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Query: UMLS:C0033377 (prolapse)
 11,717 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Due to the considerable progress made by instrumental total body diagnostics (ECO, CAT, RMN, angiography, etc.) in recent years heart surgery has increasingly often been used to treat pathologies which are not primarily cardiac but which see the involvement of the heart and large vessels in the advanced stages of cancer and non-cancer diseases of other organs or apparatus. This is the case of malignant renal or adrenal tumours which infiltrate along the caval lumen until they reach the right atrium. In these cases caval and atrial involvement must be seen as a prolapse of the tumour and not a long-distance metastasis: prognosis only appears to be linked to the hemodynamic impairment caused by the obstacle to systemic lower venous drainage. On the bases of this observation radical surgery may be justified at a renal, caval and cardiac level. The authors report their preliminary experience in 6 patients with renal cancer (4 renal carcinoma, 1 Wilm's tumour, 1 adrenal carcinoma) who underwent combined surgery, in a single stage, involving enlarged nephrectomny and caval and atrial thrombectomy, the latter performed in profound hypothermia and cardiocirculatory arrest. Two patients died later and 4 are living, in good condition and with perviousness of the lower caval venous drainage. Similar to other analogous experience reported in the literature, the authors suggest taking a combined approach performed in a single stage into consideration for these patients.
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PMID:[Neoplastic caval and intracardiac thrombosis secondary to reno-adrenal tumors. One-stage surgical treatment in deep hypothermia and cardiocirculatory arrest]. 797 82

The modern-day urologist is continually armed with new instruments and technology aimed at decreasing the overall invasiveness of urologic procedures. Robotic technology is aimed at improving clinical outcomes by correcting human technical inadequacies such as hand tremors and imprecise suturing. The first reported use of robotics to assist with surgery was in 1985, and the first use of robotics in urology was published in 1989. The currently utilized master-slave system (da Vinci Robotic Platform), Intuitive Surgical, Sunnyvale, CA) has popularized robotic surgery for use in numerous urologic conditions including prostate cancer, bladder cancer, renal cancer, uretero-pelvic junction obstruction, and pelvic prolapse. New developments in robotic technology may revolutionize many other aspects of urology including percutaneous renal access and rounding on patients after surgery. This review provides a brief overview of the history of robotics in urology, a description of the da Vinci surgical system and its current utilization as well as limitations, and a review of evolving robotic technology in the field of urology.
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PMID:Robotics in urology: past, present, and future. 1841 24

Blepharoptosis is the drooping or inferior displacement of the upper eyelid. Blepharoptosis can be either congenital or acquired. Tumour metastasis is one of the acquired causes of blepharoptosis. The lungs, locoregional lymph nodes, bone and liver are the usual sites of metastases of renal cell carcinoma (RCC); however, unusual locations of RCC have also been reported. Herein, we describe a case of a 47-year-old man with unilateral ptosis and blurred vision due to metastatic RCC. We describe the different causes of blepharopstosis, the path that led to the diagnosis, and how RCC can metastasize to unusual anatomical regions such as the orbit. Symptoms such as exophthalmos, lid edema, diplopia, ptosis, cranial nerve paralysis or blurred vision may mime a benign disease; however, they could also be the symptoms of a systemic malignancy.
J Kidney Cancer VHL 2016
PMID:Unilateral Blepharoptosis from Renal Cell Carcinoma. 2832 82