Search

Your search keyword '"Andolfi, Ciro"' showing total 229 results
Start Over Author "Andolfi, Ciro"
229 results on '"Andolfi, Ciro"'

1. Blood Prostate-specific Antigen by Volume of Benign, Gleason Pattern 3 and 4 Prostate Tissue.

Author

Andolfi, Ciro, Vickers, Andrew, Cooperberg, Matthew, Carroll, Peter, Cowan, Janet, Paner, Gladell, Helfand, Brian, Liauw, Stanley, and Eggener, Scott

Subjects
Humans, Male, Neoplasm Grading, Prostate, Prostate-Specific Antigen, Prostatectomy, Prostatic Neoplasms
Abstract

OBJECTIVE: To evaluate how blood levels of prostate-specific antigen (PSA) relate to prostate volume of benign tissue, Gleason pattern 3 (GP3) and Gleason pattern 4 (GP4) cancer. METHODS: The cohort included 2209 consecutive men undergoing radical prostatectomy at 2 academic institutions with pT2N0, Grade Group 1-4 prostate cancer and an undetectable postoperative PSA. Volume of benign, GP3, and GP4 were estimated. The primary analysis evaluated the association between PSA and volume of each type of tissue using multivariable linear regression. R2, a measure of explained variation, was calculated using a multivariable model. RESULTS: Estimated contribution to PSA was 0.04/0.06 ng/mL/cc for benign, 0.08/0.14 ng/mL/cc for GP3, and 0.62/0.80 ng/ml/cc for GP4 for the 2 independent cohorts, respectively. GP4 was associated with 6 to 8-fold more PSA per cc compared to GP3 and 15-fold higher compared to benign tissue. We did not observe a difference between PSA per cc for GP3 vs. benign tissue (P = 0.2). R2 decreased only slightly when removing age (0.006/0.018), volume of benign tissue (0.051/0.054) or GP3 (0.014/0.023) from the model. When GP4 was removed, R2 decreased 0.051/0.310. PSA density (PSA divided by prostate volume) was associated with volume of GP4 but not GP3, after adjustment for benign volume. CONCLUSION: Gleason pattern 4 cancer contributes considerably more to PSA and PSA density per unit volume compared to GP3 and benign tissue. Contributions from GP3 and benign are similar. Further research should examine the utility of determining clinical management recommendations by absolute volume of GP4 rather than the ratio of GP3 to GP4.

Published
2022

14. An Update on Colorectal Cancer

Author

Xue, Lai, Williamson, Ashley, Gaines, Sara, Andolfi, Ciro, Paul-Olson, Terrah, Neerukonda, Anu, Steinhagen, Emily, Smith, Radhika, Cannon, Lisa M., Polite, Blasé, Umanskiy, Konstantin, and Hyman, Neil

Published
2018
Full Text
View/download PDF

17. Contributors

Author

Abbas, Abbas E., primary, Adams, David B., additional, Aggarwal, Piyush, additional, Ahmed, Bestoun H., additional, Albanese, Craig, additional, Albert, Matthew R., additional, Ali, Abubaker, additional, Alicuben, Evan, additional, Allaix, Marco E., additional, Altman, Ashley, additional, Ando, Hisami, additional, Andolfi, Ciro, additional, Annamalai, Alagappan, additional, Asare, Elliot A., additional, Asti, Emanuele, additional, Auchincloss, Hugh G., additional, Babic, Benjamin, additional, Baker, Talia B., additional, Ball, Chad G., additional, Barbetta, Arianna, additional, Barlow, John M., additional, Barr, Justin, additional, Barreto, Juan Camilo, additional, Barry, Linda, additional, Beal, Eliza W., additional, Beard, Kristin Wilson, additional, Beck, David E., additional, Behrns, Kevin E., additional, Bellevue, Oliver C., additional, Bellorin-Marin, Omar E., additional, Bergman, Jacques, additional, Berry, James, additional, Besselink, Marc G.H., additional, Bharucha, Adil E., additional, Bilchik, Anton J., additional, Bildzukewicz, Nikolai A., additional, Bingham, Jason, additional, Birnbaum, Elisa, additional, Black, Sylvester M., additional, Blackmon, Shanda H., additional, Bleier, Joshua I.S., additional, Bodzin, Adam S., additional, Boland, C. Richard, additional, Bolton, John, additional, Bolton, Nathan, additional, Bonavina, Luigi, additional, Bonds, Morgan, additional, Bouwense, Stefan A.W., additional, Boys, Joshua A., additional, Bravo-Infante, Raquel, additional, Bremner, Ross M., additional, Brenner, Bruce M., additional, Brown, Shaun R., additional, Callery, Mark P., additional, Cameron, John L., additional, Camilleri, Michael, additional, Campbell, Jacob, additional, Cassim, Riaz, additional, Castillo-Angeles, Manuel, additional, Cauley, Christy, additional, Cavaness, Keith M., additional, Cerfolio, Robert J., additional, Champagne, Bradley J., additional, Chandrasoma, Parakrama, additional, Chang, Alex L., additional, Chapman, Christopher G., additional, Chapman, William C., additional, Cheek, Susannah, additional, Chen, Harvey S., additional, Cho, Clifford S., additional, Choi, Eric T., additional, Choi, Eugene A., additional, Chojnacki, Karen A., additional, Choti, Michael A., additional, Christie, Ian, additional, Chua, Heidi, additional, Church, James M., additional, Cioffi, Jessica L., additional, Clark, Susannah, additional, Clavien, Pierre-Alain, additional, Cloud, Adam, additional, Colavita, Paul D., additional, Colquhoun, Steven D., additional, Conway, William, additional, Cools-Lartigue, Jonathan, additional, Coosemans, Willy, additional, Cornwell, Edward E., additional, Costantini, Mario, additional, Coyle, Yvonne, additional, Craig, Daniel A., additional, Croome, Kristopher P., additional, Cullen, Joseph J., additional, D'Andrea, Anthony P., additional, Dassopoulos, Themistocles, additional, Davila, Marta L., additional, Davila, Raquel E., additional, DeMeester, Steven R., additional, DeMeester, Tom R., additional, Dempsey, Daniel T., additional, dePrisco, Gregory, additional, Depypere, Lieven, additional, Dietz, David W., additional, Dillhoff, Mary E., additional, DiNorcia, Joseph, additional, Doane, Stephen M., additional, Dogeas, Epameinondas, additional, Dozois, Eric J., additional, Dumon, Kristoffel, additional, Dunn, Stephen P., additional, Dunst, Christy M., additional, Dussel, John N., additional, Dyer, Matthew, additional, Efron, Jonathan, additional, El-Gohary, Yousef, additional, Lakis, Mustapha El, additional, Ellison, E. Christopher, additional, Ellsmere, James, additional, Essani, Rahila, additional, Evans, Douglas B., additional, Fang, Sandy H., additional, Fasen, Geoffrey, additional, Fernando, Hiran C., additional, Ferri, Lorenzo, additional, Fichera, Alessandro, additional, Finck, Christine, additional, Fisher, Oliver M., additional, Fleshman, James W., additional, Fong, Yuman, additional, Foreman, Michael L., additional, Francone, Todd D., additional, Franko, Edward R., additional, French, Daniel, additional, Fuchs, Hans Friedrich, additional, Fuchs, Karl Hermann, additional, Funaki, Brian, additional, Funk, Geoffrey A., additional, Fusco, Joseph, additional, Gaitonde, Shrawan G., additional, Gajjar, Aakash H., additional, Garcia-Aguilar, Julio, additional, Gearhart, Susan, additional, Geller, David A., additional, Ghobadi, Comeron, additional, Gilbert, Sebastien, additional, Giles, David, additional, Gillaspie, Erin, additional, Girotti, Micah, additional, Gittes, George K., additional, Goodman, Michael D., additional, Gooszen, Hein G., additional, Gores, Gregory J., additional, Griffin, James F., additional, Griffin, S. Michael, additional, Grimm, Leander, additional, Grochola, L.F., additional, Habib, Fahim, additional, Hanks, John B., additional, Harris, James E., additional, Hartwig, Matthew G., additional, Hassan, Imran, additional, Hedrick, Traci L., additional, Hicks, Terry C., additional, Hodin, Richard, additional, Hofstetter, Wayne L., additional, Hogg, Melissa, additional, Hu, Yue-Yung, additional, Hungness, Eric S., additional, Hunt, Steven R., additional, Huseynova, Khumara, additional, Hyman, Neil H., additional, Iannitti, David A., additional, Indes, Jeffrey, additional, Jenkins, Megan, additional, Jensen, Todd, additional, Jeziorczak, Paul M., additional, Jilani, Danial, additional, Jiménez-Toscano, Marta, additional, Jobe, Blair A., additional, Johnston, Lily E., additional, Kahrilas, Peter J., additional, Kalady, Matthew F., additional, Kassira, Noor, additional, Katkhouda, Namir, additional, Katz, Philip O., additional, Keller, Deborah S., additional, Kelley, Matthew P., additional, Kennedy, Gregory D., additional, Kent, Tara Sotsky, additional, Kia, Leila, additional, Kibbe, Melina R., additional, Kim, John, additional, King, Alice, additional, Kiran, Ravi P., additional, Kirton, Orlando C., additional, Klein, Andrew, additional, Klein, Eric N., additional, Kohn, Geoffrey P., additional, Kovell, Robert Caleb, additional, Kozol, Robert, additional, Lacy, Antonio M., additional, Ladner, Daniela P., additional, Lagarde, S.M., additional, Laituri, Carrie A., additional, Landmann, Alessandra, additional, Lee, Janet T., additional, Lee, Lawrence L., additional, Leinicke, Jennifer A., additional, Lerut, Toni, additional, Levi, David M., additional, Li, Chao, additional, Liang, Yu, additional, Lichliter, Andrew H., additional, Lichliter, Warren E., additional, Lightner, Amy L., additional, Lile, Deacon J., additional, Lillemoe, Keith D., additional, Lin, Jules, additional, Lin, Shu S., additional, Lipham, John C., additional, Litle, Virginia R., additional, Lodhia, Nayna A., additional, Longo, Walter E., additional, Lord, Reginald V.N., additional, Louie, Brian E., additional, Low, Donald E., additional, Lowe, Val J., additional, Luc, Jessica G.Y., additional, Luketich, James D., additional, Ma, Yanling, additional, MacCarty, Robert L., additional, MacDonald, Blair, additional, Madoff, Robert D., additional, Magge, Deepa, additional, Maheshwari, Anurag, additional, Mahmoud, Najjia N., additional, Mahvi, David A., additional, Mahvi, David M., additional, Mak, Grace Z., additional, Mansfield, Sara A., additional, Manzano, Maricarmen, additional, Maron, David J., additional, Mathew, Melvy S., additional, Mathis, Kellie L., additional, Matthews, Jeffrey B., additional, McFadden, David W., additional, Merchea, Amit, additional, Messaris, Evangelos, additional, Miller, Daniel L., additional, Miller, Heidi J., additional, Millis, J. Michael, additional, Mittal, Sumeet K., additional, Molena, Daniela, additional, Montgomery, Stephanie C., additional, Moore, Ryan, additional, Morgan, Katherine A., additional, Mortenson, Melinda M., additional, Mulholland, Michael W., additional, Mulvihill, Michael S., additional, Mutch, Matthew, additional, Nafteux, Philippe Robert, additional, Nagaraju, Arun, additional, Nagorney, David M., additional, Nathan, Hari, additional, Natoli, Karen R., additional, Navuluri, Rakesh, additional, Nissen, Nicholas N., additional, Nobel, Tamar B., additional, Noordman, B.J., additional, Norton, Jeffrey A., additional, Novitsky, Yuri W., additional, Nussbaum, Michael S., additional, Nyberg, Scott L., additional, Oelschlager, Brant K., additional, Oh, Daniel S., additional, Otero-Piñeiro, Ana, additional, Oto, Aytekin, additional, Pachter, H. Leon, additional, Paidas, Charles N., additional, Palazzo, Francesco, additional, Paniccia, Alessandro, additional, Papaconstantinou, Harry T., additional, Pappas, Theodore N., additional, Pappou, Emmanouil P., additional, Parikh, Manish, additional, Paruch, Jennifer L., additional, Patel, Asish D., additional, Patel, Mikin, additional, Patti, Marco G., additional, Paulson, Emily Carter, additional, Pawlik, Timothy M., additional, Payne, Isaac, additional, Pemberton, John H., additional, Pendola, Michael, additional, Perez, Alexander, additional, Pernar, Luise I.M., additional, Peters, Walter R., additional, Petrowsky, Henrik, additional, Peyre, Christian G., additional, Phillips, Alexander W., additional, Pillai, Lashmikumar, additional, Plummer, Joseph M., additional, Pointer, David T., additional, Poruk, Katherine E., additional, Posner, Mitchell C., additional, Postier, Russell, additional, Prachand, Vivek N., additional, Pritts, Timothy A., additional, Quatrino, Gregory, additional, Ranka, Sagar, additional, Rattner, David W., additional, Reavis, Kevin M., additional, Reddy, Vikram B., additional, Remzi, Feza H., additional, Ricciardi, Rocco, additional, Rice, Thomas W., additional, Richman, Aaron, additional, Rider, Paul, additional, Roberts, John Paul, additional, Roberts, Patricia L., additional, Roggin, Kevin K., additional, Roll, Garrett Richard, additional, Rona, Kais, additional, Rosen, Charles B., additional, Ross, Samuel Wade, additional, Roth, J. Scott, additional, Rushing, Amy P., additional, Safar, Bashar, additional, Saldinger, Pierre F., additional, Samakar, Kamran, additional, Sandhu, Kulmeet K., additional, Schaheen, Lara W., additional, Schirmer, Bruce, additional, Schneider, Andrew, additional, Schulick, Richard D., additional, Schwab, Ben, additional, Scurci, Stephanie, additional, Senagore, Anthony, additional, Shah, Adil A., additional, Shah, Shimul A., additional, Shames, Brian, additional, Shanmugan, Skandan, additional, Shapiro, David S., additional, Silviera, Matthew, additional, Slakey, Douglas P., additional, Sloan, Joshua, additional, Smallwood, Nathan, additional, Smith, Shane P., additional, Smithers, B. Mark, additional, Smoot, Rory L., additional, Soares, Kevin C., additional, Soffer, Edy, additional, Solomina, Julia, additional, Soper, Nathaniel J., additional, Spechler, Stuart Jon, additional, Sridhar, Praveen, additional, Steele, Scott R., additional, Sternbach, Joel M., additional, Stevenson, Christina E., additional, Strong, Scott A., additional, Sucandy, Iswanto, additional, Sundaram, Magesh, additional, Sundaresan, Sudhir, additional, Swanstrom, Lee L., additional, Sylla, Patricia, additional, Takada, Tadahiro, additional, Talbot, Ethan, additional, Tam, Vernissia, additional, Tamm, Eric P., additional, Tatarian, Talar, additional, Tavakkoli, Ali, additional, Te, Helen S., additional, Teitelbaum, Ezra N., additional, Ternent, Charles A., additional, Thompson, Jon S., additional, Thomson, Iain, additional, Thorson, Alan G., additional, Thorson, Chad M., additional, Totten, Crystal F., additional, Truty, Mark J., additional, Tsai, Susan, additional, Tseng, Jennifer, additional, Tullius, Tom, additional, Tzakis, Andreas G., additional, van Lanschot, J.J.B., additional, van Santvoort, Hjalmar C., additional, Van Veer, Hans, additional, Vega, Jorge A., additional, Velanovich, Vic, additional, Vogler, Sarah A., additional, Wang, Huamin, additional, Ward, Mark A., additional, Warner, Brad W., additional, Warner, Susanne G., additional, Watson, Thomas J., additional, Waxman, Irving, additional, Webster-Lake, Carissa, additional, Wei, Benjamin, additional, Weiser, Martin R., additional, Wells, Dennis, additional, Wells, Katerina, additional, Welton, Mark Lane, additional, Wen, Yuxiang, additional, Wendling, Mark R., additional, Wesson, Hadley K.H., additional, Wexner, Steven D., additional, White, Rebekah R., additional, Whitlow, Charles B., additional, Wijnhoven, B.P.L., additional, Wilkes, Justin, additional, Wilson, Rickesha L., additional, Witkowski, Piotr, additional, Wolfgang, Christopher L., additional, Worrell, Stephanie G., additional, Yang, Jian, additional, Yeo, Charles J., additional, Yeung, Ching, additional, Yung, Evan E., additional, Zafar, Syed Nabeel, additional, Zaninotto, Giovanni, additional, Zeh, Herbert, additional, Zehetner, Joerg, additional, Zenilman, Michael E., additional, Zimmerman, Pamela, additional, and Zuccaro, Gregory, additional

Published
2019
Full Text
View/download PDF

26. Robot-Assisted Laparoscopic Ureterocalicostomy in the Setting of Ureteropelvic Junction Obstruction: A Multi-Institutional Cohort

Author

Mittal, Sameer, primary, Aghababian, Aznive, additional, Eftekharzadeh, Sahar, additional, Saxena, Sonam, additional, Janssen, Karmon, additional, Lombardo, Alyssa, additional, Adamic, Brittany, additional, Dinardo, Lauren, additional, Weaver, John, additional, Fischer, Katherine, additional, Andolfi, Ciro, additional, Long, Christopher, additional, Weiss, Dana, additional, Kirsch, Andrew, additional, Srinivasan, Arun, additional, Gundeti, Mohan, additional, and Shukla, Aseem R., additional

Published
2022
Full Text
View/download PDF

32. MP44-17 ROBOT-ASSISTED LAPAROSCOPIC URETEROCALICOSTOMY IN THE SETTING OF URETEROPELVIC JUNCTION OBSTRUCTION: A MULTI-INSTITUTIONAL COHORT

Author

Aghababian, Aznive, primary, Mittal, Sameer, additional, Janssen, Karmon, additional, Lombardo, Alyssa, additional, Adamic, Brittany, additional, Eftekharzadeh, Sahar, additional, Dinardo, Lauren, additional, Weaver, John, additional, Andolfi, Ciro, additional, Long, Christopher, additional, Weiss, Dana, additional, Kirsch, Andrew, additional, Srinivasan, Arun, additional, Gundeti, Mohan, additional, and Shukla, Aseem, additional

Published
2021
Full Text
View/download PDF

41. Contributors

Author

Abcarian, Ariane M., Abcarian, Herand, Abdulhai, Mohamad A., Abularrage, Christopher J., AbuRahma, Ali F., AbuRahma, Zachary T., Adams, David B., Adams, Laura M., Adams, Reid B., Adekeye, Adeseye, Adrales, Gina L., Ahrendt, Gillian M., Ahrendt, Steven A., Ahuja, Nita, Akshintala, Venkata S., Efishat, Mohammad Al, Alam, Hasan B., Albaugh, Vance L., Albutt, Katherine, Alimi, Yewande, Alobuia, Wilson M., Alsaad, Ranim, Alvarenga, Emanuela Silva, Alverdy, John C., Amin, Avani, Andolfi, Ciro, Antognoli, Lauren, Aravind, Pathik, Arnold, Margaret W., Professor, Associate, Atallah, Chady, Axtell, Andrea L., Azad, Nilofer, Azizad, Omaira, Bales, Alison M., Barbul, Adrian, Barie, Philip S., Barnes, Emilie C., Barnes, Stephen L., Barnett, Erica, Basho, Reva, Bass, Gary A., Battafarano, Richard J., Bayard, Solange, Bedine, Marshall S., Behrns, Kevin E., Beliveau, Lauren, Benjamin, Elizabeth R., Berger, David, III, James H. Black, Blair, Alex B., Bomman, Shivanand, Bonds, Morgan, Boutros, Marylise, Brilliant, Justin, Britt, L.D., Broccard, Sacha P., Brock, Malcolm V., Broderick, Ryan C., Broderick, Stephen R., Brown, Lawrence B., Buckley, Jill C., Bunn, Corinne, Burke, Mark S., Burkhart, Richard A., Burnim, Michael S., Burns, William Reece, Bush, Errol L., Busuttil, Ronald W., Buyske, Jo, Calhoun, Kristine E., Calotta, Nicholas A., Cambria, Richard P., Camp, Melissa S., Cao, Yilin (Linda), Carp, Ned Z., Casciani, Fabio, Chaikof, Elliot L., Chatila, Ahmed, Chen, Sophia Y., Chi, Albert, Chilton, Timothy D., Cholewczynski, Walter, Choti, Michael A., Christensen, Joani, Christopher, Adrienne N., Chudnovets, Anna, Cintron, Jose R., Clary, Bryan M., Cloyd, Jordan M., Cocanour, Christine S., Coimbra, Raul, Colakoglu, Salih, Conyers, Julie A., III, Edward E. Cornwell, Coté, Gregory A., Cribari, Chris, Cronin, Patricia A., Crosby, Patrick, Cross, Alisa, Cunningham, Steven C., Dani, Hasan, Dardik, Alan, Darrach, Halley, Davidson, Whitney A., deAngeli, Katherine, Deery, Sarah E., Delitto, Daniel J., DeMeester, Tom R., Dempsey, Daniel T., Dennahy, Isabel S., Dent, Daniel L., DePeralta, Danielle K., Desai, Niraj M., DeSouza, Melissa Louise, DeStefano, Lauren M., Diggs, Laurence P., Dillon, Conor, DiNorcia, Joseph, Doherty, Gerard M., Donahue, James M., Done, Joy Zhou, Doucet, Jay J., Duh, Quan-Yang, Duncan, Mark D., Eckardt, Mark A., Edil, Barish H., Efron, David T., Efron, Jonathan E., Ehlers, Anne P., Eisenson, Daniel L., Haddi, S. James El, Moheb, Mohamad El, El-Diwany, Ramy, Elsey, James K., Elterman, Joel, Enumah, Zachary Obinna, Euhus, David M., Evans, Douglas B., C, Donald, Fadoul, Mikael A., Fagenholz, Peter J., Famularo, Marissa, Fang, Sandy Hwang, Farber, Alik, Fasano, Genevieve, Feliciano, David V., Feller-Kopman, MD, FACP, David J., Fergus, Kirkpatrick Beekman, Fernandez, Carlos, Fichera, Alessandro, Fischer, John P., Fish, Adam, Fisichella, P. Marco, Jr., James W. Fleshman, Florecki, Katherine L., Fong, Yuman, Fong, Zhi Ven, Fransman, Ryan B., Freischlag, Julie A., Frost, Christopher, Gabre-Kidan, Alodia, Gahtan, Vivian, Jr, Edward Hines, Galandiuk, Susan, Jr, Hiram C. Polk, Jr., Samuel M. Galvagno, Gao, Raisa, Garibaldi, Brian T., Garrido, Danon E., Gearhart, Susan L., Gemignani, Mary L., Georgiades, Christos, German, Zachary, Gewertz, Bruce L., Ghanem, Omar M., Giglia, Joseph S., Giuliano, Armando E., Glebova, Natalia O., Gleisner, Ana, Goeddel, Lee A., Goldberg, Eric M., Gonzalez, Reyna, Gore, Amy V., Goverman, Jeremy, Grandhi, Miral Sadaria, Grant, Michael D., Gray, Richard J., Greer, Jonathan B., Grewal, Mahip, Grimes, Chassidy, Grucz, Traci M., Grunwald, Matthew D., Guillem, Jose G., Gunter, Rebecca L., Gupta, NavYash, Habib, Joseph R., Habibi, Mehran, Hagen, Edward R., Haghshenas, Jafar, Halandras, Pegge M., Hamilton, James P., Hammami, Muhammad, Han, Britta Jean, Han, Misop, Handley, Guy, Harmon, John W., Harris, Andrew, Jr, James E. Harris, Harrison, Jon M., Haugen, Christine, Haut, Elliott R., Hayden, Dana, He, Jin, Herbella, Fernando A.M., Herman, Joseph M., Hickey, Sean, Hicks, Caitlin W., Hindin, David, Hines, O. Joe, Ho, Jessie, Hodin, Richard A., Houng, Abraham P., House, Michael G., Hoyt, David B., Hu, Yinin, Ijaz, Nadia, Inaba, Kenji, Ivey, Gabriel D., Jacobs, Lisa K., Janssen, Claire, Javed, Ammar A., John, Amballur David, Johnson, Eric K., Johnson, Wali Rashad, Johnston, Fabian M., Jones, Ronald C., Joseph, Bellal, Joshi, Girish P., Kaafarani, Haytham, Kalloo, Anthony N., Kaplan, Lewis J., Karzai, Shkala, Kashyap, Vikram S., Katlic, Mark, Kattah, Michael G., Kaups, Krista L., Kavousi, Yasaman, Kawaji, Qingwen, Kebaish, Khaled M., Kebebew, Electron, Kelley, Scott R., Kennard, Kaitlyn, Kent, Alistair J., Khadaroo, Rachel G., Khalifeh, Ali H., MD, Maria Abou Khalil, Khan, Hamza, Khan, Maryam Ali, Khan, Sameer, Khashab, Mouen A., Khodorskiy, Dmitriy O., Khreiss, Mohammad R., Kim, Jina, Kim, Joseph, Kim, Karen M., King, Elizabeth Gherardi, Kinny-Köster, Benedict, Klimberg, V. Suzanne, Koganti, Deepika, Kokosis, George, Kolarich, Andrew R., Kozarek, Richard, Krepline, Ashley, Kulkarni, Swati A., Kumbhari, Vivek, Kunisaki, Shaun M., Kwakye, Gifty, Ladd, Mitchell R., Lafaro, Kelly J., Laheru, Daniel A., Lancaster, William P., Lange, Julie R., Ledgerwood, Anna M., Lee, Christina, Lee, Eliza J., Lee, Grace C., Lee, Hanjoo, Levin, Adam S., Liddell, Robert P., Lillemoe, Heather A., Lillemoe, Keith D., Lipsett, Pamela A., Liveris, Anna, Livingston, David H., Loiacono, Laurie Anne, Lombardi, Joseph V., Low, Gregory K., Lowenfeld, Lea, Lucas, Charles E., Lum, Ying Wei, Lumati, Juliet Siena, Lyons, Gray R., MacGillivray, Thomas E., Magnuson, Thomas H., Mahdi, Elaa, Makary, Martin A., Malas, Mahmoud B., Mallon, William C., Manahan, Michele Ann, Manson, Paul N., Mansour, M. Ashraf, Mantilla, Nathalie, Manukyan, Mariuxi C., Markmann, James F., Maroun, Christopher A., Martin, Matthew J., Martin, Niels D., Martyak, Michael, Matar, Regina, Mathisen, Douglas J., Mathur, Aarti, Matsushima, Kazuhide, Mawn, J. Greg, McCarthy, Mary C., McCarthy, Patrick M., McDermott, Katherine, McFadden, David W., McGuire, Sean P., McHenry, Christopher R., McIntosh, Erin E., Melton-Meaux, Genevieve B., Meneshian, Avedis, Menon, Raman, Metkus Jr, Thomas S., Michelassi, Fabrizio, Mony, Shruti, Morgan, Katherine A., Morgan, Ryan B., Morris, Carol D., Morse, Christopher R., Muniappan, Ashok, II, Peter Muscarella, Mutch, Matthew, Muñoz-Largacha, Juan A., Nam, Arthur J., Narang, Amol Kumar, Nasr, Isam W., Nawalaniec, James T., Nehs, Matthew A., Nelson, Adam, Nettles, Brenda S., Newman, Lisa Ann, Nezami, Nariman, Nguyen, Dennis C., Nguyen, Hien T., Nicholson, Jake A., Nizam, Wasay, Novitsky, Yuri W., Oelschlager, Brant K., Ogilvie, Jennifer B., Jr., John A. Olson, Olson, Kristofor A., O’Mara, Charles S., Oseni, Tawakalitu O., Osgood, Greg M., Ostrosky-Zeichner, Luis, Ottmann, Shane, Pappas, Theodore N., Paranjape, Charudutt, Park, Adrian E., Park, Pauline K., Pastoriza, Jessica M., Patel, Purvi P., Patel, Shirali T., Patti, Marco G., Pawlik, Timothy M., Pearl, Gregory J., Jr., Walter Pegoli, Perler, Bruce A., Perrier, Nancy D., Philosophe, Benjamin, Pitt, Henry A., Plichta, Jennifer K., Podolsky, Dina, Politano, Amani D., Port, Elisa, Postol, Carolyn R., Prabhu, Ajita S., Preiss, Joshua E., Prescott, Jason D., Price, Leigh Ann, Price, Matthew D., Prushik, Scott G., Pugh, Carla M., Qaqish, T. Robert, Qasim, Zaffer, Quick, Jacob A., Radisic, Amanda, Radomski, Shannon N., Rasmussen, Todd E., Reddy, Abhinav V., Reed, Christopher R., Regelsberger-Alvarez, Christina Maria, Reifsnyder, Thomas, Reilly, Linda M., Riall, Taylor S., Ricci, John Peter, Robles, Anamaria J., Rodgers, Douglas, Roginsky, Alexandra B., Rojas-Khalil, Yesenia, Rokosh, Rae S., Rosati, Riccardo, Rose, J. Bart, Rosenberger, Laura H., Ross, Robert C., Rosson, Gedge D., Roy, Rishi A., Rozycki, Grace S., Ryan, Colleen M., Sachdeva, Uma M., Sacks, Bethany C., Sacks, Justin M., Sahli, Zeyad T., Sakran, Joseph V., Sanders, David, Sarr, Michael G., Sawyer, Robert G., Sbayi, Samer, Scalea, Thomas M., Schauer, Philip R., Scheurlen, Katharina M., Schimpf, Dennis K., Schlachter, Todd R., Schonefeld, Sally, Schulick, Andrew, Schulick, Richard D., Schweitzer, Michael A., Sell, Naomi M., Senagore, Anthony J., Shah, Aamir S., Shah, Adil A., Shames, Brian D., Sharma, Ashwyn K., Sheridan, Robert, Shirali, Aditya S., Shmelev, Artem, Shoham, Shmuel, Shores, Jaimie T., Sicklick, Jason K., Sieber, Frederick, Simmons, Justin M., Sims, Sarah S., Singh, Vikesh K., Smeds, Matthew R., Nikolhaus Smith, John, Smith, Thomas J., Jr., Thomas W. Smith, Sorrentino, Anthony, Sosa, Julie Ann, Spaniolas, Konstantinos, Sperry, Jason, Steele, Scott R., Stem, Jonathan M., Stevens, Jane, Stevens, Kent Allen, Stonko, David P., Streiff, Michael B., Stringfield, Sarah, Strosberg, David S., Su, Amanda, Subramanian, Madhu, Suresh, Visakha, Susarla, Srinivas M., Sutton, Whitney, Swanstrom, Lee L., Talamini, Mark A., Tam, Vernissia, Tamburini, Nicola, Tan, Li Ting, Tanabe, Kenneth K., Tang, Rebecca, Tchou, Julia, Teixeira, Pedro G., Thiboutot, Jeffrey, Thompson, Jon S., Thornblade, Lucas W., Thorsen, Amy J., Torres, Crisanto M., Tsai, Susan, Tsitsiou, Yvonne, Tsung, Eric, Tufaro, Anthony, Tulla, Kiara A., Tunder, Kelly H., Udelsman, Brooks V., Vane, Marissa, Velmahos, George, Vernamonti, Jack P., Vollmer, Charles M., Jr., Vora, Halley, Vosler, Peter S., Walsh, Christi M., Wang, Xuanji, Warshaw, Andrew L., Wasicek, Philip J., Weeks, Sharon R., Weiser, Roi, Weiss, Clifford R., Weiss, Eric G., Weiss, Matthew J., Weld, Ethel D., Weller, Jennine H., Weltz, Adam S., Wesson, Russel N., Wexner, Steven D., Whitman, Glenn J.R., Whittaker, David R., Wick, Elizabeth C., Wilder, Fatima G., Williams, Austin D., Williams, Timothy K., Wiseman, James E., Witthaus, Michael W., Wogsland, Aric, Wolfgang, Christopher L., Wong, Daniel J., Wong, Virginia L., Wood, Douglas E., Wright, Cameron D., Wu, Clement, Wu, Lawrence W., Yang, Stephen C., Ye, Linda, Yeo, Heather L., Young, Stephanie, Zaydfudim, Victor M., Zeiger, Martha A., Zenilman, Michael E., Zhu, Jay, Zuberi, Maaz K., and Zyromski, Nicholas J.

Published
2023
Full Text
View/download PDF

48. Infant Robot-assisted Laparoscopic Pyeloplasty: Outcomes at a Single Institution, and Tips for Safety and Success.

Author

Andolfi, Ciro, Rodríguez, Veronica M., Galansky, Logan, and Gundeti, Mohan S.

Subjects
*INFANTS, *URETERIC obstruction, *SURGICAL robots, *PEDIATRIC surgery, *LENGTH of stay in hospitals, *INGUINAL hernia, *BLOOD loss estimation
Abstract

Since its first description, multiple reports proved efficacy and safety of the robotic platform. Further progress has been made allowing for the application of robotic surgery to smaller patients, including infants. Despite the early favorable results, the use of robot surgery in infants is still controversial and more studies are needed to confirm its benefits. To our knowledge, we present the largest single-institution case series of robot-assisted laparoscopic pyeloplasty (RAL-P) in infants, aiming to contribute to the current literature with a guide for key technical steps and safety tips for infant RAL-P. We performed a retrospective review of a prospectively maintained database. The study protocol was approved by the institutional review board. Only infants (≤12 mo of age) with a diagnosis of congenital ureteropelvic junction obstruction (UPJO) undergoing primary robotic dismembered pyeloplasty were included in the study. We critically reviewed the clinical outcomes, described the main steps of the operation, and shared tips for a safe approach. From January 2012 to August 2019, 44 infants underwent RAL-P for UPJO––33 (75%) males and 11 (25%) females. All robotic cases were completed successfully, with no laparotomic conversions. The median age and weight were 4 (1–12) mo and 6.8 (3.8–10.5) kg, respectively. The mean operative time was 142 (±25) min. The mean estimated blood loss was 7 (±3.6) ml, and no intraoperative complications occurred. The mean length of hospital stay (LOS) was 1.4 (±0.7) d. Seven (15.6%) patients had postoperative complications—one (2%) ileus (Clavien-Dindo grade [CDG] I), four (9%) urinary tract infections (CDG II), and two (4.5%) port-site hernias (CDG III). At a median follow-up of 19 mo, the success rate was 100%. Given the successful outcomes, benefits of decreased LOS, and improved cosmesis, RAL-P is an appealing management option for UPJO in infants. Market release of new systems, further miniaturization of instruments, and more affordable costs will hopefully be shedding light on more complex applications. Infants (≤12 mo of age) diagnosed with ureteropelvic junction obstruction undergoing primary robotic dismembered pyeloplasty were selected and included in this study. No intraoperative complications or conversion to an open approach occurred. Seven patients (16%) developed postoperative complications—one (2%) postoperative ileus, four (9%) urinary tract infections, and two (4.5%) port-site hernias. At a median follow-up of 19 (7–66) mo, the success rate was 100%. The inception of the robotic era has allowed overcoming of some of the challenges relevant to laparoscopy, such as poor ergonomics, demanding intracorporeal suturing, and lack of a three-dimensional view. Robot-assisted laparoscopic pyeloplasty (RAL-P) in adult patients was first described in 1999, and since then it has become a routinely performed procedure. Unfortunately, the big instrument size of early platforms was considered a major obstacle to the application of robotic surgery in children. However, the technical evolution of new models has allowed the performance of robotic procedures in small patients, including infants. Feasibility and safety of the robotic approach in infants have been reported only in few case series and, despite favorable results, its use is still controversial. Additionally, the current literature does not address the crucial steps of the operation. In the past decade, we have gained extensive practice with RAL-P for children of all size, including infants. Therefore, by reporting our experience, we aim to contribute to the current literature with a guide for key technical steps and safety tips for infant RAL-P. Given the successful outcomes associated with the benefits of a minimally invasive approach, it is safe to conclude that RAL-P is an appealing option for the management of ureteropelvic junction obstruction in infants. In fact, we believe that the robotic approach has the potential to become the new gold standard for minimally invasive pyeloplasty. Our safety tips are meant to overcome limitations of the current robotic platform. Market release of new systems, further miniaturization of instruments, and more affordable costs will be shedding light on more complex applications. [ABSTRACT FROM AUTHOR]

Published
2021
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results