20 research outputs found

    Retroperitoneal Laparoscopic Nephroureterectomy for Tuberculous Nonfunctioning Kidneys: a single-center experience

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    Purpose To present our surgical techniques and experiences of retroperitoneal laparoscopic nephroureterectomy for the treatment of tuberculous nonfunctioning kidneys. Materials and Methods From March 2005 to March 2013, a total of 51 patients with tuberculous nonfunctioning kidney underwent retroperitoneal laparoscopic nephroureterectomy at our medical center. The techniques included early control of renal vessels and dissection of the diseased kidney along the underlying layer outside the Gerato’s fascia. The distal ureter was dissected through a Gibson incision and the entire specimen was removed en bloc from the incision. Patient demographics, perioperative characteristics and laboratory parameters as well as postoperative outcome were retrospectively reviewed. Results Retroperitoneal laparoscopic nephroureterectomy was successfully performed in 50 patients, whereas one case required conversion to open surgery due to non-progression of dissection. The mean operating time was 123.0 minutes (107-160 minutes) and the mean estimated blood loss was 134 mL (80-650 mL).The mean postoperative hospital stay was 3.6 days (3-5days) and the mean return to normal activity was 11.6 days (10-14days). Most intra-operative and post-operative complications were minor complications and can be managed conservatively. After 68 months (12-96 months) follow-up, the outcome was satisfactory, and ureteral stump syndrome did not occur. Conclusions Retroperitoneal laparoscopic nephroureterectomy as a minimally invasive treatment option is feasible for treatment of tuberculous nonfunctioning kidneys

    Understanding Ice Cloud‐Precipitation Properties of Three Modes of Mesoscale Convective Systems During PECAN

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    This study analyzes the precipitation and ice cloud microphysical features of three common modes of linear mesoscale convective systems during the Plains Elevated Convection at Night (PECAN) campaign. Three cases, one for each linear mesoscale convective system archetype (trailing stratiform, leading stratiform, and parallel stratiform precipitation), are selected. We focus primarily on analyzing ice cloud microphysical properties and precipitation rates (PRs) over the classified convective core (CC) and stratiform rain (SR) regions, as well as the two stratiform regions that developed behind (SR1) and ahead (SR2) of the convective line relative to the storm motion. In the three selected cases, the ice water path (IWP) and PR have strong correlations in the CC, but not in the SR. In terms of the temporal evolution of the mean IWPs and PRs, both CC and SR IWPs, as well as CC PRs, reach peaks quickly but take a longer time to dissipate than the increase period. For all the three cases, both SR1 and SR2 IWPs are 20-70% of their corresponding CC values in both the leading stratiform and parallel stratiform cases and up to 95% for the trailing stratiform case, while all of their PRs are only 7-25% of their CC values. These values suggest not only that the SR PRs may depend on IWPs but also that the microphysical properties of ice particles such as habit and size distribution may play an important role. Utilizing cloud-resolving simulations of these systems may provide better understanding of the physical meanings behind the results in the future.Climate Model Development and Validation (CMDV) program - Office of Biological and Environmental Research in the US Department of Energy Office of Science [DE-SC0017015]; NASA CERES project [NNX17AC52G]6 month embargo; first published: 29 March 2019This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at [email protected]
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