced for staging, detecting, and classifying tumours, aiding physicians in decision-making. However, challenges include algorithm accuracy, translation into conventional diagnosis, reproducibility, and reliability.
View Article and Find Full Text PDFImpact of a kidney-adjusted ERAS protocol on postoperative outcomes in patients undergoing partial nephrectomy.
Langenbecks Arch Surg
October 2024
Department of Urology and Urosurgery, Medical Faculty Mannheim, University Medical Centre Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Purpose: Evaluation of a kidney-adjusted enhanced recovery after surgery (ERAS) protocol (kERAS) in patients undergoing nephron-sparing surgery (PN).
Methods: The kERAS protocol is a multidimensional protocol focusing on optimized perioperative fluid and nutrition management as well as strict intraoperative and postoperative blood pressure limits. It was applied in a prospective cohort (n = 147) of patients undergoing open or robotic PN.
Robotic partial nephrectomy: Indications, patient selection, and setup for success.
Urol Oncol
October 2024
Henry Ford Health, Detroit, MI. Electronic address:
Robot-assisted partial nephrectomy (RAPN) has readily become the benchmark treatment of small renal masses (SRMs). The management of SRMs is focused on preserving renal function and limiting the morbidity of a traditional open operation, thus greatly impacting overall prognosis and long-term survival. Indications and techniques have evolved over the last 2 decades.
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