A Report of the First 3 Cases of Robotic-assisted Laparoscopic Kidney Transplantation in the UK PDF Download
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Author: Raphael Uwechue
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Introduction: Robotic assisted surgery has demonstrated clear benefits in other fields of abdominal surgery. We report the UK first experience of robot assisted kidney transplantation (RAKT).Methods: Clinical details of patients selected for living donor robotic transplantation were recorded. Primary outcome was renal function (eGFR) at one month, secondary outcomes included pain, opiate usage, length of stay and complications.Results: Case 1: 58 year old male with adult polycystic kidney disease and pre-dialysis. He had a BMI of 28. He had immediate graft function with a creatinine of 104uf06dmol/L one week after transplantation. He suffered a superficial wound infection within a month of surgery.Case 2: 42 year old female with anti-GBM disease and a failing first kidney transplant due to infections. She had a BMI of 29. She underwent RAKT to the left side. She had immediate graft function. Her creatinine on the seventh post-operative day was 125uf06dmol/L.Case 3: 49 year old female with chronic kidney disease from renal calculi who was a pre-emptive transplant. BMI of 26. She had immediate graft function. Her creatinine 1 month after surgery was 95u00b5mol/L.CasetRewarm time (mins)teGFR pre-opteGFR 1 MonthtMean pain score (0-10)tTotal morphine (mg)tDischarge day1t87t13t65t1t15t42t73t7t42t1.5t90t43t78t11t52t2.9t26t4Discussion: We have demonstrated the applicability and safety of this novel operative technique in the UK with early cases having significant potential in facilitating earlier discharge from hospital with less pain and a potentially superior post-operative recovery phase. The effect of the longer rewarming time needs to be evaluated.
Author: Raphael Uwechue
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
Introduction: Robotic assisted surgery has demonstrated clear benefits in other fields of abdominal surgery. We report the UK first experience of robot assisted kidney transplantation (RAKT).Methods: Clinical details of patients selected for living donor robotic transplantation were recorded. Primary outcome was renal function (eGFR) at one month, secondary outcomes included pain, opiate usage, length of stay and complications.Results: Case 1: 58 year old male with adult polycystic kidney disease and pre-dialysis. He had a BMI of 28. He had immediate graft function with a creatinine of 104uf06dmol/L one week after transplantation. He suffered a superficial wound infection within a month of surgery.Case 2: 42 year old female with anti-GBM disease and a failing first kidney transplant due to infections. She had a BMI of 29. She underwent RAKT to the left side. She had immediate graft function. Her creatinine on the seventh post-operative day was 125uf06dmol/L.Case 3: 49 year old female with chronic kidney disease from renal calculi who was a pre-emptive transplant. BMI of 26. She had immediate graft function. Her creatinine 1 month after surgery was 95u00b5mol/L.CasetRewarm time (mins)teGFR pre-opteGFR 1 MonthtMean pain score (0-10)tTotal morphine (mg)tDischarge day1t87t13t65t1t15t42t73t7t42t1.5t90t43t78t11t52t2.9t26t4Discussion: We have demonstrated the applicability and safety of this novel operative technique in the UK with early cases having significant potential in facilitating earlier discharge from hospital with less pain and a potentially superior post-operative recovery phase. The effect of the longer rewarming time needs to be evaluated.
Author: Nadey Hakim
Publisher: Springer Nature
ISBN: 3030552446
Category : Medical
Languages : en
Pages : 398
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Book Description
This updated volume gives a clear description of transplantation surgery and covers the recent developments and innovations that have occurred within the field. New chapters on the management of graft dysfunction, organ preservation, new immunosuppressive drugs, molecular medicine and transplantation, robotics in transplantation, and organ bio-engineering are included. The book aims to be an authoritative guide to transplantation surgery that will help improve the likeliness of procedures being successful. This book will be relevant to transplant surgeons, physicians, and nephrologists.
Author: Freddie C. Hamdy
Publisher: Oxford University Press
ISBN: 0191022527
Category : Medical
Languages : en
Pages : 1201
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Book Description
Offering a comprehensive guide, the Oxford Textbook of Urological Surgery is a practical resource mapped to the curriculum for urological training as approved by the General Medical Council (GMC), making it particularly useful in preparation for the Intercollegiate Examination. Presented in a clear and accessible way, this evidence based volume covers all major areas, including functional urology, stone disease, infection, andrology, nephrology, transplantation, uroradiology, and paediatric urology. This highly illustrated full colour textbook has an innovative and user-friendly style, including over 500 photographs, clinical images, and line drawings. Bringing together the expertise of over 100 specialist contributors in the field, the Oxford Textbook of Urological Surgery is a highly valuable source of information, and will become the standard reference text for all who study urological disease and its treatment.
Author: Vipul R. Patel
Publisher: Springer Science & Business Media
ISBN: 1848828004
Category : Medical
Languages : en
Pages : 533
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Book Description
Robotic Urologic Surgery, Second Edition is an updated and revised technical manual focusing on the various robotic approaches to robotic urologic surgical procedures. This book provides instructions on how to develop a successful robotics program, learn the various techniques, and improve outcomes. It also aids the reader with helpful hints to avoid pitfalls. Robotic Urologic Surgery, Second Edition includes up-to-date contributions from leading robotic urologic surgeons from around the world. The detailed body of data which this book provides is supported by schematic diagrams and anatomic photographs to illustrate the concept being discussed. Robotic Urologic Surgery, Second Edition is an essential guide for all urologists as a reference to establish a robotics program, refine their surgical technique, and provide information to patients.
Author: Ashok Kumar Hemal
Publisher: Springer Science & Business Media
ISBN: 184882114X
Category : Medical
Languages : en
Pages : 664
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Book Description
Robotics in Genito-Urinary Surgery fills the void of information on robotic urological surgery; a topic that is currently highly in demand and continuously increasing. This book provides detailed information on the utility of robotic urological surgery and how to use it most effectively. Robotics in Genito-Urinary Surgery comprehensively covers specialist areas such as female urology, pelvic floor reconstructions and holds a strong focus on pediatric urology. It also presents the main operative techniques through the use of high quality images and drawings. Compiled by expert authors from the USA, Europe and Asia, this book provides an international perspective on the basic knowledge and clinical management required for the optimal care of patients.
Author: Jonas Wadström
Publisher: CRC Press
ISBN: 1435626753
Category : Medical
Languages : en
Pages : 210
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Book Description
Living donor kidney (LDK) transplantation has become the definitive approach to the treatment of end-stage renal failure, providing a better quality of life and the best opportunity for survival when compared with dialysis or transplantation from a deceased donor. A timely compendium of the modern day practice of LDK transplantation from a group of
Author: Giuseppe Orlando
Publisher: Academic Press
ISBN: 0128018364
Category : Science
Languages : en
Pages : 1253
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Book Description
Kidney Transplantation, Bioengineering, and Regeneration: Kidney Transplantation in the Regenerative Medicine Era investigates how the field of regenerative medicine is changing the traditional premises of solid organ transplantation, specifically within the field of kidney transplantation. In Section 1, chapters illustrate the state of the art in kidney transplantation as well as the research behind the bioengineering and regeneration of kidney organoids for therapeutic renal replacement. In Section II, chapters catalog the technologies that are being developed and the methods that are being implemented to bioengineer or regenerate kidneys in order to restore function, while critically highlighting those technological advances which hold the most promise. The book thus encompasses clinical renal transplantation, tissue engineering, biomaterial sciences, stem cell biology, and developmental biology, as they are all applied to the kidney. Focuses on the synergy between renal organ transplantation and regenerative medicine, highlighting the advances within transplantation, bioengineering, regeneration, and repair Educates the transplant community on important regenerative medicine research pertinent to kidney transplantation Develops a shared language for clinicians, surgeons, and basic researchers to reach across the fields of transplantation and regenerative medicine, and facilitate more productive investigation and research Catalogs the technologies being developed and methods being implemented to bioengineer or regenerate kidneys to restore function
Author: Amir H. Tejani
Publisher: Wiley-Liss
ISBN:
Category : Medical
Languages : en
Pages : 576
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Book Description
A detailed, contributed reference offering broad coverage of renal transplantation in children. Diagnosis, the patient's medical management, operative methods, surgical and medical complications, donor selection, immunosuppression, late effects on growth and development and psychosocial factors are among the topics discussed. Features a chapter on how to set up and manage a pediatric renal transplant program.
Author: Jonathan Wilkinson
Publisher: Oxford University Press (UK)
ISBN: 0199563098
Category : Medical
Languages : en
Pages : 785
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Book Description
This Oxford Specialist Handbook provides an easily accessible, informative, and palatable guide to the often complex subject of thoracic anaesthesia. The text is sub-divided into basic sciences, pre-operative assessment, diagnostic procedures, and an anaesthetist's walk-through of key thoracic surgical procedures.
Author: Shawn Tsuda
Publisher: Springer
ISBN: 3319968661
Category : Medical
Languages : en
Pages : 346
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Book Description
Minimally invasive surgery has impacted the outcomes of surgery more than any technology since the development of sterile technique. The hard science has demonstrated that decrease in wound complications and recovery time has created the biggest gap with open approaches to surgery. The total economic benefit may be unfathomable when looked at comprehensively. Integral to the rise of minimal access and therapeutic techniques in surgery has been the growth of technological improvements over time. Beginning with insufflators, videoscopy, and energy devices, that evolution has continued into the development of tele-surgical devices that feature full articulation of instruments, high-resolution 3-D optics, and computer assisted movement. This has come with controversy – as the dominant manufacturer of robotic assisted devices, Intuitive Surgical, and their generations of da Vinci surgical platforms, holds enough market share to spur cries of monopoly and financial excess. However, with over 3000 world-wide systems in use, and over 6000 peer-reviewed research articles, the impact of robotic surgery cannot be ignored. The current state of data suggests equivalency in most procedures with regard to traditional outcome measures, equal or somewhat elevated costs, with specific areas of superiority. The first section of this textbook, Surgical Robots, covers the history, economics, training, and medico-legal aspects of robotic surgery that will be of interest to students, residents, fellows, surgical staff, and administrators or public health specialists who seek to gain a comprehensive background on robotic surgery, or justification for purchasing a robotic system for their institution. Surgeons will also find this background valuable to their practice, to give context to their procedures so they can better counsel their patients, help with advocating for robotic platform purchases, and proactively prepare themselves for medico-legal issues. The chapter on legal issues will have specific instances of robotic surgery-related lawsuits and their outcomes, a first for robotic surgery texts. The second section of this textbook, Robotic Procedures, will contain a comprehensive catalogue of procedures that have been performed robotically in general surgery, gynecology, urology, plastic surgery, cardiothoracic, and otolaryngology. Each author will cover the existing literature, preoperative planning, room and patient setup, steps of the procedure, and postoperative care. Standardized room maps and port placement will help the student, resident, fellow, surgeon or OR Staff to quickly reference these before cases. Each chapter will also cover the specific equipment needs and expected complexity of the procedures, allowing administrators to better gauge how to prepare for, or ration, use or their robotic resources. The final section, Future of Robotics, will give the entire scope of audience a look into what exciting advancements in the field are on the horizon. This textbook is a complete resource for robotic-assisted minimally invasive surgery, covering the history, current state, technical and clinical aspects, and future considerations that may be of interest to any who has a role, stake, or curiosity regarding robotic surgery.
