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1. Alternative use of endocavitary probe to guide minimally invasive partial nephrectomy: is it reasonable?

Author

Lucas Teixeira Batista, José Guilherme Reis de Oliveira, Vitor Parente Gouvea, Leonardo Azevedo de Souza, and Rafael Tourinho-Barbosa

Subjects
Nephrectomy, Kidney Neoplasms, Surgical Procedures, Operative, Ultrasonography, Surgery, RD1-811
Abstract

ABSTRACT Purpose: To describe the use of endocavitary ultrasound probe as an auxiliary tool when performing partial nephrectomy in cases of endophytic renal tumors, to standardize the method, and to report the preliminary results achieved with this technique. Methods: Fifteen patients diagnosed with completely endophytic underwent partial nephrectomy with the use of an endocavitary ultrasound probe. This article describes the technique involved in partial nephrectomy and details the preparation of the endocavitary ultrasound probe to ensure its safe use. Results: All the patients had a RENAL score between 8 and 11. The median time of warm ischemia was 26 and 18 minutes for laparoscopic or robot-assisted surgery, respectively. The median duration of surgery was 150 minutes, and the median console time was 145 minutes for the laparoscopic and robot-assisted surgery groups, respectively. The median estimate of blood loss was 200 mL. Only three patients in the laparoscopic group had focal positive surgical margins. There were no cases of infection at the site of probe entry. Conclusions: Intraoperative use of an endocavitary ultrasound probe for partial nephrectomy is possible and a safe alternative to the excision of endophytic tumors when neither robotic probes nor laparoscopic probes are available.

Published
2022
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3. Estudos em Dermatologia

Author

VITTORIA GIULIA DA SILVA MARRONE, ANNA VITORIA GONÇALVES SOARES DE OLIVEIRA, Denise de Souza Luz, ELUANY NOGUEIRA DE FREITAS, IOHANNA MELO DE ARAÚJO, MARIA ISABEL TELES NOGUEIRA, Karolayne Carvalho Silva, Aparecida das Dores Silva de Lima, Roberta Luciana do Nascimento Godone, Caroline Linhares Ferreira Craveiro, Giovana Maria Leite de Souza, Isis Marinho França, Suellen Gleyce França da Silva, Victória Freitas de Souza Moura, Fábio Freitas de Sousa Passos Galvão, Evandra Marielly Leite Nogueira Pinheiro, Josenil Bezerra Nascimento, Weberton Dorásio Sobrinho, Filipe Martins Cristino, Lanna do Carmo Carvalho, William Miranda Mereb, Layany Hewelyn Hamann Langer, JHEMILY LOPES LIMA VILAÇA, Carla Azevedo Zaibak, Fabiana Rodrigues Fonseca, Polliane Borges, Luana Nascimento, Isabella Ferreira Caldas, Monielly Tawiny Monteiro Moura Mendes, Paula Mendes Peixoto, Ana Clara Oliveira Domingues, CAMYLLA MACHADO MARQUES, Allana Victória Pereira Alves, Ana Nicole Fernandes de Carvalho, Analine Domingos Rezende Brayner, Camila Oliveira de Figueiredo, Danilo Amorim Magalhães, Elizabeth Fechine Cruz, Fernanda Sampaio Feitosa Rocha, Gabriel Teles de Souza Siqueira, Júlia Tenório Lossio de Macedo, Laura de Souza Lima, Luana Lócio Nunes, Maria Alice Oliveira Magalhães Teixeira, Maria Inês de Araújo Sousa Matias, Marina Ataide Montenegro, Taynara Souza Santos, Bianca Rodrigues Tavares, Samuel Melo Ribeiro, Bruno Melo Ribeiro, MARIANE MELO RIBEIRO, Marcos Antônio Ribeiro Mendes, Ana Laura Vaz de Mello Frattari, Beatriz Duarte Ferreira, Ana Beatriz Gangana de Castro Silva, Ana Clara Amaral Esteves, Ana Laura Cruzeiro de Moraes, Ana Lídia Barbosa Braga, Fernando Lonardelli Saraiva Ramalho, Laura Vidal Gomes Teixeira da Costa, Lorenza Alves de Carvalho Fortunati, Marcelo Fernandes Quintão Dias de Castro, Luan Nilton da Silva, Maria Carolina Alves Monteiro de Melo, Juliana Florêncio Mahon, Milena Aguiar Alencar de Oliveira, Rafael X B de Morais, Ana Carolina Magalhães Vasconcelos de Albuquerque, Clarissa Machado Pacas, João F C J Tavares, Jônatas da Costa Xavier, Maria Carolina Teixeira Machado, Maria Luiza Florêncio Laranjeira, Gessienne Clívia Alves e Souza, Lucília Willa Andrade Barretto, Natalia Parahyba Albuquerque, Angela Cristina Rapela Medeiros, Laís Assunção Vilefort, Amanda Brandão Lopes, Ana Cláudia de Carvalho, Beatriz Abreu Silva de Oliveira, Victor Cabral Costa Ribeiro Heringer, Isabella Juliana Nascimento da Silva, Roberto Cláudio de Oliveira Lima, Renata Gouvea Hollunder, Lucas Costa de Morais, Gabriela Basilio de Castro, Isabella Greco Queiroz Laredo, Maria Thereza Diniz Pereira, Karinne Nancy Sena Rocha, Eduardo Expedito Valeriano Batista, Geovanna de Oliveira Magalhaes, Bernardo Tavares Resende, Leticia Resende Sousa, Maria Eduarda Galhardo Cabral, Yan Sze Rodrigues, Ana Luiza Oliveira Sebe, Letícia Barbosa Oliveira, Iara Helena de Meireles Marinho, Eduarda Arduim Maia Porto, Ana Luísa Gondim Diniz Gomes, Rebeca Vital Matias Acioli, Amanda Montenegro Mestre, Paloma Fernandes D Oliveira, Manuella Fagundes Damaceno Sarmento, Adriano de Amorim Barbosa, Eric Malveira dos Santos, Igo Marcel Medeiros Bezerra, Matheus Alves Vieira, Iago Felipe Camilo Souza, Indira Coan Zanata, Samya Sayonara Rocha Santos Freire, Carolina Pinheiro Pereira, Sulyanne Saraiva de Almeida, Verônica Senna Marra, Grasiele Dadalto, AMANDA VASCONCELOS DE OLIVEIRA, HELENA FONTENELLE DE CARVALHO COSTA, Mariana Landim Madureira, Thaíza Pereira Magalhães, Stephannie Freitas, FERNANDA DAS GRAÇAS DIAS, Taynne da Silva Viana, Matheus de Souza Santiago, Natália Ribeiro Dayrell, JULIANA SILVEIRA MARTINS DA COSTA, Laura Rafaella Ferrari Munoz Muniz, Vanessa De Carvalho Tonaco, ALICE MARTINS ALVARENGA, Sofia Moreira Mazzoni, VICTOR CABREIRA FRAZÃO, Nathália Vescia Bauer, Camila Guntzel, Geovana Pacheco, Marina Caroline Hoffmann Pereira, Guilherme Briczinski de Souza, Letícia Azevedo Sarmento, Kahena Monteiro Almeida Monte, Gabriel Guimarães Mellara, Melissa Vieira Gomes, José Vinícius Lima Santana, José Luis Francisco Gomes Souza, Vitória Farias de Melo, Ângelo Marcel Santana Duarte Araujo, Lucas Gomes Dantas, Pablo da Cruz Barros, Camila de Melo Pimenta, João Marcos Constantino Sotta, Eliena Perini Cazotto, Eduardo Sales Loureiro, Arthur Palauro Alves, Ana Elisa Choucair Hosken Arão, BRUNA DIULY SANTOS COSTA, Christina Santos Barbosa, TAINÁ RESENDE BATISTA, Ana Elisa Carvalho Santos Chaves, Larissa Afonso Paiva, Filipe da Silva Barbosa, Luiza Magalhães Avelar, KARLA SILVIA DE SOUSA, Marina Viana Melo, Ana Luiza Queiroz da Silva Lacerda, Sophia Mourão Gontijo de Castro, Julie Caldeira Gatti, Gabriella Moté Trotta, Anna Gabriela Figueiredo de Almeida, Anna Rebecka Rodrigues Silva de Freitas, Roberta Gracielle Amorim de Queiroz, Carlos Roberto Gomes da Silva, Lavínia Paola Vega Souto Maior, Maria Beatriz Pires Nóbrega de Queiroz, Gabriel Lucena de Carvalho Soares, Bianca Gonçalves Wanderley, Gabriela Bezerra Loureiro, Mariana Vieira Falcão, Lautônio Neto Bezerra Loureiro, Pedro Igor Gontijo Silva, Luiza Morais Barbosa, Rafaela Lopes Freitas Moura, Raquel Camilo da Cunha, Renata Costa Café de Castro, Sofia Fagundes Vilela, Luiza Laborne Sousa Pinto Kalil, Carolina Queiroga de Miranda, Dayanne Nunes Jerônimo, Fernando Ítalo Lessa Neto Silva, Lamark Melo Silva Moreira, Louise Mendonça Vaz, Maria Clara de Sousa Lima Cunha, Maria Luíza Cerqueira Wanderley de Lima Soares, Mariana Oliveira Pedrosa, Natália dos Anjos Tenório, Pedro Nogueira de Andrade, Zuíla Caroline Olegário Lima, Lais Assunção Vilefort, Gustavo Túlio Silveira Sousa, Isabela de andrade carneiro, Aline Dias da Silva, Nayara Souza Borges, Rebecca Guerra Murta Leste, Sarah Dias Pereira, Fernanda Bicalho Matoso, Karollinne Paiva do Nascimento, Caio Henrique Andrade Martins, Natália Bobylow Coser, Raphael Silva Castro, Aloysio Gabriel Missio, Pedro Henrique Mohr, Lucas Teixeira Batista, Lara figueira Aguiar Cótica, Vitor Cunha de Almeida Barbosa, Alexandre Strapasson Boechat, Rafaela de Avellar Guedes Teixeira, Livia Figueiredo de Mendonça, Caio Augusto Lucas de Sá, Marcus Vinícius Santos Moreira, Amanda Ferreira de Souza Campos, Guilherme Gouveia Hollunder, Laís Maria Peixoto Vieira, Vinicius Orsine Yamada, Felipe Miareli, Victória Feio Obeid, LORENA DE SOUZA BANDEIRA, Sophia de medeiros borém tibo rocha, Letícia Romão Cascaes, PATRÍCIA MORAIS DE ARAÚJO, Luiz Phelipe Gontijo Pacheco, ANA CAROLINA LOPES ARAUJO, LUIZ FILLIPE GODINHO PARAGUAY, Michelle Alves Ribeiro, Junia Murta Pedras Lopes Evangelista, Ana Bárbara Dumont Salles, Maralina Peixoto Paiva, Rafael Lucas Cecílio Mendes, Maria Carolina Ferraz Cajado Sampaio, Brunna Karolyna Rocha Fernandes, Gabriella Thalya Guedes, Marinna Barbosa Guimarães, Joyce Fernanda Rocha Ferreira, Lorena Rodrigues Batista, Karolyne Mariano Abrantes, Maria Eduarda Araújo Tomaz de lima, Gabriela Neto Rodrigues, Karen Teixeira Gomes, Biatriz de Quadros Ferraz, Francielle Antonini, Vivian Pena Della Mea, LIVIA CAPUANO FOGAÇA, Clarice Romero Nicolino, Carolina Saiol Rabelo, Cristiano do A de Leon, Lívia Capuano Fogaça, Cristiano Amaral de Leon, Ana Cecília Gadelha Pires, Brenda Barbosa FAUSTINO, Daniel Antônio Rodrigues de Assis Ferreira, George Estrela de Oliveira, Joanna Lidia Fernandes Hinojosa, Maria Eduarda de Oliveira Araújo, Marina Crispim Sarmento, Sílvia Viana Bezerra da Cunha, Thalita de Sá Lira Braga e Silva, Laurent Martial Clairet, Edisângela Mirella de Sousa Passos Diniz, Maria Eduarda Sales Ferreira, Jamila Cury-Rad Santos Bezerra Dias, Antônio Vitor da Rocha, Maria Karolinne de Sousa Araújo, Bryan Victor Serafim Brigido, Anna Luíza Rocha Queiroz, Beatriz Yumi Fukue Sasaki, Ingrid Caroline Figueiredo, Isabela Botelho Piovezan, Leandra Prates Diniz, Pedro Mazzini Leone Evangelista, Talisson Taglialegna de Barros, Victor Michel Daoud, Luiz Oswaldo Carneiro Rodrigues, Cintya Martins Vieira, Bruna Rocha Lopes, Elisandra Barbara Pontes Carlos, Nathália Couri Vieira Marques, LAIS RODRIGUES MAIA, ANA CLARA ABREU LIMA DE PAULA, Tatiana Vasconcelos Reis, Bruna da Silva Pereira Carvalho, Iran Roger Alkimin de Oliveira, Annair Freitas do Valle, Maria Cristina Vieira de Andrade, Shirley Braga Lima Gamonal, Simone Caruso Bonetti, Aloísio Carlos Couri Gamonal, Maria Teresa Feital de Carvalho, Serginara Cristina Flexa Pereira da Silva, Bruno Souza dos Santos, Francisca Jullyanna Silva da Costa, Jhemily Lopes Lima Vilaça, Camylla Machado Marques, Ana Cláudia Ferreira Yonemoto, Mario Ciro Choptian, Isabella Juliana Nascimento Silva, Camila Araujo Novais Lima, Camila Araújo Novais Lima, Paloma Fernandes de Oliveira, Halley Ferraro Oliveira, Milena Sonely Mendonça Bezerra Lima, Waléria Ronina Feitosa Gomes, Maria Clara Ribeiro Pessoa, Evandra Marielly Leite Nogueira Freitas Galvão, and EDISANGELA MIRELLA SEVERO DINIZ

Published
2021
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4. Ablative options for prostate cancer management

Author

Rafael Sanchez-Salas, Rafael Tourinho-Barbosa, Xavier Cathelineau, Lucas Teixeira Batista, and Javier Sanchez-Macias

Subjects
Oncology, medicine.medical_specialty, Future studies, Low toxicity, business.industry, medicine.medical_treatment, Disease, medicine.disease, Ablation, Prostate cancer, medicine.anatomical_structure, Prostate, Internal medicine, Ablative case, medicine, business, Prospective cohort study, Urooncology
Abstract

This review provides an overview of the available ablative options for prostate cancer (PCa) management. It contemplates the ablative concepts and the role of prostate ablation in different settings, from primary treatment to repeat ablation, and as an alternative to radiorecurrent disease. Improvements in prostate imaging have allowed us to ablate prostate lesions through thermal, mechanical, and vascular-targeted sources of energy. Partial gland ablation (PGA) has an emerging role in the management of localized PCa because toxicity outcomes have been proven less harmful compared with whole-gland treatments. Although long-term oncological outcomes are yet to be consolidated in comparative studies, recent large series and prospective studies in PGA have reported encouraging results. A second ablation after disease recurrence has demonstrated low toxicity, and future studies must define its potential to avoid radical treatments. PGA is an attractive option for PCa management in different scenarios because of its low-toxicity profile. As expected, recurrence rates are higher than those seen in whole-gland procedures. Long-term oncological outcomes of primary and salvage options are required to endorse it among the standard treatments.

Published
2020

6. Laparoscopic nephrectomy in inflammatory renal disease: proposal for a staged approach

Author

Eric Roger Wroclawski, Roberto Vaz Juliano, Marco T. Lasmar, Pedro Hermínio Forseto, Marcos Tobias-Machado, and Lucas Teixeira Batista

Subjects
Laparoscopic surgery, Adult, medicine.medical_specialty, kidney, Urology, medicine.medical_treatment, laparoscopy, Disease, lcsh:RC870-923, Kidney, Nephrectomy, kidney calculi, pyonephrosis, nephrectomy, Medicine, Humans, Prospective Studies, Laparoscopy, Peritoneal Cavity, Aged, medicine.diagnostic_test, Pyelonephritis, Hand assistance, business.industry, Laparoscopic nephrectomy, Middle Aged, lcsh:Diseases of the genitourinary system. Urology, medicine.disease, Surgery, Review Literature as Topic, medicine.anatomical_structure, Treatment Outcome, pyelonephritis, Pyonephrosis, business, Tomography, X-Ray Computed, Follow-Up Studies
Abstract

Introduction: The present study shows and discusses the preliminary experience of custom-ized and staged approach in the minimally invasive treatment of inflammatory renal diseases, usingeither pure laparoscopic surgery or the hand-assisted technique.Materials and Methods: We prospectively assessed 17 patients with inflammatory renal dis-eases operated by laparoscopic approach. Mean age was 41 years and the surgical indication wasrepeated pyelonephritis in 8 cases, pyonephrosis in 4 cases and renal exclusion due to staghorn stonein 5 cases. The staged laparoscopic approach was chosen based on kidney size and on the presence ornot of tomographic findings showing significant perirenal infiltration. Thus, retroperitoneal accesswas chosen in cases where the kidney was smaller than 12 cm or in the absence of signs of significantperirenal infiltration on the computerized tomography. For the remainder, transperitoneal access wasemployed.Results: Of the 17 patients, 11 underwent laparoscopic nephrectomy by retroperitoneal ac-cess, and all cases were successful. Mean surgical time was 160 minutes. In 6 cases where the nephre-ctomy was performed by laparoscopic transperitoneal access, the use of hand assistance was required.Four surgeries were successfully completed with mean time of 190 minutes and 2 were converted toopen surgery with mean time of 220 minutes.Conclusion: The laparoscopic nephrectomy for inflammatory renal disease is feasible, butpresents a high degree of complexity, requiring a customized approach. The use of hand assistance isan attractive option when the inflammatory process is intense, and can avoid conversions, maintain-ing the advantages of minimally invasive treatments.Key words : kidney; laparoscopy; nephrectomy; pyelonephritis; pyonephrosis; kidney calculiInt Braz J Urol. 2005; 31: 22-28

Published
2005

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