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“Radical” Partial Nephrectomy for Renal Cell Carcinoma
Accepted 61
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SECOND GENERATION LJTHOTRIPSY - THE LITHOSTAR Dirk M. Wilbert, Lilo Lang*, Hubertus Riedmiller*, Peter Alken*, Rudolf Hohenfellner* Dept. of Urology, Mainz Medical School, Mainz, FRG
PAINFREE PIEZO-ESWL.Michael Marberger,*Christian Turk and*Innes Steinkogler,Vienna,Austria. The new second-generation Wolf Piezolith 2200 Lithotripter permits extracorporeal shock-wave lithotripsy without the need for anesthesia or analgetics.Calculi are located with a sector scanner integrated in the generator and disintegrated with painfree piezo-ceramic shock waves.The unit is mobile.requires no room adaptions and has virtually no operating costs.The abolition of pain facilitates outpatient ESWL at extremely low morbidity.As multiple sessions are no problem.size limitations to ESWL are eliminated.Large stones are disintegrated step-by-step.producing just so much stone debris at a time that it is passed without problems on an out-patient basis.Treatment costs are reduced significantly as compared to conventional ESWL.
The lithostar represents a second generation lithotripter unit with local shockwave application, which has been clinically evaluated during the last year. Due to table construction and particular orientation of the biplanar X-ray location system it serves, beyond local lithotripsy, as a multipurpose table al lowing for routine radiologic examinations, cystoscopy, and a variety of endourologic procedures such as ureteral catheterization, ureterorenoscopy and percutaneous nephrolithotomy. Typical applications are demonstrated. Also the principles of shockwave generation and stone location are explained and examples of the advanced digital image processing are given. This film visualizes the modern, non-surgical modalities of nephrolithiasis treatment with a multifunctional lithotripter unit.
63 "RADICAL" PARTIAL NEPHRECTOMY FOR RENAL CELL CARCINOMA, William J, Catalona, St. Louis, MO Partial nephrectomy is the preferred treatment for patients having bilateral renal cell carcinomas or renal cell carcinoma in a solitary or functionally dominant kidney. The videotape demonstrates the technique of bilateral "radical" partial nephrectomy for renal cell carcinoma associated with Von HippelLindau disease. The principles of the operation include mobilization of the kidney, isolation of the renal artery, vein and pelvis, temporary occlusion of the renal vessels with cooling of the kidney, excision of the tumor along with the overlying perirenal fat and closure of the collecting system, achieving hemostasis, and closure of the renal cortex.
64 RADICAL ENBLOC NEPHRECTOMY USING EXTRACORPOREAL VENOVENOUS BYPASS. Noshir F. Dabhoiwala, >r Theo M. de Reijke, *'Adriaan C. Moulijn,"'Paul Grundeman, )I:' Victor M. vd. Hulst and"'Pieter Henny, Amsterdam, The Netherlands Presentation to be made by Dr. Dabhoiwala. Radical enbloc nephrectomy for renal carcinoma is a standard procedure in Urology. Sometimes patients are encountered where tumor embolus frantherenal veinintotheinferior vena cava is present. Surgical extirpation in these cases is often hazardous and can sometimes lead to mortality during surgery. A new and safer technique of surgery is to-day possible using a sophisticated veno-venous extracorporeal bypass technique. The film shows the procedure in detail.
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SECOND GENERATION LJTHOTRIPSY - THE LITHOSTAR Dirk M. Wilbert, Lilo Lang*, Hubertus Riedmiller*, Peter Alken*, Rudolf Hohenfellner* Dept. of Urology, Mainz Medical School, Mainz, FRG
PAINFREE PIEZO-ESWL.Michael Marberger,*Christian Turk and*Innes Steinkogler,Vienna,Austria. The new second-generation Wolf Piezolith 2200 Lithotripter permits extracorporeal shock-wave lithotripsy without the need for anesthesia or analgetics.Calculi are located with a sector scanner integrated in the generator and disintegrated with painfree piezo-ceramic shock waves.The unit is mobile.requires no room adaptions and has virtually no operating costs.The abolition of pain facilitates outpatient ESWL at extremely low morbidity.As multiple sessions are no problem.size limitations to ESWL are eliminated.Large stones are disintegrated step-by-step.producing just so much stone debris at a time that it is passed without problems on an out-patient basis.Treatment costs are reduced significantly as compared to conventional ESWL.
The lithostar represents a second generation lithotripter unit with local shockwave application, which has been clinically evaluated during the last year. Due to table construction and particular orientation of the biplanar X-ray location system it serves, beyond local lithotripsy, as a multipurpose table al lowing for routine radiologic examinations, cystoscopy, and a variety of endourologic procedures such as ureteral catheterization, ureterorenoscopy and percutaneous nephrolithotomy. Typical applications are demonstrated. Also the principles of shockwave generation and stone location are explained and examples of the advanced digital image processing are given. This film visualizes the modern, non-surgical modalities of nephrolithiasis treatment with a multifunctional lithotripter unit.
63 "RADICAL" PARTIAL NEPHRECTOMY FOR RENAL CELL CARCINOMA, William J, Catalona, St. Louis, MO Partial nephrectomy is the preferred treatment for patients having bilateral renal cell carcinomas or renal cell carcinoma in a solitary or functionally dominant kidney. The videotape demonstrates the technique of bilateral "radical" partial nephrectomy for renal cell carcinoma associated with Von HippelLindau disease. The principles of the operation include mobilization of the kidney, isolation of the renal artery, vein and pelvis, temporary occlusion of the renal vessels with cooling of the kidney, excision of the tumor along with the overlying perirenal fat and closure of the collecting system, achieving hemostasis, and closure of the renal cortex.
64 RADICAL ENBLOC NEPHRECTOMY USING EXTRACORPOREAL VENOVENOUS BYPASS. Noshir F. Dabhoiwala, >r Theo M. de Reijke, *'Adriaan C. Moulijn,"'Paul Grundeman, )I:' Victor M. vd. Hulst and"'Pieter Henny, Amsterdam, The Netherlands Presentation to be made by Dr. Dabhoiwala. Radical enbloc nephrectomy for renal carcinoma is a standard procedure in Urology. Sometimes patients are encountered where tumor embolus frantherenal veinintotheinferior vena cava is present. Surgical extirpation in these cases is often hazardous and can sometimes lead to mortality during surgery. A new and safer technique of surgery is to-day possible using a sophisticated veno-venous extracorporeal bypass technique. The film shows the procedure in detail.
119A