Feasibility of Robotic-Assisted Laparoscopic Nephroureterectomy in Left Ventricular Assist Device Patient

Left ventricular assist devices (LVADs) have revolutionized management options for patients with advanced heart failure. It is not uncommon for patients treated with these devices to present with noncardiac surgical conditions including urologic problems. Maintaining perioperative hemodynamic and he...

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Main Authors: Tariq A. Khemees, Ahmad Shabsigh
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2012/282680
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author Tariq A. Khemees
Ahmad Shabsigh
author_facet Tariq A. Khemees
Ahmad Shabsigh
author_sort Tariq A. Khemees
collection DOAJ
description Left ventricular assist devices (LVADs) have revolutionized management options for patients with advanced heart failure. It is not uncommon for patients treated with these devices to present with noncardiac surgical conditions including urologic problems. Maintaining perioperative hemodynamic and hematologic stability is a special challenge. The minimally invasive surgery provides well-documented advantages over the open approach including a less operative blood loss and faster convalescence. In carefully selected patients, robotic-assisted surgery can be utilized in the management of patients with complex urologic diseases in a dire need for these benefits. We present the first case of robotic-assisted laparoscopic nephroureterectomy (RANU) with retroperitoneal lymph node dissection for upper tract transitional cell carcinoma (TCC) in a patient treated with LVAD.
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spelling doaj-art-da4516a0f2784c0f882efee69f560e062025-02-03T01:07:04ZengWileyCase Reports in Urology2090-696X2090-69782012-01-01201210.1155/2012/282680282680Feasibility of Robotic-Assisted Laparoscopic Nephroureterectomy in Left Ventricular Assist Device PatientTariq A. Khemees0Ahmad Shabsigh1Department of Urology, The Ohio State University Wexner Medical Center, Columbus, OH 43212, USADepartment of Urology, The Ohio State University Wexner Medical Center, Columbus, OH 43212, USALeft ventricular assist devices (LVADs) have revolutionized management options for patients with advanced heart failure. It is not uncommon for patients treated with these devices to present with noncardiac surgical conditions including urologic problems. Maintaining perioperative hemodynamic and hematologic stability is a special challenge. The minimally invasive surgery provides well-documented advantages over the open approach including a less operative blood loss and faster convalescence. In carefully selected patients, robotic-assisted surgery can be utilized in the management of patients with complex urologic diseases in a dire need for these benefits. We present the first case of robotic-assisted laparoscopic nephroureterectomy (RANU) with retroperitoneal lymph node dissection for upper tract transitional cell carcinoma (TCC) in a patient treated with LVAD.http://dx.doi.org/10.1155/2012/282680
spellingShingle Tariq A. Khemees
Ahmad Shabsigh
Feasibility of Robotic-Assisted Laparoscopic Nephroureterectomy in Left Ventricular Assist Device Patient
Case Reports in Urology
title Feasibility of Robotic-Assisted Laparoscopic Nephroureterectomy in Left Ventricular Assist Device Patient
title_full Feasibility of Robotic-Assisted Laparoscopic Nephroureterectomy in Left Ventricular Assist Device Patient
title_fullStr Feasibility of Robotic-Assisted Laparoscopic Nephroureterectomy in Left Ventricular Assist Device Patient
title_full_unstemmed Feasibility of Robotic-Assisted Laparoscopic Nephroureterectomy in Left Ventricular Assist Device Patient
title_short Feasibility of Robotic-Assisted Laparoscopic Nephroureterectomy in Left Ventricular Assist Device Patient
title_sort feasibility of robotic assisted laparoscopic nephroureterectomy in left ventricular assist device patient
url http://dx.doi.org/10.1155/2012/282680
work_keys_str_mv AT tariqakhemees feasibilityofroboticassistedlaparoscopicnephroureterectomyinleftventricularassistdevicepatient
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