1,721,011 research outputs found

    L'autoplastica cutanea in due tempi nel trattamento delle stenosi infette dell'uretra penieno-bulbare e membranosa

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    L'autoplastica cutanea in due tempi nel trattamento delle stenosi infette dell'uretra penieno-bulbare e membranos

    Unilateral laparoscopic retroperitoneal lymph node dissection for clinical stage I nonseminomatous germ cell testicular neoplasm

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    OBJECTIVE: The aim of this study is to evaluate the reliability of laparoscopic retroperitoneal lymph node dissection (LRPLND) in the management of clinical stage I nonseminomatous germ cell tumors (NSGCT). METHODS: Since June 1993, unilateral LRPLND was performed in 6 patients diagnosed with clinical stage I NSGCT. All patients had undergone prior radical orchiectomy. The testicular cancer was left-sided in 3 cases and right-sided in the other 3 cases. Preoperative staging by means of tumor marker assessment, computerized tomography scan of the chest and abdomen and chest X-ray was unremarkable for metastatic disease. RESULTS: All procedures were accomplished without any complications in a mean time of 325 min (275-420 min). The estimated perioperative blood loss was minimal (< 50 ml), and none of the patients required blood transfusion. In the case of the first patient, the hospital stay was 18 days due to a widespread subcutaneous emphysema. In the remaining 5 cases, the average hospitalization was 4.8 days, ranging from 4 to 6 days. The patients resumed normal activities within 12-27 days (mean 16.16 days) postoperatively. The mean number of lymph nodes removed was 6.8, ranging from 5 to 9. Histologic examination of the dissected lymph nodes revealed microscopic metastases from embryonal carcinoma in 2 patients. Both of these patients received adjuvant chemotherapy. The mean follow-up period is 21.3 months, ranging from 6 to 36 months. To date, no relapses have been observed. CONCLUSION: In accordance with other reports, we believe that LRPLND is both feasible and effective. However, the definitive assessment of the efficacy and morbidity of this diagnostic procedure requires a larger and more comprehensive series as well as longer follow-u

    Controversie in tema di diagnosi e stadiazione del carcinoma prostatico: il ruolo dell'esplorazione rettale e delle metodiche di imaging

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    Controversie in tema di diagnosi e stadiazione del carcinoma prostatico: il ruolo dell'esplorazione rettale e delle metodiche di imagin

    Molding catheterism in the treatment of TB ureter stenoses: A ten-year experiment

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    The authors describe their experience with molding catheterism for the treatment of TB ureter stenoses, both primitive and secondary after using chemotherapy. 85% of the cases treated with this method proved to be successful, which led the authors to recommend it prior to proceeding to any surgical treatment
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