Endourological Management of Urogenital Carcinoma by Yoshinari Ono, Ryohei Hattori, Momokazu Gotoh, Tsuneo PDF
By Yoshinari Ono, Ryohei Hattori, Momokazu Gotoh, Tsuneo Kinukawa, Shin Yamada (auth.), Seiji Naito M.D., Ph.D., Yoshihiko Hirao M.D., Ph.D., Toshiro Terachi M.D., Ph.D. (eds.)
In the 6 years because the e-book of the 1st quantity of contemporary Advances in Endourology through the japanese Society of Endourology and ESWL, info on long term oncological or practical results were gathered in numerous similar fields, and advances in surgical recommendations and more suitable instrumentation have ended in additional improvement of such complicated surgical procedure as laparoscopic partial nephrectomy and radical prostatectomy. This 7th quantity within the sequence makes a speciality of the remedy of urogenital malignancies by way of endourological approaches, together with laparoscopic surgical procedure with robot counsel. the normal systems and their particularly long term results in addition to new thoughts were basically defined with distinct references. This e-book presents a greater figuring out of the current prestige of endourological administration for urogenital carcinoma and units the level for destiny advancements in either oncological and useful outcomes.
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Extra resources for Endourological Management of Urogenital Carcinoma
Novick AC (2002) Surgery of the kidney. In: Walsh PC, Retik AB, Vaughn ED, Wein AJ (eds) Campbell’s urology, 8th edn. Saunders, Philadelphia, pp 3570–3643 7. Lee CT, Katz J, Shi W, Thaler HT, Reuter VE, Russo P (2000) Surgical management of renal tumors 4 cm. or less in a contemporary cohort. J Urol 163:730–736 8. Hafez KS, Novick AC, Butler BP (1998) Management of small solitary unilateral renal cell carcinomas: impact of central versus peripheral tumor location. J Urol 159:1156–1160 9. Lerner SE, Hawkins CA, Blute ML, Grabner A, Wollan PC, Eickholt JT, Zincke H (2002) Disease outcome in patients with low stage renal cell carcinoma treated with nephron sparing or radical surgery.
Together, these studies suggest that warm ischemia times of up to 90 min produce no permanent renal impairment. Cold Ischemia/Renal Cooling For complex resections that are estimated to require more than 30 min or for already compromised renal units, some authors recommend duplicating the open practice of renal hypothermia . This may extend the ischemic time to as long as 3 h without irreversible renal damage . Ward suggested that optimal renal protection could be achieved at temperatures below 15°C .
Finally, patients must be willing to submit to an intense follow-up regimen which, because it includes frequent ureteroscopy, is more invasive and more expensive than the standard regimen following nephroureterectomy. Despite these caveats, patients should also understand that with favorable disease, there is a high likelihood of renal preservation. Percutaneous Approach to Upper Tract TCC 43 In addition, the urologist should counsel the patient regarding the risks of the percutaneous approach itself, including bleeding necessitating blood transfusion, infection, failed access, injury to adjacent organs, and pleural injury.
Endourological Management of Urogenital Carcinoma by Yoshinari Ono, Ryohei Hattori, Momokazu Gotoh, Tsuneo Kinukawa, Shin Yamada (auth.), Seiji Naito M.D., Ph.D., Yoshihiko Hirao M.D., Ph.D., Toshiro Terachi M.D., Ph.D. (eds.)