Laparoscopic urologic surgery in malignancies - part 8 doc

... pattern of late dis- semination of cancer cells after inoculation in the ab- domen. Tsuvian et al. did not find a different pattern of dissemination after intra-abdominal RENCA cell in- oculation: ... after laparoscopic pro- cedures in patients with intra-abdominal malignancies are a source of increasing concern and the most im- portant factor precluding widespread employment of lap...

Ngày tải lên: 11/08/2014, 15:20

... the left pararectal line and a trocar placed in the midline (Fig. 1 b). In patients with a mesh in the right inguinal re- gion, the first 15-mm incision is made in the infraum- bilical crease on ... competencies. Minimally invasive surgery is a par- ticularly challenging training area, requiring signifi- cant allocation of residents and faculty, time and re- sources with inconsisten...

Ngày tải lên: 11/08/2014, 15:20

... of meniscus. Final confirma- tion is obtained by documenting a low intra-abdom- inal pressure after initiating insufflation at a low flow (1 l/min). Once the correct intra-abdominal pressure has ... way. Laparoscopic surgery certainly has a bright future in urology and will play a dominating role in the com- ing years. Nevertheless, it remains a segment only in a dynamic and ever-ch...

Ngày tải lên: 11/08/2014, 15:20

... Foundation 9500 Euclid Avenue Cleveland, OH 44195 USA ISBN-10 3-5 4 0-2 051 2 -8 Springer Berlin Heidelberg New York ISBN-13 97 8- 3 -5 4 0-2 051 2 -8 Springer Berlin Heidelberg New York Library of Congress Control ... obtained from Springer-Verlag. Violations are liable for prosecution under the German Copyright Law. Springer is a part of Springer Science+Business Media springero...

Ngày tải lên: 11/08/2014, 15:20

... hand-assisted or conven- tional laparoscopic nephrectomy. Indication of laparoscopic nephrectomy has also broadened toward cases of renal vein involvement. De- sai [8] reported eight successful laparoscopic ... of the kidney: enlarging one of the 10-mm trocar inci- sions and removing the whole piece or morcellating it into the sac. The advantages of removing the kidney intact mainly con...

Ngày tải lên: 11/08/2014, 15:20

... rotating the operating ta- ble 30±4 08, thus allowing the surgery to be done with the patient in slight lateralization. Via a short iliac ip- silateral muscle-splitting incision (Gibson incision) ... during a polar partial ne- phrectomy [26± 28] . Although effective in the experi- mental setting of a smaller porcine kidney, these de- vices are clinically unreliable in the larger human...

Ngày tải lên: 11/08/2014, 15:20

... Depending on indication Nerve-sparing Depending on indication Entrapment of specimen Organ bag intra-abdominally Transrectally Retrieval of specimen Mini-laparotomy Periumbilical, mid-line Transvaginal Transrectal Pararectal of ... 18. 1 13.3 5.3 Follow-up (months) No data 25 No data 39 35 24.2 25 27.4 12 No data 22.1 Lymphade- nectomy Not ex- plained Not done Not ex- plained Not ex- plained...

Ngày tải lên: 11/08/2014, 15:20

... difficulties in performing a laparo- scopic procedure. These cases will be more technically challenging and the risk for bleeding or causing dam- age to intra-abdominal organs will be increased. Mor- bid ... nerve sparing Continence Sponta- neous sexual intercourse With sildenafil Total 1 month 51% 48% +8% 56% 3 months 84 % 56% +12% 68% 6 months 91% 78% +11% 89 % Contents Introduction 11...

Ngày tải lên: 11/08/2014, 15:20

... the process including raised prostacyclin, prostaglandin E2, intracellular enzyme glucose-6-phosphate dehydrogenase (G6PD), nitrous oxide (NO) and growth factors, including insulin-like growth ... with pre-existing gastro- intestinal injury or inflammation may show a significant increase in damage. COX 2 appears to have an important role in promoting the healing of...

Ngày tải lên: 12/08/2014, 00:22