Browsing by Author "AUTORINO, R."
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- Emergency ureteroscopic management of ureteral stones: why not?Publication . OSORIO, L.; LIMA, E.; SOARES, J.; AUTORINO, R.; VERSOS, R.; LHAMAS, A.; MARCELO, F.Urology. 2007 Jan;69(1):27-31; discussion 31-3. Emergency ureteroscopic management of ureteral stones: why not? Osorio L, Lima E, Soares J, Autorino R, Versos R, Lhamas A, Marcelo F. Department of Urology, Santo Antonio General Hospital, Oporto, Portugal. luis_osorio@netcabo.pt Abstract OBJECTIVES: To describe a single-center experience in the emergency ureteroscopic management of ureteral stones. METHODS: We retrospectively considered the data from 144 patients (mean age 49.6 years, range 23 to 82) who had had obstructive ureteral stones and had undergone emergency ureteroscopy with stone retrieval. Intracorporeal pneumatic lithotripsy was performed when necessary. At the end of the procedure, a ureteral catheter was systematically left in place in 100 patients (69.4%) and removed within 24 hours. In the remaining 44 patients, a double-J stent was preferred and was removed within 30 days, depending on the clinical course. Stone-free status was defined as the complete absence of fragments at 1 month of follow-up. RESULTS: The calculi were more frequently localized in the distal ureter than in the proximal one (90.3% versus 9.7%, respectively). The overall mean stone diameter was 9.1 mm (range 5 to 20). The overall stone-free rate was 92.4%. A greater stone-free rate was obtained in those with stones less than 10 mm (95.8%) than in those with stones larger than 10 mm (89%, P = 0.002). Similarly, a significantly better outcome occurred for those with stones located in the distal ureter (94.6%) than for those with stones in the proximal one (71.4%, P = 0.004). The overall complication rate was 4.2%. The mean hospital stay was 2.5 days (range 1 to 7). CONCLUSIONS: In our experience, emergency ureteroscopy in cases of obstructive ureteral stones proved to be safe and effective. It has the main advantage of offering both immediate relief from pain and stone fragmentation. Additional extensive studies are warranted to corroborate these findings. PMID: 17270606 [PubMed - indexed for MEDLINE
- Transperitoneal laparoscopic adrenalectomy: initial experiencePublication . PALACIOS, A.; LIMA, E.; MASSO, P.; VERSOS, R.; AUTORINO, R.; RAMOS, M.; SOARES, J.; MARCELO, F.Arch Esp Urol. 2006 Nov;59(9):893-7. [Transperitoneal laparoscopic adrenalectomy: initial experience] [Article in Spanish] Palacios A, Lima E, Massó P, Versos R, Autorino R, Ramos M, Soares J, Marcelo F. Servicio de Urología, Hospital Geral de Santo António, Porto, Portugal. aphmmx5@hotmail.com Abstract OBJECTIVES: Since the first published report in 1992, laparoscopic adrenalectomy has been widespread and it is now accepted as the standard treatment option in most of benign diseases of the adrenal gland. Aim of the present study is to describe our initial experience with laparoscopic adrenalectomy. METHODS: Between May 2001 and December 2005, 15 patients were submitted to laparoscopic adrenalectomy for benign diseases of the adrenal gland. We analyzed patients characteristics (sex, age, initial diagnosis), operative and perioperative results (operative time, blood loss, time to first oral intake) and complications. RESULTS: Mean operative time was 143 minutes. Blood loss was minimal. Mean hospital stay was 90 hours. There was no need for open conversion and complication rate was low. CONCLUSIONS: Laparoscopic surgery of the adrenal gland is a safe and effective option which offers quality of life benefits to the patients. PMID: 17190212 [PubMed - indexed for MEDLINE