Matches in SemOpenAlex for { <https://semopenalex.org/work/W2089244245> ?p ?o ?g. }
Showing items 1 to 80 of
80
with 100 items per page.
- W2089244245 endingPage "276" @default.
- W2089244245 startingPage "273" @default.
- W2089244245 abstract "Background and Purpose: Nerve-sparing retroperitoneal lymphadenectomy (RPL) is performed in a significant number of patients to preserve ejaculation after treatment for testicular cancer. Identification and preservation of the sympathetic nerves may be challenging. Hydro-Jet technology has been utilized for various surgical applications. A small high-pressure stream of water is used to delineate surgical planes, with preservation of vascular and neural structures. We have examined the utility of this technology for RPL in a porcine model and in human subjects. Materials and Method: A Helix Hydro-Jet device (Erbe, USA) was used for all procedures. A high-pressure water-jet stream is directed through a small nozzle with a 120-μm inner radius for soft-tissue dissection. The upper pressure limit (range 0-2175 psi) is set using a digital monitor. The jet is initiated using a foot pedal, and the actual pressure is monitored. A pressure of 360 to 400 psi was used for experimental studies, which was decreased to 255 to 300 psi for human use. Three pigs underwent RPL using this technique. Subsequently, RPL was performed in five men with testicular cancer, being primary in two and postchemotherapy in three. The primary diagnosis was seminoma in one and non-seminomatous cancer in four. The patient with seminoma had a residual mass after chemotherapy. Results: The procedures were completed successfully in all subjects. There were no intraoperative or postoperative complications. Hydro-Jet dissection permitted tissue selectivity, with preservation of vascular structures and sympathetic nerves. The soft tissue and lymphatics were removed with the high-pressure water stream assisted by blunt dissection. The nerve fibers were grossly resistant to the pressure used and were isolated individually. Dissection around the great vessels appeared to be safe, and no injury was observed with direct application of the jet. Lumbar arteries and veins and accessory vessels could be isolated safely. The estimated blood loss was minimal in animals and 300 to 800 mL in humans. Conclusions: Hydro-Jet dissection demonstrated tissue selectivity using a pressure range of 255 to 300 psi in humans. The vascular structures and sympathetic nerves were preserved. Our initial experience with this device for nerve-sparing RPL is encouraging." @default.
- W2089244245 created "2016-06-24" @default.
- W2089244245 creator A5013406375 @default.
- W2089244245 creator A5040283831 @default.
- W2089244245 creator A5068918881 @default.
- W2089244245 date "2004-04-01" @default.
- W2089244245 modified "2023-09-24" @default.
- W2089244245 title "Nerve-Sparing Retroperitoneal Lymphadenectomy Using Hydro-Jet Dissection: Initial Experience" @default.
- W2089244245 cites W170472323 @default.
- W2089244245 cites W197028108 @default.
- W2089244245 cites W1990867840 @default.
- W2089244245 cites W1992698601 @default.
- W2089244245 cites W1993996372 @default.
- W2089244245 cites W2061497791 @default.
- W2089244245 cites W2131478055 @default.
- W2089244245 cites W4210931803 @default.
- W2089244245 doi "https://doi.org/10.1089/089277904773582895" @default.
- W2089244245 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/15225394" @default.
- W2089244245 hasPublicationYear "2004" @default.
- W2089244245 type Work @default.
- W2089244245 sameAs 2089244245 @default.
- W2089244245 citedByCount "20" @default.
- W2089244245 countsByYear W20892442452012 @default.
- W2089244245 countsByYear W20892442452016 @default.
- W2089244245 countsByYear W20892442452019 @default.
- W2089244245 countsByYear W20892442452021 @default.
- W2089244245 countsByYear W20892442452022 @default.
- W2089244245 countsByYear W20892442452023 @default.
- W2089244245 crossrefType "journal-article" @default.
- W2089244245 hasAuthorship W2089244245A5013406375 @default.
- W2089244245 hasAuthorship W2089244245A5040283831 @default.
- W2089244245 hasAuthorship W2089244245A5068918881 @default.
- W2089244245 hasConcept C121332964 @default.
- W2089244245 hasConcept C121608353 @default.
- W2089244245 hasConcept C126322002 @default.
- W2089244245 hasConcept C141071460 @default.
- W2089244245 hasConcept C2775862295 @default.
- W2089244245 hasConcept C2776212926 @default.
- W2089244245 hasConcept C2776694085 @default.
- W2089244245 hasConcept C2778074268 @default.
- W2089244245 hasConcept C2780824555 @default.
- W2089244245 hasConcept C2994381353 @default.
- W2089244245 hasConcept C56200935 @default.
- W2089244245 hasConcept C71924100 @default.
- W2089244245 hasConcept C97355855 @default.
- W2089244245 hasConceptScore W2089244245C121332964 @default.
- W2089244245 hasConceptScore W2089244245C121608353 @default.
- W2089244245 hasConceptScore W2089244245C126322002 @default.
- W2089244245 hasConceptScore W2089244245C141071460 @default.
- W2089244245 hasConceptScore W2089244245C2775862295 @default.
- W2089244245 hasConceptScore W2089244245C2776212926 @default.
- W2089244245 hasConceptScore W2089244245C2776694085 @default.
- W2089244245 hasConceptScore W2089244245C2778074268 @default.
- W2089244245 hasConceptScore W2089244245C2780824555 @default.
- W2089244245 hasConceptScore W2089244245C2994381353 @default.
- W2089244245 hasConceptScore W2089244245C56200935 @default.
- W2089244245 hasConceptScore W2089244245C71924100 @default.
- W2089244245 hasConceptScore W2089244245C97355855 @default.
- W2089244245 hasIssue "3" @default.
- W2089244245 hasLocation W20892442451 @default.
- W2089244245 hasLocation W20892442452 @default.
- W2089244245 hasOpenAccess W2089244245 @default.
- W2089244245 hasPrimaryLocation W20892442451 @default.
- W2089244245 hasRelatedWork W1975411811 @default.
- W2089244245 hasRelatedWork W1992374325 @default.
- W2089244245 hasRelatedWork W2003091785 @default.
- W2089244245 hasRelatedWork W2025016076 @default.
- W2089244245 hasRelatedWork W2089244245 @default.
- W2089244245 hasRelatedWork W2140607528 @default.
- W2089244245 hasRelatedWork W2153111657 @default.
- W2089244245 hasRelatedWork W2383724718 @default.
- W2089244245 hasRelatedWork W2417566783 @default.
- W2089244245 hasRelatedWork W2924483066 @default.
- W2089244245 hasVolume "18" @default.
- W2089244245 isParatext "false" @default.
- W2089244245 isRetracted "false" @default.
- W2089244245 magId "2089244245" @default.
- W2089244245 workType "article" @default.