ABSTRACT
Robotic-assisted radical cystectomy (RARC) is a challenging procedure that potentially offers the patient decreased perioperative morbidity. With careful patient selection and attention to surgical detail, one can learn to efficiently and safely perform RARC with extracorporeal diversion. As one develops further expertise with RARC, patient selection criteria can be liberalized and intracorporeal diversion can be performed. The accumulated experience of our institution and other high-volume institutions are reviewed with attention to the technical details that yield a safe and efficient robotic cystectomy.
Subject(s)
Cystectomy/methods , Robotic Surgical Procedures/methods , Urinary Bladder Neoplasms/surgery , Cystectomy/adverse effects , Humans , Lymph Node Excision , Lymphatic Metastasis , Patient Selection , Robotic Surgical Procedures/adverse effects , Robotic Surgical Procedures/instrumentation , Urinary Bladder Neoplasms/pathologyABSTRACT
Intra-abdominal prenatally detected testicular neoplasms are rare; however, increased use of prenatal ultrasonography has led to the discovery of these uncommon neoplasms. We report the fifth case of a prenatally detected intra-abdominal testicular teratoma, which, in this instance, was detected early in pregnancy as a cystic mass within the fetal abdomen that subsequently underwent torsion later in pregnancy before delivery.
Subject(s)
Cryptorchidism/complications , Cryptorchidism/diagnostic imaging , Teratoma/complications , Teratoma/diagnostic imaging , Testicular Neoplasms/complications , Testicular Neoplasms/diagnostic imaging , Ultrasonography, Prenatal , Humans , Infant, Newborn , MaleABSTRACT
Supernumerary kidney and cloacal exstrophy are rare anomalies of the genitourinary tract. We present an exceedingly rare case of a supernumerary third kidney discovered by antegrade nephrostography of a 6-month-old child with OEIS complex (omphalocele, exstrophy, imperforate anus, spinal defects).