Javier González1, Jeffrey J Gaynor2, Mahmoud Alameddine2,3, Gaetano Ciancio2,3. 1. Servicio de Urología, Hospital Central de la Cruz Roja San José y Santa Adela, Avda. de Reina Victoria, 22-26, 28003, Madrid, Spain. fjgg1975@yahoo.com. 2. Miami Transplant Institute, Department of Surgery, University of Miami Miller School of Medicine and Jackson Memorial Hospital, Miami, FL, USA. 3. Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA.
Abstract
PURPOSE OF REVIEW: The techniques derived from abdominal transplant surgery have become a major actor in recent surgical evolution by providing a more optimal solution for urologic malignancies hosted in the upper abdomen. To describe in detail the objectives, rationale, relevant milestones, and surgical maneuvers of the so-called transplant techniques as applied to complex urologic oncology cases. RECENT FINDINGS: The transplant-based surgical approach aims to decrease perioperative complications by improving tumor accessibility and field visibility through an enhanced exposure (via the use of a transverse incision, a specific retractor, and specific surgical maneuvers). A sequence of milestones inspired these advances, which finally brought the technique into maturation. The transplant-based approach has demonstrated its safety and usefulness even in the low-volume practice of more complicated urologic oncology, offering protection against the occurrence of perioperative adverse events and placing us at the gates of a new stage of surgical innovation.
PURPOSE OF REVIEW: The techniques derived from abdominal transplant surgery have become a major actor in recent surgical evolution by providing a more optimal solution for urologic malignancies hosted in the upper abdomen. To describe in detail the objectives, rationale, relevant milestones, and surgical maneuvers of the so-called transplant techniques as applied to complex urologic oncology cases. RECENT FINDINGS: The transplant-based surgical approach aims to decrease perioperative complications by improving tumor accessibility and field visibility through an enhanced exposure (via the use of a transverse incision, a specific retractor, and specific surgical maneuvers). A sequence of milestones inspired these advances, which finally brought the technique into maturation. The transplant-based approach has demonstrated its safety and usefulness even in the low-volume practice of more complicated urologic oncology, offering protection against the occurrence of perioperative adverse events and placing us at the gates of a new stage of surgical innovation.
Authors: J Moon; E Island; D Weppler; T Kato; A Tekin; G Selvaggi; N Nakamura; P Ruiz; S Nishida; D Levi; P Martin; E Schiff; A G Tzakis Journal: Clin Transpl Date: 2007