Epub Dec 7. Departamento de Urología, Hospital Universitario Ramón y Cajal, Madrid, España. Context And Objectives: The first-line treatment for >2cm. nefrolitotomia percutanea pdf to excel. Quote. Postby Just» Tue Apr 16, 20 am. Looking for nefrolitotomia percutanea pdf to excel. Will be grateful for. Se determinó la incidencia y composiciones de piedras metabólicos sometidos nefrolitotomía percutánea (NLP) VT Jaime Landman Irvine. Vol. Todas las .
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CÁLCULOS RENALES. Percutánea Nefrolitotomía o nefrolitotripsia para los. Cálculos Renales En nefrolitotomía percutánea o nefrolitotripsia, el cirujano hace . Resumen. Dentro de las alternativas terapéuticas disponibles para el tratamiento de la litiasis renal de polo inferior se encuentran la litotricia. Article Information, PDF download for Nefrolitotomia Percutanea E Ostruzioni Delle Vie Escretrici Superiori · Open epub for Nefrolitotomia.
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Percutaneous access to the upper calyx with patients in Do it on-the-go, from any device! Use our online converter now. Las escalas de Guy y S. Retrograde flexible nephrolithotomy in the Neira Melo et al.
Torricelli FC participated in the drafting of the manuscript. Coelho RF participated in the data analysis and interpretation.
Mazzucchi E contributed to the critical revision of the manuscript. Srougi M supervised the study. E-mail: rb. These parameters could improve access planning for percutaneous nephrolithotomy.
We aimed to determine which parameters extracted from a preoperative multiplanar reconstructed CT could predict renal calyceal access during a percutaneous nephrolithotomy. Sixteen patients presented with complete staghorn calculi, and 11 patients 13 renal units were analyzed. Five parameters were extracted from a preoperative reconstructed CT and compared with the surgical results of percutaneous nephrolithotomy.
A rigid nephroscope was used to access a particular calyx, and a univariate analysis showed that the entrance calyx had a smaller length 2. The particular calyx to be accessed should have a smaller length 2. In the multivariate analysis, the only independent predictive factor for accessing a particular calyx was the angle between the entrance calyx and the calyx to be reached OR 1.
This technique has a lower morbidity compared to open surgery; however, with increasing stone size, a longer operative time and multiple tracts to achieve stone clearance may be required 2 , 3. In complex cases, a thorough radiologic study is essential for achieving optimal results and provides the surgeon with the information necessary for preoperative planning and appropriate percutaneous access 4.
Computed tomography CT has proven to be a cornerstone of the radiologic evaluation of renal calculi and has emerged as the first-line tool for preoperative study and follow-up 5 , 6. Goh3, M.
From April to July 12 patients underwent robotic ureteral reimplantation in three tertiary referral centers. Out of 12 patients, 7 had orthotopic neobladder, 4 ileal conduit and 1 Indiana pouch. All patients had prior robot assisted radical cystectomy and all but one had intracorporeal UD.
Three cases one ileal conduit, one neobladder and one Indiana Pouch are demonstrated in the video. Baseline, perioperative and functional outcomes data are reported. Mean stricture length was 2 cm range 0. Intraoperative blood loss was negligible. Four patients experienced a Clavien grade 2 complication urinary tract infection requiring antibiotics. At a mean follow-up of 1-yr no patient developed recurrence.
The suboptimal success rate of endoscopic treatment, the minimally invasiveness of robotic surgery and the high success rate of robotic repair may contribute to an increased adoption of this surgical option in the near future.
Serao1, P. Vota1, A. The patient complained of recurrent infections and flank pain. There was no evidence of ureteropelvic junction obstruction. Two minor calculi were in the mid calyces. The stone was approched by robotic procedure. The renal pelvis was prepared and opened with V incision. Marked edema and hyperemia were present. The stone filling the entire pelvis and the calyces was dislocated and removed.
The operative time was about minutes. The two residual minor calculi were approched in a second time by endourological procedure.
There was no post operative complication. The patient was discharged after two days.
In selected cases of large renal staghorn calculi the robotic surgery is very effective. The specific articulation and the finest movements of the robotic arms allow a complete removal of stone and a precise reconstruction of the urinary tract.
Iniziale esperienza Inviato da: francescok86 gmail. Fedelini1, C. Meccariello1, F. Monaco1, F. Chiancone1, R. Giannella1, P. Cardarelli, U. Viene ricostruito prima il piatto posteriore in Vicryl , successivamente lo stent viene posizionato per via retrograda e viene conclusa la pieloplastica con la ricostruzione del piatto anteriore in Vicryl Chiancone1, M.
Fedelini1, A. Oliva1, D. Mattace Raso1, D.. Di Lorenzo1, P. Sulla linea trasversale passante per il primo trocar vengono posizionati altri 2 trocar da 8 mm robotici uno a destra e uno a sinistra. La sutura in due emicontinue viene effettuata a tutto spessore, comprendendo anche la mucosa vescicale ed alcuni punti di rinforzo vengono posizionati al termine della procedura.
Zukerman1, G.. Il catetere vescicale ed il drenaggio sono stati rimossi rispettivamente in prima ed in seconda giornata. Cindolo1, C. Natoli2, C.
De nunzio3, M. De Tursi2, M. Valeriani4, S.
Giacinti5, S. Micali6, M. Rizzo7, G.
Bianchi7, E. Martorana7, M. Scarcia8, G. Ludovico 8, P.
nefrolitotomia percutanea pdf to excel
Bove9, A. Laudisi10, O. Selvaggio11, G. Carrieri11, M. Bada1, P. Castellan1, S. Boccasile12, P.. Ditonno12, P. Chiodini13, P.
Verze14, V. Mirone14, L. Demographics, clinical parameters, treatment outcomes and toxicity were recorded. The Brief Pain Inventory scale Q2 was recorded and patient treatment satisfaction was evaluated. Univariate and multivariate analyses were performed to identify factors for treatment satisfaction. Kaplan-Meier curves were estimated. Results We included patients mean age All patients were on androgen deprivation therapy.
MP75-02 DO PATIENT AND STONE FACTORS DIFFER BETWEEN
Overall the median exposure to AA was 10m range With a median follow-up of 13months, median progression free and overall survival were 17 and Discussions we study an Italian real life esperience to evaluate which parameters can influence patients' satisfation.
These preliminary data should be confirmed after longer follow-up, nevertheless the baseline PSA, the presence of pain and the duration of ADT are predictors of patient satisfaction. The survival outcomes depend on patient satisfaction, pain, and PSA decline. Picone1, D. Arcaniolo1, C. Quattrone1, E.. Mallardo1, M.. Terribile1, M. Stizzo1, M. De Sio1, C. Manfredi1, R. Balsamo1, M. The patients performed a Meares-Stamey test collection of the first voided samples 10 ml of the first morning urine VB1 , a midstream 10 ml VB2 , of prostatic secretions after prostatic massage EPS and further 10 ml of post-massage urine VB3.
The review concluded with the collection of semen during the following days Each patient has practiced exams with 3 days of abstinence from sexual intercourse and at least 10 days prior to antibiotic treatments.
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The samples obtained, a part of them were insemenzati in common culture media, for the detection of pathogenic. Results Results: 30 patients were enrolled in the study. The pathogen most frequently isolated was E. Coli 7 , P. Aureus ,, S. Mitis, C. Koserii , H. Discussions Discussion: the protocol used may represent a real breakthrough in the diagnosis of prostatitis.
It is also important to emphasize that many of these infections are from pathogenic biofilm manufacturers and thus unlikely to be isolated. With this method it is thus possible to isolate the entire sessile bacteria of the same biofilm. Conclusion Conclusions: The present study showed that the semen culture is enriched with BHI-OXOID land can be considered a useful tool for the diagnosis of chronic bacterial prostatitis; Moreover, such a microbiological technique may allow you to relocate patients with chronic prostatitis belonging to Group III in Group II, by changing treatment strategies.
Being able to have a more specific framework is an absolutely important, because in these patients very often the treatments do not lead you to a real advantage, especially on quality of life as extremely relevant, also assessed the outcome of the two places questionnaires.
It should also be borne in mind that very often these drugs with systemic effects, sometimes side. In this way, therefore, one of the characteristics is the ability to promote a significant reduction about the assumption of non-targeted drugs.
Rapisarda1, B. De Concilio2, G.
Zeccolini2, A. Caruso2, M. Bada3, C.. Cicero2, G. Morgia1, A. In most cases the radiological distinction between benign and malignant SRMs cannot be performed.
We collected and analysed our data about size, site, histopathology,Fuhrman grade, type of radiological imaging used to perform a biopsy, peri-operative complications according to Clavien-Dindo classification , surgical treatment of tumours and number of RTBs required to get a correct diagnosis. Patients whose first RTB was non-diagnostic of renal cell carcinoma were followed up and they got a second biopsy if required. Results patients were enrolled with an average age of Discussions The use of CT and US-guided biopsy is a safe and accurate method to discriminate between benign and malignant lesions.
Its limits reside in the amount of removed tissue. Our study was aimed to assess its efficacy and to find out how many biopsies are required in order to make a correct diagnosis.
D'Arrigo1, A.. Costa1, F. Savoca1, A. Bonaccorsi1, M. The incidence of renal calculi appears to peak during the period immediately after SCI. This early risk of stone formation is hypothesized to be a result of a significantly increased calcium excretion because immobilization and loss of calcium from the lower extremity skeleton. In addition bladder neurologic dysfunction as detrusor hypocompliance, detrusor-sphincter dyssynergia and detrusor overactivity can lead to increase urinary tract infection UTI , stone disease, bladder cancer, autonomic dysreflexia, and renal dysfunction.
In these patients urinary stones are frequently composed by struvite and calcium phosphate rarely by calcium oxalate. Higher risk of complication in these patients is related to urinary tract infections by Proteus, Ureoplasma o Klebsiella; patients positioning obliged by musculoskeletal spasticity and comorbidity.J Am Coll Surg ; Desai2, A.
Prostate cancer diagnosis was histologically confirmed in all 3 patients by frozen sections. Zukerman1, G.. Median hospital stay was 9 days IQR 7— Servicio de Trasplante Renal.
Three-yr local recurrence free survival and cancer specific survival rates were V-probes are used to tailor the ice ball size to the treatment area. Rapisarda1, B.