Percutaneous Renal Surgery (eBook)

Manoj Monga, Abhay Rane (Autoren)

eBook Download: PDF

2013
John Wiley & Sons (Verlag)
978-1-118-67093-4 (ISBN)

Infos

Percutaneous renal procedures are highly complex and require a great deal of surgical skill. Improve your patient care with this outstanding instruction manual from the experts.

Clinically-focused throughout, the three major conditions managed by percutaneous renal surgery - large renal calculi, transitional cell cancer and renal cell cancer - are expertly covered by the world's leading surgeons and urologists. Well-illustrated with over 100 top-quality surgical photos and with reference to the leading society guidelines in this area, inside you'll find coverage of:

• Evidence-based outcomes for percutaneous management

• Patient selection and informed consent

• Preparing the patient for surgery

• Instrumentation used in surgery

• Surgical technique and patient safety

• Pre-and post-op counseling

In addition, 10 high-quality videos offer an excellent visual guide to best practice and surgical tips and tricks of the trade. Percutaneous Renal Surgery is the perfect multi-media teaching tool, providing urologists, nephrologists and surgeons with the knowledge, confidence and clinical skills required to perform these complex and difficult surgical procedures safely and effectively.

Of related interest
Smith's Textbook of Endourology, 3rd edition,
Smith, ISBN 9781444335545

Top Tips in Urology, 2nd edition,
McLoughlin, ISBN 9780470672938

 

Edited by
Manoj Monga
MD, FACS, Glickman Urological & Kidney Institute,
Cleveland Clinic, Cleveland, OH, USA

Abhay Rane
MS, FRCS(Urol), East Surrey Hospital, Redhill, UK

Inhalt

Percutaneous Renal Surgery 5
Copyright 6
Contents 7
Contributor List 9
Preface 15
About the Companion Website 16
SECTION 1 Introduction 17
Chapter 1 Percutaneous Renal Access: A Historical Perspective 19
Introduction 19
History 19
Percutaneous nephrolithotomy 20
Percutaneous transitional cell carcinoma resection 20
Percutaneous endopyelotomy 20
Other applications 21
Conclusion 21
References 21
Chapter 2 Interventional Imaging and Radiation Safety 23
Introduction 23
Basic radiation physics 23
Percutaneous renal surgery for stones 25
Interventional imaging and radiation safety for upper tract transitional cell carcinoma 28
Interventional imaging and radiation safety for percutaneous renal mass ablation 29
Conclusion 32
References 32
SECTION 2 Percutaneous Management of Large Renal Calculi (Percutaneous Nephrolithotomy) 37
Chapter 3 Epidemiology of Large Renal Stones and Utilization Patterns of Percutaneous Nephrolithotomy 39
Introduction 39
The large renal stone 39
Trends in percutaneous nephrolithotomy utilization 42
Conclusion 45
References 45
Chapter 4 Evolution of Evidence-Based Outcomes for Percutaneous Nephrolithotomy 47
Introduction 47
Choice of treatment 47
Surgical planning 49
Postoperative considerations 58
References 58
Chapter 5 Patient Selection and Informed Consent 62
Patient selection 62
Informed consent 67
Conclusion 70
References 70
Chapter 6 Instrumentation and Surgical Technique: Percutaneous Access 75
Informed consent 75
Preoperative preparation 75
Patient positioning 76
Instrumentation 76
Step-by-step technique 76
Intraoperative trouble-shooting 78
Postoperative follow-up 78
References 79
Chapter 7 Instrumentation and Surgical Technique: Tract Dilation and Endoscopes 80
Upper tract dilation 80
Endoscopes 87
Conclusion 88
References 88
Chapter 8 Instrumentation and Surgical Technique: Intracorporeal Lithotrites 90
Introduction 90
Pneumatic lithotripters 90
Ultrasonic lithotripters 91
Dual ultrasonic and ballistic lithotripters 92
Electrohydraulic lithotripter 96
Holmium: YAG laser 97
Intraoperative trouble-shooting for rigid intracorporeal lithotripters 97
Conclusion 97
References 98
Chapter 9 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Prone 100
Introduction 100
Informed consent 100
Preoperative preparation 101
Patient positioning 101
Instruments 102
Step-by-step technique 103
Intraoperative tips/trouble-shooting 108
Postoperative care 109
Conclusions 109
References 109
Chapter 10 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Supine 111
Introduction 111
Indications for supine percutaneous nephrolithotomy 111
Informed consent 112
Instrumentation 112
Technique 113
Visceral injury in supine percutaneous nephrolithotomy 115
Supine percutaneous nephrolithotomy in special situations 116
Outcome for supine percutaneous nephrolithotomy 120
Conclusion 121
References 121
Chapter 11 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Prone-Flexed/Lateral 122
Patient positioning 122
Instrumentation 125
Step-by-step technique 125
Intraoperative trouble-shooting 130
References 131
Chapter 12 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Endoscopic Guidance 132
Evolution of retrograde percutaneous access 132
Technique 134
Role in urological practice 137
Conclusion 139
References 139
Chapter 13 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Mini-Percutaneous Nephrolithotomy 142
Introduction 142
Informed consent 142
Preoperative preparation 143
Patient positioning 143
Instrumentation 143
Step-by-step technique 144
Intraoperative trouble-shooting 147
Postoperative follow-up 148
References 148
Chapter 14 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Multiple Access 150
Introduction 150
Patient preparation 150
Informed consent 151
Instrumentation 151
Anesthesia 152
Step-by-step technique 152
Intraoperative trouble-shooting 156
Follow-up 157
References 157
Chapter 15 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Tube or Tubeless Percutaneous Nephrolithotomy 159
Introduction 159
Definition of tubeless percutaneous nephrolithotomy 159
Advantages of tubeless versus standard percutaneous nephrolithotomy 160
Use of hemostatic agents in tubeless percutaneous nephrolithotomy 160
Supracostal access 162
Special considerations 162
Informed consent 162
Preoperative preparation 162
Patient positioning 163
Instrumentation 163
Step-by-step technique 163
Intraoperative trouble-shooting 164
Postoperative follow-up 164
Postoperative trouble-shooting/auxiliary procedures after tubeless percutaneous nephrolithotomy 164
Conclusion and recommendations 164
References 165
Chapter 16 Instrumentation and Surgical Technique: Postoperative Imaging Following Percutaneous Nephrolithotomy 168
Introduction 168
The importance of residual fragments 168
Diagnosis of residual fragments 170
Evaluation of hydrothorax 173
Additional considerations 175
References 175
Chapter 17 Instrumentation and Surgical Technique: Step-by-Step Antegrade Ureteric Stenting 177
Principles and prerequisites 177
Patient preparation 178
Equipment 178
Patient position 178
Analgesia and sedation 178
Technique 178
Rendezvous stenting 181
Special situations 183
Pitfalls and dangers 185
Conclusion 186
References 187
SECTION 3 Percutaneous Management of Transitional Cell Cancer (Percutaneous Resection of Tumor) 189
Chapter 18 Epidemiology of Disease (Upper Tract Transitional Cell Cancer) 191
Overall incidence and trend 191
Tumor location and stage at presentation 192
Age, sex, and race 192
Smoking and occupational exposure 192
Analgesic abuse 193
Other environmental risk factors 193
Hereditary cases of upper tract transitional cell carcinoma 193
Metachronous upper tract transitional cell carcinoma 193
Metachronous bladder transitional cell carcinoma 193
Prognosis 194
References 195
Chapter 19 Evidence-Based Outcomes for Percutaneous Management of Upper Tract Urothelial Carcinoma 198
References 203
Chapter 20 Patient Selection and Informed Consent 206
Introduction 206
Patient selection 206
Informed consent 208
Conclusion 210
References 210
Chapter 21 Percutaneous Treatment of Upper Tract Urothelial Carcinoma 212
Introduction 212
Indications 212
Techniques 213
Results 215
Conclusion 217
References 217
SECTION 4 Percutaneous Ablation of Renal Cell Cancer (Thermal and Nonthermal) 219
Chapter 22 Epidemiology and Biology of Small Renal Masses 221
Epidemiology of small renal masses 221
Tumor biology and natural history of small renal masses 222
Renal mass sampling 223
Functional impact of small renal mass treatment 225
Management of small renal masses and role of thermal ablation (Table  22.2) 226
Conclusion 228
References 229
Chapter 23 Evolution of Evidence-Based Outcomes for Percutaneous Management 231
Introduction 231
Oncological outcomes 231
Complications 235
Preservation of renal function 236
Length of hospital stay and postoperative convalescence 236
Cost-effectiveness 237
Alternative techniques 237
Conclusion 238
References 238
Chapter 24 Patient Selection and Informed Consent 240
Introduction 240
Patient selection 240
Informed consent 241
References 243
Chapter 25 Instrumentation and Technique: Cryotherapy 245
Introduction 245
Patient selection 245
Informed consent 246
Preoperative patient preparation 246
Principles of ablation 247
Patient positioning 248
Instrumentation 248
Step-by-step technique 248
Management of complications 250
Postoperative follow-up 250
Conclusion 251
References 251
Chapter 26 Instrumentation and Technique: Hyperthermal Ablation: Radiofrequency and Microwave Ablation 253
Introduction 253
History 253
How radiofrequency ablation works (Figure  26.2) 254
Radiofrequency blation 255
Microwave ablation 262
Future outlook 265
Conclusion 265
References 265
Chapter 27 Instrumentation and Technique: High-Intensity Focused Ultrasound 269
Introduction 269
Informed consent 269
Preoperative preparation 270
Patient positioning 271
Instrumentation 271
Step-by-step technique 272
Intraoperative trouble-shooting 274
Postoperative follow-up 275
Conclusion 276
References 276
Chapter 28 Instrumentation and Technique: Laser 278
Introduction 278
Laser technology for renal ablation 278
Experimental studies 279
Clinical studies 280
Conclusion 283
References 283
Chapter 29 Instrumentation and Technique: Irreversible Electroporation 284
Background and preclinical data 284
Clinical data 286
General surgical considerations 287
Instrumentation and technology 288
Informed consent 289
Positioning and step-by-step technique 289
Postoperative follow-up 289
References 290
Chapter 30 Instrumentation and Techniques in Renal Radiosurgery 292
Informed consent 292
Preoperative preparation 292
Patient positioning 293
Instrumentation 294
Step-by-step technique (Video Clip 30.1) 294
Intraoperative troubleshooting 294
Posttreatment follow-up 296
References 296
Chapter 31 Instrumentation and Technique: Renal Histotripsy 297
Controlled acoustic cavitation 297
Tissue homogenization 298
Ultrasound feedback 299
Histotripsy dose–bioeffect relationship 299
Histotripsy thresholds and renal structures 300
Hemostasis with histotripsy 301
Chronic histotripsy effects 301
Histotripsy of malignant tissue 301
Conclusion 303
References 303
Index 306

Produkt-Details

• Erscheint lt. Verlag: 9.10.2013
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Chirurgie
• Themenwelt: Medizinische Fachgebiete ► Innere Medizin ► Nephrologie
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Urologie
• Schlagworte: Allg. Chirurgie • Calculi • Care • Chirurgie • Conditions • Deal • expertly • Experts • general surgery • Great • highly complex • instruction • leading • Major • Manual • Medical Science • Medizin • outstanding • Patient • Percutaneous • Renal • surgeons • Surgery • surgical • Three • transitional cell cancer • Urologie • Urology • Worlds
• ISBN-10: 1-118-67093-0 / 1118670930
• ISBN-13: 978-1-118-67093-4 / 9781118670934