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Basile G, Gallioli A, Territo A, Verri P, Gaya JM, Afferi L, Diana P, Sanz I, Dieguez L, Uleri A, Berquin C, Gavrilov P, Algaba F, Palou J, Breda A. Cumulative morbidity of ureteroscopy for upper tract urothelial carcinoma. Actas Urol Esp 2024:S2173-5786(24)00067-2. [PMID: 38735432 DOI: 10.1016/j.acuroe.2024.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Accepted: 02/29/2024] [Indexed: 05/14/2024]
Abstract
OBJECTIVE To assess complications after ureteroscopy (URS) for upper tract urothelial carcinoma (UTUC) management and to assess its postoperative cumulative morbidity burden using the Comprehensive Complication Index (CCI). MATERIALS AND METHODS Single center retrospective study including patients submitted to URS for UTUC suspicion. URSs were both diagnostic and operative. Postoperative complications were recorded according to the EAU Guidelines and graded according to Clavien-Dindo Classification (CDC). The cumulative postoperative morbidity burden developed by patients experiencing multiple events was assessed using the CCI. Multivariable logistic regression (MLR) analyses identified factors independently associated with the development of any grade and major postoperative complications. RESULTS Overall, 360 patients with UTUC suspicion were included with a total of 575 URSs performed. The cumulative number of all postoperative complications recorded was 111. In 86 (15%) procedures, patients experienced at least one postoperative complication, while 25 (4.3%) experienced more than one complication. Of these, 16 (14%) were severe (CDC ≥ IIIa). The most frequent type of complications were urinary (34%), bleeding (30%) and infectious (30%). The higher the CDC grade, the higher the median CCI, with a statistically significant increase in median CCI from CDC II to major complications. Patients who experienced intraoperative complications were at higher risk of developing any grade and major postoperative complications at MLR. CONCLUSIONS Complications after ureteroscopy for UTUC are relatively uncommon events. Patients who experience intraoperative complications are at higher risk of developing postoperative complications. The comprehensive complication index appeared more representative of the cumulative postoperative morbidity rather than the Clavien-Dindo classification.
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Affiliation(s)
- G Basile
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain; Servicio de Urología, IRCCS Hospital San Raffaele, Milán, Italy.
| | - A Gallioli
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - A Territo
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - P Verri
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain; Servicio de Urología, Universidad de Turín, Turín, Italy
| | - J M Gaya
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - L Afferi
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - P Diana
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - I Sanz
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - L Dieguez
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - A Uleri
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain; Servicio de Urología, Universidad Humanitas, Rozzano, Milán, Italy
| | - C Berquin
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain; Servicio de Urología, Hospital Universitario de Gante, Bélgica, Centro acreditado en la Red Europea de Referencia (ERN) eUROGEN, Belgium
| | - P Gavrilov
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - F Algaba
- Área de Anatomía Patológica, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - J Palou
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
| | - A Breda
- Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain
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Fontanet S, Basile G, Baboudjian M, Gallioli A, Huguet J, Territo A, Parada R, Gavrilov P, Aumatell J, Sanz I, Bravo-Balado A, Verri P, Uleri A, Gaya JM, Palou J, Breda A. Robot-assisted vs. open radical cystectomy: systematic review and meta-analysis of randomized controlled trials. Actas Urol Esp 2023:S2173-5786(23)00005-7. [PMID: 36737037 DOI: 10.1016/j.acuroe.2023.01.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 11/29/2022] [Accepted: 11/30/2022] [Indexed: 02/05/2023]
Abstract
INTRODUCTION Several randomized controlled trials (RCTs) have been launched in the last decade to examine the surgical safety and oncological efficacy of robot-assisted (RARC) vs open radical cystectomy (ORC) for patients with bladder cancer. The aim of the study was to perform a systematic review and meta-analysis of RCTs to compare the perioperative and oncological outcomes of RARC vs ORC. METHODS A literature search was conducted through July 2022 using PubMed/Medline, Embase, and Web of Science databases. Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines were followed to identify eligible studies. The outcomes were intraoperative, postoperative, and oncological outcomes of RARC vs ORC. RESULTS A total of eight RCTs comprising 1,024 patients met our inclusion criteria. RARC was associated with longer operative time (mean 92.34 min, 95% CI 83.83-100.84, p < 0.001) and lower blood transfusion rate (Odds ratio [OR] 0.43, 95% CI 0.30-0.61, p < 0.001). No differences emerged in terms of 90-day overall (p = 0.28) and major (p = 0.57) complications, length of stay (p = 0.18), bowel recovery (p = 0.67), health-related quality of life (p = 0.86), disease recurrence (p = 0.77) and progression (p = 0.49) between the two approaches. The main limitation is represented by the low number of patients included in half of RCTs included. CONCLUSIONS This study supports that RARC is not inferior to ORC in terms of surgical safety and oncological outcomes. The benefit of RARC in terms of lower blood transfusion rate need to be balanced with the cost related to the procedure.
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Affiliation(s)
- S Fontanet
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain.
| | - G Basile
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain; Department of Urology, IRCCS San Raffaele Hospital, Milan, Spain
| | - M Baboudjian
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain; Department of Urology, APHM, North Academic Hospital, Marseille, France; Department of Urology, APHM, La Conception Hospital, Marseille, France; Department of Urology, La Croix du Sud Hospital, Quint Fonsegrives, France
| | - A Gallioli
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - J Huguet
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - A Territo
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - R Parada
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - P Gavrilov
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - J Aumatell
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - I Sanz
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - A Bravo-Balado
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - P Verri
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - A Uleri
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - J M Gaya
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - J Palou
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
| | - A Breda
- Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain
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Uleri A, Basile G, Gaya J, Territo A, Gallioli A, Verri P, Gavrilov P, Aumatell J, Fontanet S, Sanchez Molina R, Tedde A, Palou J, Breda A. Initial experience of robot-assisted partial nephrectomy with Hugo RAS™ system: Implications for surgical setting. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)01426-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Gallioli A, Territo A, Basile G, Diana P, Verri P, Sanguedolce F, Gaya J, Gavrilov P, Uleri A, Fontanet S, Izquierdo P, Huguet J, Algaba F, Palou J, Breda A. The implementation of systematic biopsies in the endoscopic management of upper tract urothelial cancer. Eur Urol 2023. [DOI: 10.1016/s0302-2838(23)00551-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
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Fontanet S, Basile G, Baboudjian M, Gallioli A, Huguet J, Territo A, Parada R, Gavrilov P, Aumatell J, Sanz I, Bravo-Balado A, Verri P, Uleri A, Gaya J, Palou J, Breda A. Cistectomía radical asistida por robot vs. cistectomía radical abierta: revisión sistemática de ensayos controlados aleatorizados. Actas Urol Esp 2023. [DOI: 10.1016/j.acuro.2022.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
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Diana P, Territo A, Gaya J, Gavrilov P, Verri P, Bravo-Balando A, Fontanet S, Palou J, Breda A. Robotic-assisted partial nephrectomy with the HUGO RAS system. EUR UROL SUPPL 2022. [DOI: 10.1016/s2666-1683(22)02237-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
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Piana A, Gallioli A, Diana P, Territo A, Gaya J, Gavrilov P, Rodriguez Faba Ó, Huguet J, Guirado L, Facundo C, Campi R, Bellin A, Amparore D, Serni S, Palou J, Porpiglia F, Breda A. 3D Augmented reality-guided robotic-assisted kidney transplantation: Revealing the concealed. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)01361-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Brassetti A, Cozzi G, Gavrilov P, Chavarriaga Soto J, Bove A, Anceschi U, Ferriero M, Mastroianni R, Misuraca L, Tuderti G, Musi G, De Cobelli O, Breda A, Gaya Sopena J, Camacho D, Varela R, Simone G. Inguinal lymph node dissection for penile cancer: Results of a minimally invasive approach from a multicenter database. Eur Urol 2022. [DOI: 10.1016/s0302-2838(22)00766-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Piana A, Gaya Sopena J, Diana P, Gallioli A, Rosales A, Gavrilov P, Palou J, Breda A. Robotic-assisted inguinal lymphadenectomy for penile cancer: Step-by-step technique. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)02280-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Diana P, Breda A, Territo A, Gallioli A, Piana A, Gaya J, Gavrilov P, Desender L, Van Parys B, Van Praet C, Khene Z, Dang V, Doumerc N, Decaestecker K. Intracorporeal versus extracorporeal robot-assisted kidney auto transplantation: Experience of the ERUS RAKT working group. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)02272-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
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Piana A, Diana P, Gallioli A, Gaya J, Territo A, Gavrilov P, Palou J, Breda A. Robotic retroperitoneal partial nephrectomy in T1a, T1b, T2 renal tumor. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)02296-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Gaya J, Piana A, Gallioli A, Diana P, Territo A, Rosales A, Gavrilov P, Breda A. Organ-sparing surgery with bracka’s reconstruction for penile cancer: a single-center experience. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00924-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Territo A, Piana A, Fontana M, Gallioli A, Diana P, Gaya J, Huguet J, Gavrilov P, Faba OR, Mottrie A, Molas CF, Guirado L, Palou J, Breda A. Step-by-step development of a cold ischemia device for open and robot-assisted renal transplantation. EUR UROL SUPPL 2021. [DOI: 10.1016/s2666-1683(21)00834-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Territo A, Fontana M, Gallioli A, Piana A, Diana P, Gaya J, Huguet J, Gavrilov P, Rodríguez Faba O, Mottrie A, Facundo C, Guirado L, Palou J, Breda A. Step-by-step development of a cold ischemia device for open and robot-assisted renal transplantation. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)00728-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Piana A, Territo A, Gallioli A, Fontana M, Diana P, Gaya J, Rodríguez Faba O, Huguet J, Gavrilov P, Mercadé A, Subiela J, Guirado L, Facundo C, Bellin A, Amparore D, Palou J, Porpiglia F, Breda A. New technologies in robot-assisted kidney transplantation: Improving surgical performances, expanding the indication. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01623-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Gaya Sopena J, Rosales A, Gallioli A, Diana P, Gavrilov P, Territo A, Piana A, Sánchez-Puy A, Calderón J, Vila-Reyes H, Palou J, Breda A. Video endoscopic inguinal lymphadenectomy: Step-by-step technique and mid-term oncological outcomes. Eur Urol 2021. [DOI: 10.1016/s0302-2838(21)01628-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Mukhametshina E, Gavrilov P. Response to: The difficulties of diagnosing neuroinfections in patients with HIV infection. QJM 2020; 113:375-376. [PMID: 31504940 DOI: 10.1093/qjmed/hcz220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
| | - P Gavrilov
- Department of Radiation Diagnostics, Saint-Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation, Saint-Petersburg 191036, Russia
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Cheremisin D, Andropova P, Gavrilov P. Response to: BCG infection following immunotherapy for bladder cancer. QJM 2020; 113:232. [PMID: 31608945 DOI: 10.1093/qjmed/hcz263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- D Cheremisin
- From the Department of Radiology, Saint-Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation, 2/4 Ligovskiy pr., Saint-Petersburg 191036, Russia
- Department of Radiology, Institute of the Human Brain RAS, 9 Pavlov Street, Saint-Petersburg 197376, Russia
| | - P Andropova
- From the Department of Radiology, Saint-Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation, 2/4 Ligovskiy pr., Saint-Petersburg 191036, Russia
- Department of Radiology, Institute of the Human Brain RAS, 9 Pavlov Street, Saint-Petersburg 197376, Russia
| | - P Gavrilov
- From the Department of Radiology, Saint-Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation, 2/4 Ligovskiy pr., Saint-Petersburg 191036, Russia
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Trtica M, Stasic J, Limpouch J, Gavrilov P, Chen X, Ciganovic J. Surface behavior of 16Cr3Al ODS steel—Effects of high laser intensity 1014 W/cm2 in ambiences of air, helium and vacuum. Fusion Engineering and Design 2020. [DOI: 10.1016/j.fusengdes.2019.111360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Affiliation(s)
- E Mukhametshina
- Saint-Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation, Saint-Petersburg, Russia
| | - P Gavrilov
- Saint-Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation, Saint-Petersburg, Russia
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Affiliation(s)
- D Cheremisin
- Radiology Department, Saint-Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation, Radiology, 2/4, Ligovskiy pr., Saint-Petersburg, Russia
- Radiology Department, Institute of the Human Brain RAS, Radiology, 9, Pavlov street, Saint-Petersburg, Russia
| | - P Andropova
- Radiology Department, Saint-Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation, Radiology, 2/4, Ligovskiy pr., Saint-Petersburg, Russia
- Radiology Department, Institute of the Human Brain RAS, Radiology, 9, Pavlov street, Saint-Petersburg, Russia
| | - P Gavrilov
- Radiology Department, Saint-Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation, Radiology, 2/4, Ligovskiy pr., Saint-Petersburg, Russia
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22
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Peña JA, Schwartzmann I, Gavrilov P, Moncada E, López JM, Gaya JM, Oliveira M, Breda A, Rosales A, Palou J, Villavicencio H. Off-Clamp Renal Tumourectomy by Retroperitoneoscopy in Posterior Renal Tumours of Medium Complexity (Padua score 8-9). Actas Urol Esp 2016; 40:11-6. [PMID: 26249014 DOI: 10.1016/j.acuro.2015.06.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2015] [Revised: 06/04/2015] [Accepted: 06/07/2015] [Indexed: 11/18/2022]
Abstract
BACKGROUND The guidelines recommend partial surgery for T1 renal tumours. Various aspects of this surgery have evolved in recent years, including the clamping method and duration, enucleation, the retroperitoneoscopic approach and the use of 3mm ports. We present our initial series on laparoscopic renal tumourectomy by retroperitoneoscopy (LRTR) and analyse our learning curve and use of 3-mm instrumentation. MATERIAL AND METHODS From January 2011 to January 2015, we performed LRTR on 50 patients with posterior or convex T1 renal tumours. After 10 cases, the technique changed to off-clamp, and 11 cases were subsequently performed with 3mm instrumentation. RESULTS The mean tumour size was 34.36 mm (14-62), with a mean PADUA score of 8.42 (5-12). The mean operative time was 163.1 minutes (75-300), and the mean warm ischaemia time was 4.21 minutes (0-28). The main renal artery was not clamped in 41 (82%) patients, and no vessel (zero ischaemia) was clamped in 39 (78%) patients. Seven cases had positive margins (6 focal). Eleven LRTRs were performed with 3mm instrumentation, with shorter surgical times, less intraoperative bleeding and shorter hospital stays. CONCLUSIONS Retroperitoneoscopy coupled with enucleation enables the extirpation without clamping of posterior renal tumours, with a relatively short learning curve. The 3-mm material enables the technique to be performed, although in our experience it has resulted in a higher rate of positive surgical margins.
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Affiliation(s)
- J A Peña
- Unidad de Uro-Oncologia, Servicio de Urologia, Fundació Puigvert, Universidad Autónoma de Bárcelona, Barcelona, España.
| | - I Schwartzmann
- Unidad de Uro-Oncologia, Servicio de Urologia, Fundació Puigvert, Universidad Autónoma de Bárcelona, Barcelona, España
| | - P Gavrilov
- Unidad de Uro-Oncologia, Servicio de Urologia, Fundació Puigvert, Universidad Autónoma de Bárcelona, Barcelona, España
| | - E Moncada
- Unidad de Uro-Oncologia, Servicio de Urologia, Fundació Puigvert, Universidad Autónoma de Bárcelona, Barcelona, España
| | - J M López
- Unidad de Uro-Oncologia, Servicio de Urologia, Fundació Puigvert, Universidad Autónoma de Bárcelona, Barcelona, España
| | - J M Gaya
- Unidad de Uro-Oncologia, Servicio de Urologia, Fundació Puigvert, Universidad Autónoma de Bárcelona, Barcelona, España
| | - M Oliveira
- Unidad de Uro-Oncologia, Servicio de Urologia, Fundació Puigvert, Universidad Autónoma de Bárcelona, Barcelona, España
| | - A Breda
- Unidad de Uro-Oncologia, Servicio de Urologia, Fundació Puigvert, Universidad Autónoma de Bárcelona, Barcelona, España
| | - A Rosales
- Unidad de Uro-Oncologia, Servicio de Urologia, Fundació Puigvert, Universidad Autónoma de Bárcelona, Barcelona, España
| | - J Palou
- Unidad de Uro-Oncologia, Servicio de Urologia, Fundació Puigvert, Universidad Autónoma de Bárcelona, Barcelona, España
| | - H Villavicencio
- Unidad de Uro-Oncologia, Servicio de Urologia, Fundació Puigvert, Universidad Autónoma de Bárcelona, Barcelona, España
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Millán-Rodríguez F, Gavrilov P, Gracia-García S, Angerri-Feu O, Sánchez-Martín F, Villavicencio-Mavrich H. Implications of vitamin D deficiency in lithiasic patient and in general population. Actas Urol Esp 2015; 39:245-52. [PMID: 25086998 DOI: 10.1016/j.acuro.2014.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2014] [Accepted: 06/07/2014] [Indexed: 10/25/2022]
Abstract
CONTEXT AND OBJECTIVE Vitamin D deficiency causes problems in mineral metabolism but also overall health. In first place a review of the topic was carried out. Then, in order to contextualize it in lithiasic patient, a study on Vitamin D deficiency and its possible relationship with impaired PTH levels is performed. EVIDENCES ACQUISITION A review of topics such as metabolism, epidemiology and the relationship of vitamin D deficiency with several pathologies was performed. Besides a multivariate analysis and a correlation study between vitamin D and PTH levels was conducted in 100 lithiasic patients. EVIDENCES SYNTHESIS We present a review of Vitamin D metabolism, receptors and functions, as well as about its valuation methodology and the treatment of its deficiency. Lithiasic patients show a higher vitamin D deficiency than general population. Vitamin D deficiency has been significantly associated with increased PTH levels. In addition, there is enough literature showing a relationship between vitamin D deficiency not only with bone disease, but also with multiple diseases. CONCLUSION vitamin D levels should be measured in all lithiasic patients, and those with vitamin D deficiency should be treated.
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