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  • Open Access

    ARTICLE

    Surgical Correction of Coronary Artery Ectasia Combining Congenital Coronary Artery Fistula

    Yulin Wang1,#, Ye Yang1,#, Limin Xia1,3, Wenjun Ding1, Qiang Ji1,*, Chunsheng Wang2,*

    Congenital Heart Disease, Vol.16, No.1, pp. 95-106, 2021, DOI:10.32604/CHD.2021.014276 - 23 December 2020

    Abstract Background: Coronary artery ectasia (CAE) complicated with concomitant congenital coronary artery fistula (CCAF) is rare. This study characterizes the clinical characteristics of CAE combining CCAF, and reports a single-institution experience with surgical correction of CAE combining CCAF. Methods: A total of 24 symptomatic patients (8 males, median 52.5 years old) who underwent surgical correction of CAE combining CCAF in this center were reviewed. Based on the size of ectatic segment, the CAE were classified as a giant CAE (>20 mm, n = 14) and a non-giant CAE (≤20 mm, n = 10). Individualized surgical approaches were… More >

  • Open Access

    ARTICLE

    Preoperative echocardiographic measures in interrupted aortic arch: Which ones best predict surgical approach and outcome?

    Ginnie Abarbanell1, William L. Border2, Brian Schlosser2, Gemma Morrow2, Michael Kelleman2, Ritu Sachdeva2

    Congenital Heart Disease, Vol.13, No.3, pp. 476-482, 2018, DOI:10.1111/chd.12599

    Abstract Objective: It is unclear whether neonates with interrupted aortic arch (IAA) and a smaller left ventricular outflow tract may have improved outcomes with a Yasui operation (ventricular outflow bypass procedure) over a primary complete repair. This study sought to identify preoperative echocardiographic parameters to differentiate which neonates may have improved outcomes with a primary vs Yasui operation.
    Design: Patient demographics, cardiac surgery type, complications, need for reoperation and/or interventional catheterization, and date of last follow-up were collected on neonates who underwent a biventricular repair for IAA from 2003 to 2014. Preoperative echocardiograms were analyzed for: IAA type,… More >

  • Open Access

    ARTICLE

    Adrenalectomy for benign and malignant disease: utilization and outcomes by surgeon specialty and surgical approach from 2003-2013

    Izak Faiena1, Alexandra Tabakin1, Jeffrey Leow2, Neal Patel1, Parth K. Modi1, Amirali H. Salmasi1, Benjamin I. Chung3, Steven L. Chang2, Eric A. Singer1

    Canadian Journal of Urology, Vol.24, No.5, pp. 8990-8997, 2017

    Abstract Introduction: Data on the utilization of open, laparoscopic and robotic adrenalectomy on a national level is limited.
    Materials and methods: Data on patients who underwent open, laparoscopic, or robotic adrenalectomy for benign or malignant disease in the US from 2003-2013 were extracted using ICD-9 codes from the Premier Hospital Database. Surgeon specialty, patient demographics, hospital characteristics, and complications were compared. Data were analyzed using univariate and multivariable logistic regression analyses.
    Results: A total of 8,831 adrenalectomies were performed for benign and malignant tumors. There was no significant difference in rate of adrenalectomy with regards to comorbidities, insurance status,… More >

  • Open Access

    MINIMALLY INVASIVE AND ROBOTIC SURGERY

    An obese body habitus does not preclude a minimally invasive partial nephrectomy

    Christopher Reynolds, Michael Hannon, Kathleen Lehman, Lewis E. Harpster, Jay D. Raman

    Canadian Journal of Urology, Vol.21, No.1, pp. 7145-7149, 2014

    Abstract Introduction: Partial nephrectomy (PN) via open or minimally invasive (MI) techniques is the referent standard for managing renal cell carcinoma (RCC) whenever possible. Outcomes of MIPN in the obese patient population are incompletely defined. We investigate the feasibility of MIPN in obesity class I-III patients via comparison of surgical outcomes to those with a lower body mass index (BMI).
    Materials and methods: The electronic medical records of 184 consecutive patients undergoing MIPN via laparoscopic (n = 109) or robotic (n = 75) techniques were reviewed. Patients were classified into the following patient cohorts stratified by BMI:… More >

  • Open Access

    MINIMALLY INVASIVE AND ROBOTIC SURGERY

    Preoperative predictors of surgical approach for partial nephrectomy

    Jay D. Raman1,3, Benjamin Smith2, Jamie Messer1, Thomas J. Rohner1, Lewis E. Harpster1, Carl T. Reese1

    Canadian Journal of Urology, Vol.18, No.5, pp. 5896-5902, 2011

    Abstract Introduction: To evaluate preoperative parameters of patients undergoing partial nephrectomy to determine variables that impact selection of operative approach.
    Materials and methods: The charts of 229 consecutive patients undergoing partial nephrectomy were reviewed. Clinical data points and associated axial imaging were evaluated to determine factors which contributed to selection of an open (versus laparoscopic) operation.
    Results: A total of 140 men and 89 women with a mean age of 57 years, body mass index (BMI) of 31, and glomerular filtration rate (GFR) of 82 mL/min/1.73 m2 were included. Twenty-three percent of patients had prior abdominal surgery and 7% had… More >

  • Open Access

    REVIEW

    Straightening out Peyronie’s: a medical and surgical approach to the patient

    J. C. Trussell, James C. Brien

    Canadian Journal of Urology, Vol.15, No.3, pp. 4047-4055, 2008

    Abstract Purpose: Peyronie's disease is characterized by plaque formation within the tunica albuginea of the penile corpora cavernosa. The exact etiology of Peyronie's is uncertain at this time, and multiple treatment options exist. Following a literature review, a treatment algorithm has been developed to streamline decisions for both medical and surgical intervention.
    Methods: A review of the Medline literature published between 1940 and 2008 was performed looking at the history, pathophysiology, medical and surgical treatments for Peyronie's disease.
    Results: The current standard is to treat Peyronie's with expectant medical management or by adding oral, topical, or injected medicines to… More >

  • Open Access

    RESIDENT’S CORNER

    Surgical approach of giant testicular cancer. Case report and literature review

    Mana Al-Assiri, Zorn Kevin, Saleh Binsaleh, Peter T. K. Chan

    Canadian Journal of Urology, Vol.12, No.1, pp. 2557-2559, 2005

    Abstract Testicular cancer, which generally presents as a scrotal mass of variable sizes, is amongst the most common malignancies in men in the 15- to 35- year age group. A high inguinal orchiectomy is the standard approach for removal of a scrotal mass suspicious of being malignant. A recent report described a combined use of an inguinal incision, for early clamping of the spermatic cord, and a scrotal incision for orchiectomy of a large size testicular seminoma.1 We hereby report a case of a large size testis cancer removed using a single oblique inguinoscrotal incision. This More >

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