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Re: Computed Tomography Imaging Features and Changes in Hemostatic Agents after Laparoscopic Partial Nephrectomy
Urological Survey Laparoscopy/New Technology Re: Computed Tomography Imaging Features and Changes in Hemostatic Agents after Laparoscopic Partial Nephrectomy T. S. Kim, J. G. Park, H. Kang, S. H. Kang, H. Y. Rhew and P. M. Kang Departments of Urology and Radiology, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea J Endourol 2016; 30: 950e957. doi: 10.1089/end.2016.0263
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/27310824 Editorial Comment: For students, residents and infrequent practitioners of laparoscopic or robotic partial nephrectomy reviewing the images in this article is quite useful and educational. Some patients will invariably undergo computerized tomography postoperatively, and understanding what the “normal” postoperative changes are when hemostatic agents are used is important. One noteworthy point is that noninfectious gas bubbles in the resection site can be seen as late as 40 days postoperatively. Jeffrey A. Cadeddu, MD
Re: The Safety of Robot-Assisted Cystectomy in Patients with Previous History of Pelvic Irradiation B. Al Hussein Al Awamlh, D. P. Nguyen, B. Otto, P. O’Malley, F. Khan, S. Brooks and D. S. Scherr Department of Urology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, New York, and Bern University Hospital, Bern, Switzerland BJU Int 2016; 118: 437e443. doi: 10.1111/bju.13464
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/26935481 Editorial Comment: The authors retrospectively report their experience with robotic cystectomy in patients with an irradiated pelvis, focusing on complications compared to patients without a history of radiation. Of 252 consecutive patients undergoing robotic cystectomy 46 had a history of pelvic irradiation, most commonly for bladder cancer, followed by intractable symptoms from radiation cystitis, fistulas and prostate cancer. The rate and type of complications did not differ between groups. The caveat, of course, is surgical experience. The authors appropriately acknowledge that when performed by an experienced surgeon, robotic cystectomy in such high risk patients can be completed safely. Jeffrey A. Cadeddu, MD
Suggested Reading Eisenberg MS, Dorin RP, Bartsch G et al: Early complications of cystectomy after high dose pelvic radiation. J Urol 2010; 184: 2264.
0022-5347/17/1975-0001/0 THE JOURNAL OF UROLOGY® Ó 2017 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2017.02.014 Vol. 197, 1, May 2017 Printed in U.S.A.
www.jurology.com
j
1
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/27310824 Editorial Comment: For students, residents and infrequent practitioners of laparoscopic or robotic partial nephrectomy reviewing the images in this article is quite useful and educational. Some patients will invariably undergo computerized tomography postoperatively, and understanding what the “normal” postoperative changes are when hemostatic agents are used is important. One noteworthy point is that noninfectious gas bubbles in the resection site can be seen as late as 40 days postoperatively. Jeffrey A. Cadeddu, MD
Re: The Safety of Robot-Assisted Cystectomy in Patients with Previous History of Pelvic Irradiation B. Al Hussein Al Awamlh, D. P. Nguyen, B. Otto, P. O’Malley, F. Khan, S. Brooks and D. S. Scherr Department of Urology, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, New York, and Bern University Hospital, Bern, Switzerland BJU Int 2016; 118: 437e443. doi: 10.1111/bju.13464
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/26935481 Editorial Comment: The authors retrospectively report their experience with robotic cystectomy in patients with an irradiated pelvis, focusing on complications compared to patients without a history of radiation. Of 252 consecutive patients undergoing robotic cystectomy 46 had a history of pelvic irradiation, most commonly for bladder cancer, followed by intractable symptoms from radiation cystitis, fistulas and prostate cancer. The rate and type of complications did not differ between groups. The caveat, of course, is surgical experience. The authors appropriately acknowledge that when performed by an experienced surgeon, robotic cystectomy in such high risk patients can be completed safely. Jeffrey A. Cadeddu, MD
Suggested Reading Eisenberg MS, Dorin RP, Bartsch G et al: Early complications of cystectomy after high dose pelvic radiation. J Urol 2010; 184: 2264.
0022-5347/17/1975-0001/0 THE JOURNAL OF UROLOGY® Ó 2017 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2017.02.014 Vol. 197, 1, May 2017 Printed in U.S.A.
www.jurology.com
j
1