1,721,398 research outputs found

    Case Presentation: Kidney Cancer in Transplanted Kidney

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    Management of metastatic renal cell carcinoma in kidney graft is challenging. A multidisciplinary team of experts plays a key role in the clinical decision making to balance quality of life and oncological outcome

    Radical prostatectomy

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    The management of prostate cancer is one of the core tasks for urologists today. Radical prostatectomy represents a valid therapeutic option for the curative treatment of localised prostate cancer. Urologists are on a continuous search for development of technical modifications and refinements, to reduce morbidity and ameliorate clinical and quality of life outcome. This review focuses on the clinical aspects of preoperative patient selection, the current trends of different surgical techniques and the indication of an adequate lymphadenectomy

    [Preservation of potency by supra-ampullar cystectomy in patients with bladder neoplasms]

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    Between May 1984 and November 1998 a total of 27 consecutive patients with bladder tumor (26 transitional cell carcinomas and 1 leiomyosarcoma) underwent supra-ampullar cystectomy and ileal orthotopic neobladder (2 Camey I and 25 Camey II). Mean patients age was 51.1 years (range 23-65). Pre-operatively 22 patients had superficial bladder carcinoma. An involvement of prostatic urethra was excluded by biopsy. The bladder, part of the prostate with prostatic urethra and regional lymph nodes were removed while was deferens, deferential ampullae, seminal vesicles, ejaculatory ducts and peripheral portion of the prostate were saved. Mean follow-up was 56.5 months (range 4-178). One patient was lost to follow-up at 60 months. Of the 27 patients 6 died of bladder cancer (1 with local relapse, 1 with local and distant recurrence and 5 with metastases) and the remaining 21 had neither local nor distant relapse. Four patients died of other causes. Potency was preserved in 25 patients (92.5%) who reported satisfactory sexual intercourse. Sixteen patients (59.2%) also maintained ejaculation allowing procreation in two of them. Supra-ampullar cystectomy provides good results in term of quality of life allowing to preserve sexual function in nearly all the cases without compromise the control of the neoplastic disease. The indication must be restricted to bladder cancer without risk of local recurrence and concomitant prostatic carcinoma

    APPARATO DI RILEVAZIONE E TRACCIAMENTO DELLA POSTURA E/O DELLA DEFORMAZIONE DI UN ORGANO CORPOREO

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    Il compito tecnico che si propone la presente invenzione è, pertanto, quello di realizzare un apparato ed un metodo di rilevazione e tracciamento della postura e della deformazione di un organo corporeo in un contesto intra-operatorio, ad esempio nel corso di procedure chirurgiche, che consenta di eliminare gli inconvenienti tecnici lamentati della tecnica nota. Nell’ambito di questo compito tecnico uno scopo dell’invenzione è quello di realizzare un apparato di rilevazione e tracciamento della postura e della deformazione di un organo corporeo in un contesto intra-operatorio, ad esempio durante procedure chirurgiche, che consenta di associare una immagine olografica tridimensionale di tale organo a detta rappresentazione della sua postura e/o della sua deformazione, in modo semplice, efficace e sicuro. Un altro scopo dell’invenzione è quello di realizzare un apparato di rilevazione e tracciamento della postura e della deformazione di un organo corporeo in un contesto intra-operatorio, ad esempio nel corso di procedure chirurgiche, che consenta di guidare l’orientamento intra-corporeo assistito nel corso di procedure chirugiche
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