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10.1007/s11255-016-1392-y http://scihub22266oqcxt.onion/10.1007/s11255-016-1392-y C5090974!5090974 !27515314     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=27515314 &cmd=llinks): Failed to open stream: HTTP request failed! 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Renal functional outcomes after robotic multiplex partial nephrectomy: the National Cancer Institute experience with robotic partial nephrectomy for 3 or more tumors in a single kidney |pdf=|usr=}}{{27515314 }} gab.com Text Renal functional outcomes after robotic multiplex partial nephrectomy: the National Cancer Institute experience with robotic partial nephrectomy for 3 or more tumors in a single kidney JO: Int Urol Nephrol http://www.kidney.de/pget.php?&tw=1&pmid=27515314 #FOAvip OBJECTIVE: To identify renal function outcomes after robotic multiplex partial nephrectomy (RMxPNx), we reviewed our institutional database at the National Institutes of Health, National Cancer Institute. To our knowledge, we present the largest series of RMxPNx renal function outcomes to date. Robotic partial nephrectomy has been employed for oncologic control and to prevent dialysis dependence in hereditary multifocal renal cell carcinoma conditions. We have termed robotic surgery on a single kidney with three or more lesions a RMxPNx. MATERIALS AND METHODS: We evaluated patients from a prospectively maintained database at a single institution (NIH/NCI) that underwent RMxPNx from 2007 to 2013. Demographic and operative data were compiled with statistical analysis with T test performed to determine renal function outcomes. RESULTS: A total of 54 patients underwent RMxPNx. Mean number of tumors removed was 8.63 (range 3-52). Mean preoperative creatinine and eGFR were 1.02 ± 0.26 mg/dL and 85.4 ± 21.5 mL/min, respectively. Postoperatively, creatinine increased from baseline by 0.45 mg/dL (p < 0.001). Similarly, a mean decrease in eGFR by 24.6 mL/min was observed (p < 0.001). At 3-month follow-up, the creatinine increase from baseline was 0.05 mg/dL (p = 0.10) and mean decrease in eGFR was 3.01 mL/min (p = 0.21). When stratifying based on preoperative CKD stages I-III, similar results were observed. CONCLUSION: Robotic multiplex partial nephrectomy is a safe and feasible approach to patients with multifocal renal masses. These complex surgeries have a demonstrated learning curve, but this minimally invasive approach for nephron-sparing surgery allows patients to preserve renal function where they would otherwise require open surgery or a radical nephrectomy. Twit Text FOAVip Renal functional outcomes after robotic multiplex partial nephrectomy: the National Cancer Institute experience with robotic partial nephrectomy for 3 or more tumors in a single kidney ????Int Urol Nephrol http://www.kidney.de/pget.php?&tw=1&pmid=27515314 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=27515314 #FOAvip English Wikipedia <ref>{{Cite pmid|27515314 }}</ref> Renal functional outcomes after robotic multiplex partial nephrectomy: the National Cancer Institute experience with robotic partial nephrectomy for 3 or more tumors in a single kidney #MMPMID27515314 Hankins RA ; Walton-Diaz A ; Truong H ; Shih J ; Bratslavsky G ; Pinto PA ; Marston Linehan W ; Metwalli AR Int Urol Nephrol 2016[Nov]; 48 (11 ): 1817-1821 PMID27515314 show ga OBJECTIVE: To identify renal function outcomes after robotic multiplex partial nephrectomy (RMxPNx), we reviewed our institutional database at the National Institutes of Health, National Cancer Institute. To our knowledge, we present the largest series of RMxPNx renal function outcomes to date. Robotic partial nephrectomy has been employed for oncologic control and to prevent dialysis dependence in hereditary multifocal renal cell carcinoma conditions. We have termed robotic surgery on a single kidney with three or more lesions a RMxPNx. MATERIALS AND METHODS: We evaluated patients from a prospectively maintained database at a single institution (NIH/NCI) that underwent RMxPNx from 2007 to 2013. Demographic and operative data were compiled with statistical analysis with T test performed to determine renal function outcomes. RESULTS: A total of 54 patients underwent RMxPNx. Mean number of tumors removed was 8.63 (range 3-52). Mean preoperative creatinine and eGFR were 1.02 ± 0.26 mg/dL and 85.4 ± 21.5 mL/min, respectively. Postoperatively, creatinine increased from baseline by 0.45 mg/dL (p < 0.001). Similarly, a mean decrease in eGFR by 24.6 mL/min was observed (p < 0.001). At 3-month follow-up, the creatinine increase from baseline was 0.05 mg/dL (p = 0.10) and mean decrease in eGFR was 3.01 mL/min (p = 0.21). When stratifying based on preoperative CKD stages I-III, similar results were observed. CONCLUSION: Robotic multiplex partial nephrectomy is a safe and feasible approach to patients with multifocal renal masses. These complex surgeries have a demonstrated learning curve, but this minimally invasive approach for nephron-sparing surgery allows patients to preserve renal function where they would otherwise require open surgery or a radical nephrectomy. |Adult [MESH] |Aged [MESH] |Aged, 80 and over [MESH] |Carcinoma, Renal Cell/pathology/*physiopathology/surgery [MESH] |Creatinine/blood [MESH] |Female [MESH] |Follow-Up Studies [MESH] |Glomerular Filtration Rate [MESH] |Humans [MESH] |Kidney Neoplasms/pathology/*physiopathology/surgery [MESH] |Male [MESH] |Middle Aged [MESH] |National Cancer Institute (U.S.) [MESH] |Neoplasms, Multiple Primary/pathology/*physiopathology/surgery [MESH] |Nephrectomy/*methods [MESH] |Postoperative Period [MESH] |Preoperative Period [MESH] |Retrospective Studies [MESH] |Robotic Surgical Procedures [MESH] |United States [MESH]Renal functional outcomes after robotic multiplex partial nephrectomy:(epmc).pdf DeepDyve Pubget Overpricing