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40
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Text
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<a href="https://doi.org/10.1016/j.jamcollsurg.2019.08.696" target="_blank" rel="noreferrer noopener">https://doi.org/10.1016/j.jamcollsurg.2019.08.696</a>
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S318-S319
Volume
229
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<a href="http://ezproxy.neomed.idm.oclc.org/login?url=https://doi.org/10.1016/j.jamcollsurg.2019.08.696">http://ezproxy.neomed.idm.oclc.org/login?url=https://doi.org/10.1016/j.jamcollsurg.2019.08.696</a><br /><br /><span>Users with a NEOMED Library login can search for full-text journal articles at the following url: </span><a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a>
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4, Supplement 1
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Outcomes in Renal Cell Carcinoma Patients Undergoing IVC Ligation vs Thrombectomy: A Retrospective, Case-Controlled Study
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Lillian Xie BA, Gordon Hong BS, Dattatraya Patil MBBS, MPH, Reza Nabavizadeh MD, Cecilia G.Ethun MD, MSc, Shishir K. Maithel MD, FACS, Kenneth Cardona MD, FACS, Kenneth Ogan MD, Viraj A.Master MD, PhD, FACS
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Journal of the American College of Surgeons
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2019
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Introduction Radical nephrectomy with removal of tumor thrombus is considered the standard of care in patients with non-metastatic renal cell carcinoma (RCC). Surgical resection usually consists of nephrectomy and thrombectomy; however, ligation of the IVC is sometimes necessary. This study assesses the outcomes, particularly functional outcomes, in RCC patients undergoing IVC ligation compared with caval thrombectomy. Methods We conducted a case-controlled, retrospective study at a high-volume single-center institution. All RCC patients undergoing ligation were matched with thrombectomy patients in a 1:2 ratio based on preoperative renal function, Charlson Comorbidity Index (CCI), and race. End points were complications, change in renal function, and mortality. Results A total of 20 IVC ligation patients were matched with 40 thrombectomy patients. Median follow-up time was 15.3 months for both groups. There was no statistical difference in major complications (Clavien-Dindo Grade 3a+) between cohorts in their postoperative hospital stay (p = 0.345) or at 3 months (p = 0.464). Average decline in estimated glomerular filtration rate from baseline to 6 months post operation for ligation and thrombectomy was 4.6 mL/min/1.73 m2 and 6.0 mL/min/1.73 m2, respectively (p = 0.767). The difference in likelihood of lymphedema development (odds ratio 0.15; 95% CI 0.02 to 1.03; p = 0.054) was not statistically significant, though more ligation patients experienced lymphedema development. In addition, differences in all-cause mortality (p = 0.197) and cancer-specific mortality (p = 1.00) were also not statistically significant at all time points. Conclusions This study represents, to our knowledge, the largest cohort of RCC patients undergoing IVC ligation to date. Although IVC ligation patients experience more complications, they have similar functional and oncologic outcomes.
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10.1016/j.jamcollsurg.2019.08.696
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Xie, L., <span style="text-decoration:underline;"><strong>Hong, G.</strong></span>, Patil, D., Nabavizadeh, R., Ethun, C. G., Maithel, S. K., Cardona, K., Ogan, K., & Master, V. A.
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Journal Article
2019
Hong Gordon
Journal of the American College of Surgeons
NEOMED College of Medicine Student
NEOMED Student Publications
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Text
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<a href="https://www.ncbi.nlm.nih.gov/pubmed/31629439" target="_blank" rel="noreferrer noopener">https://www.ncbi.nlm.nih.gov/pubmed/31629439</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
Pages
9908-9915
Issue
5
Volume
26
ISSN
1195-9479
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<p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p>
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Title
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A randomized, controlled trial for transurethral treatment of bladder tumors using PlasmaButton vaporization electrode or monopolar loop electrocautery
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Canadian Journal Of Urology
Date
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2019
2019-10
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Alemozaffar Mehrdad; Ogan Kenneth; Filson Christopher P; Patil Dattatraya; Lee Grace; Canter Daniel J; Hong Gordon; Master Viraj A
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Introduction: The use of an electrocautery device (monopolar loop) for patients undergoing transurethral resection of bladder tumors (TURBT) is standard of care. The aim of this study is to establish non-inferiority of complication rates for a bipolar energy device, the PK PlasmaButton (PK Button), when compared to the monopolar loop. Materials and methods: Seventy-eight subjects (41 monopolar loop and 37 PK Button), were enrolled in a single-center, prospective, randomized study with cystoscopically detected bladder tumors that were judged endoscopically resectable with only one trip into the operating room. Intra and postoperative data on complication rates, operative time, catheterization time and disease recurrence rates at 3 month follow up were collected. Results: Overall complication rates after TURBT with the monopolar loop or PK Button were similar, (56% versus 38% respectively, p = 0.107), however there were more bladder perforations in the monopolar loop arm compared to the PK Button arm (12.2% versus 0%, respectively, p = 0.028). There was no difference in overall operative time (p = 0.170), catheterization time (p = 0.709) and disease recurrence (p = 0.199). Conclusion: The results of this study demonstrated no difference between the monopolar loop and PK Button in regard to overall complications; however, there was a higher rate of bladder perforation with monopolar TURBT. PK Button vaporization for bladder tumors represents a promising alternative to traditional monopolar TURBT without compromising short term (3 month) cancer recurrence rates.
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<a href="https://www.ncbi.nlm.nih.gov/pubmed/31629439" target="_blank" rel="noreferrer noopener">https://www.ncbi.nlm.nih.gov/pubmed/31629439</a>
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Journal Article
2019
Alemozaffar Mehrdad
Canadian Journal Of Urology
Canter Daniel J
Filson Christopher P
Hong Gordon
Journal Article
Lee Grace
Master Viraj A
NEOMED College of Medicine Student
NEOMED Student Publications
November 2019 Update
Ogan Kenneth
Patil Dattatraya