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10.1002/rcs.1738 http://scihub22266oqcxt.onion/10.1002/rcs.1738 C5347890!5347890 !26948671     free     free     free Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=26948671 &cmd=llinks): Failed to open stream: HTTP request failed! 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Robotic assisted laparoscopic partial nephrectomy using contrast-enhanced ultrasound scan to map renal blood flow |pdf=|usr=}}{{26948671 }} gab.com Text Robotic assisted laparoscopic partial nephrectomy using contrast-enhanced ultrasound scan to map renal blood flow JO: Int J Med Robot http://www.kidney.de/pget.php?&tw=1&pmid=26948671 #FOAvip OBJECTIVE: The paper describes novel real-time 'in situ mapping' and 'sequential occlusion angiography' to facilitate selective ischaemia robotic partial nephrectomy (RPN) using intraoperative contrast enhanced ultrasound scan (CEUS). MATERIALS AND METHODS: Data were collected and assessed for 60 patients (61 tumours) between 2009 and 2013. 31 (50.8%) tumours underwent 'Global Ischaemia', 27 (44.3%) underwent 'Selective Ischaemia' and 3 (4.9%) were removed 'Off Clamp Zero Ischaemia'. Demographics, operative variables, complications, renal pathology and outcomes were assessed. RESULTS: Median PADUA score was 9 (range 7-10). The mean warm ischaemia time in selective ischaemia was less and statistically significant than in global ischaemia (17.1 and 21.4, respectively). Mean operative time was 163?min. Postoperative complications (n?=?10) included three (5%) Clavien grade 3 or above. Malignancy was demonstrated in 47 (77%) with negative margin in 43 (91.5%) and positive margin in four (8.5%). Long-term decrease in eGFR post selective ischaemia robotic partial nephrectomy was less compared with global ischaemia (four and eight, respectively) but not statistically significant. CONCLUSIONS: This technique is safe, feasible and cost-effective with comparable perioperative outcomes. The technical aspects elucidate the role of intraoperative CEUS to facilitate and ascertain selective ischaemia. Further work is required to demonstrate long-term oncological outcomes. © 2016 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons, Ltd. Twit Text FOAVip Robotic assisted laparoscopic partial nephrectomy using contrast-enhanced ultrasound scan to map renal blood flow ????Int J Med Robot http://www.kidney.de/pget.php?&tw=1&pmid=26948671 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26948671 #FOAvip English Wikipedia <ref>{{Cite pmid|26948671 }}</ref> Robotic assisted laparoscopic partial nephrectomy using contrast-enhanced ultrasound scan to map renal blood flow #MMPMID26948671 Alenezi A ; Motiwala A ; Eves S ; Gray R ; Thomas A ; Meiers I ; Sharif H ; Motiwala H ; Laniado M ; Karim O Int J Med Robot 2017[Mar]; 13 (1 ): ä PMID26948671 show ga OBJECTIVE: The paper describes novel real-time 'in situ mapping' and 'sequential occlusion angiography' to facilitate selective ischaemia robotic partial nephrectomy (RPN) using intraoperative contrast enhanced ultrasound scan (CEUS). MATERIALS AND METHODS: Data were collected and assessed for 60 patients (61 tumours) between 2009 and 2013. 31 (50.8%) tumours underwent 'Global Ischaemia', 27 (44.3%) underwent 'Selective Ischaemia' and 3 (4.9%) were removed 'Off Clamp Zero Ischaemia'. Demographics, operative variables, complications, renal pathology and outcomes were assessed. RESULTS: Median PADUA score was 9 (range 7-10). The mean warm ischaemia time in selective ischaemia was less and statistically significant than in global ischaemia (17.1 and 21.4, respectively). Mean operative time was 163?min. Postoperative complications (n?=?10) included three (5%) Clavien grade 3 or above. Malignancy was demonstrated in 47 (77%) with negative margin in 43 (91.5%) and positive margin in four (8.5%). Long-term decrease in eGFR post selective ischaemia robotic partial nephrectomy was less compared with global ischaemia (four and eight, respectively) but not statistically significant. CONCLUSIONS: This technique is safe, feasible and cost-effective with comparable perioperative outcomes. The technical aspects elucidate the role of intraoperative CEUS to facilitate and ascertain selective ischaemia. Further work is required to demonstrate long-term oncological outcomes. © 2016 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons, Ltd. |*Renal Circulation [MESH] |*Ultrasonography [MESH] |Adult [MESH] |Aged [MESH] |Angiography [MESH] |Constriction [MESH] |Contrast Media/chemistry [MESH] |Female [MESH] |Glomerular Filtration Rate [MESH] |Humans [MESH] |Ischemia [MESH] |Kidney Neoplasms/*surgery [MESH] |Kidney/diagnostic imaging/surgery [MESH] |Male [MESH] |Middle Aged [MESH] |Monitoring, Intraoperative [MESH] |Nephrectomy/*methods [MESH] |Postoperative Period [MESH] |Reproducibility of Results [MESH] |Robotic Surgical Procedures/*methods [MESH] |Surgery, Computer-Assisted [MESH] |Tomography, X-Ray Computed [MESH]Robotic assisted laparoscopic partial nephrectomy using contrast-enhan(epmc).pdf DeepDyve Pubget Overpricing