Search

Your search keyword '"Andrew, Harbin"' showing total 2 results
Start Over Author "Andrew, Harbin" Language english
2 results on '"Andrew, Harbin"'

1. Renal Cell Carcinoma Metastasis from Biopsy Associated Hematoma Disruption during Robotic Partial Nephrectomy

Author

Christopher Caputo, Ziho Lee, Andrew Harbin, and Daniel Eun

Subjects
Diseases of the genitourinary system. Urology, RC870-923
Abstract

We describe a case in which a patient with a past medical history of ovarian cancer received a diagnostic renal biopsy for an incidentally discovered renal mass. During left robotic partial nephrectomy (RPN), a perinephric hematoma was encountered. The hematoma was not present on preoperative imaging and was likely a result of the renal biopsy. The renal cell carcinoma (RCC) and the associated hematoma were widely excised with negative surgical margins. On follow-up imaging at five months postoperatively, a recurrent renal mass at the surgical resection bed and several new nodules in the omentum were detected. During completion left robotic total nephrectomy and omental excision, intraoperative frozen sections confirmed metastatic RCC. We believe that a hematoma seeded with RCC formed as a result of the renal biopsy, and subsequent disruption of the hematoma during RPN caused contamination of RCC into the surrounding structures.

Published
2014
Full Text
View/download PDF

2. Perioperative outcomes of robotic and laparoscopic simple prostatectomy : a European-American multi-institutional analysis

Author

Humberto Laydner, David D. Thiel, David Champ Weeks, Hakan Vuruşkan, Giovannalberto Pini, Gaetano Gallo, J. Kellogg Parsons, Jonathan Hwang, James C. Jensen, Gokhan Koc, Edward E. Cherullo, Keith J. Kowalczyk, Monish Aron, Alexander Mottrie, Wilson R. Molina, Jihad H. Kaouk, Octavio A. Castillo, Riccardo Autorino, Piotr Chlosta, Homayoun Zargar, Anup Vora, Rafael Sanchez-Salas, Luciano A Nunez Bragayrac, Francesco Porpiglia, Mirandolino B. Mariano, Ottavio De Cobelli, Mikael Lagerkvist, Alessandro Volpe, Nic Muruve, Emanuel Dias, Estevão Lima, Georges-Pascal Haber, Sameer Chopra, Matteo Ferro, Xavier Cathelineau, Deliu Victor Matei, Vipul R. Patel, Antonio Celia, Nishant Patel, Wesley M. White, John H. Lynch, Ithaar Derweesh, Josh Nething, Daniele Amparore, Gaurav Bandi, Youness Ahallal, Ioannis M. Varkarakis, Mohan Verghese, Fernando J. Kim, Ryan Spier, Srinivas Samavedi, Andrew Harbin, Douglas E. Sutherland, Rene Sotelo, Autorino, Riccardo, Zargar, Homayoun, Mariano, Mirandolino B., Sanchez-Salas, Rafael, Sotelo, René J., Chlosta, Piotr L., Castillo, Octavio, Matei, Deliu V., Celia, Antonio, Koc, Gokhan, Vora, Anup, Aron, Monish, Parsons, J. Kellogg, Pini, Giovannalberto, Jensen, James C., Sutherland, Dougla, Cathelineau, Xavier, Bragayrac, Luciano A. Nunez, Varkarakis, Ioannis M., Amparore, Daniele, Ferro, Matteo, Gallo, Gaetano, Volpe, Alessandro, Vuruskan, Hakan, Bandi, Gaurav, Hwang, Jonathan, Nething, Josh, Muruve, Nic, Chopra, Sameer, Patel, Nishant D., Derweesh, Ithaar, Weeks, David Champ, Spier, Ryan, Kowalczyk, Keith, Lynch, John, Harbin, Andrew, Verghese, Mohan, Samavedi, Sriniva, Molina, Wilson R., Dias, Emanuel, Ahallal, Youne, Laydner, Humberto, Cherullo, Edward, De Cobelli, Ottavio, Thiel, David D., Lagerkvist, Mikael, Haber, Georges-Pascal, Kaouk, Jihad, Kim, Fernando J., Lima, Estevao, Patel, Vipul, White, Wesley, Mottrie, Alexander, and Porpiglia, Francesco

Subjects
United State, Adenoma, Male, medicine.medical_specialty, Robotic Surgical Procedure, medicine.medical_treatment, Urology, Prostatic Hyperplasia, Outcomes, Adenocarcinoma, Cohort Studies, Bladder outlet obstruction, Postoperative Complications, Robotic Surgical Procedures, Retrospective Studie, medicine, Humans, Robotic surgery, Laparoscopy, Outcome, Aged, Retrospective Studies, Prostatectomy, Benign prostatic hyperplasia, medicine.diagnostic_test, business.industry, General surgery, Urinary bladder neck obstruction, Prostate, Prostatic Neoplasms, Retrospective cohort study, Perioperative, Organ Size, Middle Aged, medicine.disease, United States, Europe, Urinary Bladder Neck Obstruction, Prostatic Neoplasm, Simple prostatectomy, Postoperative Complication, Cohort Studie, business, Human
Abstract

Background: Laparoscopic and robotic simple prostatectomy (SP) have been introduced with the aim of reducing the morbidity of the standard open technique. Objective: To report a large multi-institutional series of minimally invasive SP (MISP). Design, setting, and participants: Consecutive cases of MISP done for the treatment of bladder outlet obstruction (BOO) due to benign prostatic enlargement (BPE) between 2000 and 2014 at 23 participating institutions in the Americas and Europe were included in this retrospective analysis. Intervention: Laparoscopic or robotic SP. Outcome measurements and statistical analysis: Demographic data and main perioperative outcomes were gathered and analyzed. A multivariable analysis was conducted to identify factors associated with a favorable trifecta outcome, arbitrarily defined as a combination of the following postoperative events: International Prostate Symptom Score 15 ml/s, and no perioperative complications. Results and limitations: Overall, 1330 consecutive cases were analyzed, including 487 robotic (36.6%) and 843 laparoscopic (63.4%) SP cases. Median overall prostate volume was 100 ml (range: 89-128). Median estimated blood loss was 200 ml (range: 150-300). An intraoperative transfusion was required in 3.5% of cases, an intraoperative complication was recorded in 2.2% of cases, and the conversion rate was 3%. Median length of stay was 4 d (range: 3-5). On pathology, prostate cancer was found in 4% of cases. Overall postoperative complication rate was 10.6%, mostly of low grade. At a median follow-up of 12 mo, a significant improvement was observed for subjective and objective indicators of BOO. Trifecta outcome was not significantly influenced by the type of procedure (robotic vs laparoscopic; p = 0.136; odds ratio [OR]: 1.6; 95% confidence interval [CI], 0.8-2.9), whereas operative time (p = 0.01; OR: 0.9; 95% CI, 0.9-1.0) and estimated blood loss ( p = 0.03; OR: 0.9; 95% CI, 0.9-1.0) were the only two significant factors. Retrospective study design, lack of a control arm, and limited follow-up represent major limitations of the present analysis. Conclusions: This study provides the largest outcome analysis reported for MISP for BOO/BPE. These findings confirm that SP can be safely and effectively performed in a minimally invasive fashion in a variety of healthcare settings in which specific surgical expertise and technology is available. MISP can be considered a viable surgical treatment in cases of large prostatic adenomas. The use of robotic technology for this indication can be considered in centers that have a robotic program in place for other urologic indications. Patient summary: Analysis of a large data set from multiple institutions shows that surgical removal of symptomatic large prostatic adenomas can be carried out with good outcomes by using robot-assisted laparoscopy.

Published
2015

Catalog

Books, media, physical & digital resources
See catalog results