Summary (text)
Abstract (text)
Optimized Retroperitoneoscopic Excision of Large (>25 cm) Adult Polycystic Kidneys Using 3-Dimensional Image Reconstruction and Preresection Ultrasound-Guided Aspiration: Technique and Early Outcomes.
Laparoscopic excision of large polycystic kidneys remains a challenging procedure. Most of the literature describes transperitoneal approaches. Alterations in anatomy due to size of kidneys can make vascular and hilar control difficult. Retroperitoneal access with direct control of pedicle avoids risks without dissection for structures anterior to the kidneys. The technique of retroperitoneoscopic excision of massively enlarged kidneys is described with early outcomes.
Patient DICOM images of kidneys were segmented and reconstructed for 3-dimensional visualization before surgery. Total excision of large polycystic kidneys was performed in 10 patients (11 procedures). After creation of retroperitoneal space, renal pedicle dissection was started with the incision of thinned out Gerota's fascia. Occasionally aspiration of large cysts using ultrasound assistance created space for precise dissection. Following control of vascular pedicle under laparoscopic vision, further aspiration of cysts was accomplished with the help of 3-dimensional reconstructed kidney. Postaspiration, remaining renal specimen was extracted through a small incision using an endobag or as an intact specimen.
The operative time was between 180 and 240 minutes (median 200 minutes). Intraoperative blood loss was 100 to 300 mL (median 175 mL). Median time to control pedicle was 12 minutes (range 10-25 minutes). The postoperative periods were uneventful, except for blockage of arteriovenous fistula in 1 patient. Mean hospital stay was 7 days (range 6-14 days).
The retroperitoneasocopic approach to large polycystic kidneys under the guidance of 3-dimensional image reconstruction, occasionally with the assistance of ultrasound aspiration is technically feasible, safe, with good perioperative outcomes. It facilitates early control of vascular pedicle with minimal risk of intraoperative bleeding.
[Pubmed - MEDLINE]
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丁香园旗下网站Project MUSE - The Following is a List of the Table of Contents for 20 Years
OF Film & History. A comprehensive index is planned for the end of 1992
The Following is a List of the Table of Contents for 20 Years
OF Film & History. A comprehensive index is planned for the end of 1992
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THE FOLLOWING IS A LIST OF THE TABLE OF CONTENTS FOR 20 YEARS OF FILM & HISTORY. A comprehensive index is planned for the end of 1992 Volume I. Numbers 1-4. 1971 (Bound in one issue) Number 1 Statement of Purpose adopted by the Historians Film Committee, December 29, 19701 Film News: AHA Feature Film P Computers and Film R British Films 4 Martin A. JacL·on. (Book Review) Films Beget Films by Jay Leyda (1964)5 Source Notes: Sources of Film and Ideas for their Effective Use6 Film Reviews: A Child is D Williamsburg: The Story of a P Dürer and the R Night and Fog7 Number 2 Film News: The Matsunaga Bill, HR351 Source Notes: Guides to educational films and filmstrips2 Film Reviews: The World Turned Upside Down: The Blue A The Life ofEmile Zola 4 Number 3 Questionnaire Report on use of film by members of the Historians Film Committee1 Film News: Introduction of Bill HR 9700 (a National Film Center and Archive); the American Anthropological Association and Ethnographic Film Program3 Source Notes: The British Universities Film Council, and the journal University Vision 4 Film Reviews: OfPeoples And a V The Spanish A The Twisted C You Are There: The Salem Witch T Truman versus McA The I 6 The Forgotten American Number 4 Michael Wreszin. An Essay on Joe Hill1 Film News: Reports on Documentary symposiums and workshops2 Source Notes: List of University Media Centers4 Film Reviews: Yankee Doodle D The M Decision to Drop the Bomb7 Volume II. Number 1. 1972 Melvin Small. Motion Pictures and the Study of Attitudes: Some Problems for Historians1 John E. O'Connor. The Documentary Film For Historians: An Appreciation of Public Television6 Louis Hanke & Jane M. Lay. Films on Latin America: A Project13 Dennis Rubini. History through Film: Issues in Western Tradition at Temple University15 Gerald Herman. (Film Review) Nicholas and Alexandra (1971)23 Robert Horowitz. (Film Review) Sacco and Venzetti (1970)27 Films for the Classroom: Five "capsule" film reviews29 28 Volume II. Number 2. 1972 Patrick Griffin. Film Document and the Historian1 Patrick Griffin. The Making of Goodbye Billy6 David Schoenbaum. Kuhle Wampe: An Expression of Communism in the Weimar Republic11 Thomas Cripps. Circumstances Within Our Control: Television as a Synthesizer of Multi-Media Teaching Resources18 Taylor Stults. History Through Film: The Teacher23 Barbara Humphrys. The Archivist27 Martin Ja^on. (Film Review) The Sorrow and the Pity (1970)35 Jack Mazelis. (Film Review) Russia (1971)36 Films for the Classroom: Four "capsule" film reviews40 Volume II. Number 3. 1972 Dan. J. Leab. From Sambo to Super Spade: The Black in Film1 William T. Murphy. Film at the National Archives: A Reference Article7 Stuart Samuels. History through Film: Film as Social and Intellectual History at the University of Pennsylvania14 Martin Jackson. (Film Review) Charge of the Light Brigade (1936)24 Films For the Classroom: Six "capsule" film reviews26 Volume II. Number 4. 1972 Arthur Smith. Filming the Past at Colonial Williamsburg1 Rolf Schuursma. Film & History in the Netherlands10 Gerald Herman. History through Film: Making Multi-Media Lectures for Classroom Use17 Michael Ebner. (Film Review) The Emigrants (1970)27 Alan Landau. (Film Review) Patton (1970)30 Films for the Classroom: Five "capsule" film reviews33 Frances Thorpe. The Slade Film History Register36 Volume III. Number 1. 1973 Anthony Alágate. British Newsreels and the Spanish Civil War1 Richard Sorrell. History through Film: Films and American Civilization at Brookdale Community College9 Donald Godfrey. History Held a Microphone13 Steven Levine. (Film Review) The Longest Day (1962)19 Films for the Classroom: Four "capsule" film reviews22 Volume III. Number 2. 1973 Richard Oehling. Germans in Hollywood Films: The Changing Image
Gary Gilson. Film & History Interview: Costa GavrasH Claire Hirshfield. History Through Film: Film and American History at Perm State21 Jack Shadoian. (Book Review) The Celluloid Weapon: Social Comment in the American Film by David Manning & Richard Averson (1972)27 Alan Levin. (Film Review) State ofSiege (1973)33 Films for the Classroom: Two "capsule" film reviews38 Volume IH. Number 3. 1973 Peter Rollins & Harris J. Elder. Environmental History in Two New Deal Documentaries 1 Vernon O. Stumpf. Film Propaganda & British Film8 Eugene PA. Schieb. Modern War and Its Images12 James C. Curtis...
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