The retrieved central lymph node quantity had been 11.2±6.1 (range 1 to 44),and the retrieved lateral lymph node number was 14.0±8.8 (range 1 to 52). Postoperative transient hypoparathyroidism and singing cord palsy happened in 247(24.70%) and 56(5.60%) cases. Each of permanent hypoparathyroidism and singing cord palsy took place 2 (0.20%) instances. Various other surgical complications included chyle leakage (6.1%, 28/460), trachea injury (0.40%, 4/1 000), carotid artery injury (0.10%, 1/1 000). Local regional lymph node recurrence originated in 4 clients. All customers had been pleased with the postoperative aesthetic outcomes. Conclusions Robotic thyroidectomy by BABA is safe and effective, appropriate huge harmless tumors and early thyroid types of cancer with central or horizontal lymph node metastasis. It may get superior cosmetic results.Objective To examine the medical application effects of two-complex and one-plane way of the renal artery dissected location in transperitoneal laparoscopic radical nephrectomy(LRN). Practices medical information of patients diagnosed as renal cyst between January 2016 and December 2019 that addressed with transperitoneal LRN as well as the two-complex and one-plane technique had been performed to locate and dissect the renal arteries had been examined retrospectively. A complete of 206 qualified patients were enrolled, included 71 situations from Kaifeng Central Hospital and 135 cases through the First Affiliated Hospital of Zhengzhou University. There have been 126 males and 80 females with median chronilogical age of 54 years (range 35 to 82 many years). Renal tumor existed at left kidney in 102 instances and at the best in 104 situations, with a maximum tumor diameter of (6.8±2.5)cm (range 3.0 to 12.7 cm). Throughout the procession of transperitoneal LRN, The genital veins was followed to locate renal veins, quickly the renal vein complex and renal lower pole complex and poas major muscle tissue jet that may apply to find various anatomical position types of renal artery in transperitoneal LRN effectively. The just application of two-complex and one-plane technique that could shorten the operational time of renal artery location and minimize the complications of vascular damage.Objective To analyze the safety and complications of two types of establishing retroperitoneal hole in urology. Methods absolutely 83 patients undergoing retroperitoneal laparoscopic surgery in Department of Urology, Shanxi Bethune Hospital from January 2020 to Summer 2021 were analyzed retrospectively. There were selleck chemicals llc 47 men and 36 females, aged (48.3±11.3) years (range 35 to 71 years). Forty-three instances in Hasson group(the initial Trocar channel was chosen at the junction of the twelfth rib therefore the posterior axillary line or lumbar triangle), 40 cases in changed Hasson group(the first Trocar channel is chosen at 1.5 cm above the iliac crest from the mid-axillary range). The t test, χ² test, and Fisher precise test were utilized to compare the surgical safety indicators and problems for the two groups of customers. Results there clearly was no analytical distinction between the two teams in sex, age, body size sequential immunohistochemistry index, waist length, and level (P>0.05). The comparison of safety indicators, included the time from epidermis cut to organization for the retroperitoneal cavity and the quantity of bleeding from the cavity had been statistical difference between the 2 groups (P less then 0.05). In comparison to that in Hasson group, enough time from epidermis incision to organization for the stomach hole in modified Hasson group ended up being Emergency medical service faster ((8.56±2.64) minutes vs. (5.32±1.36) minutes, t=6.949, P less then 0.01), the blood loss of establishment was less ((15.32±6.09) ml vs. (9.85±3.55) ml, t=4.951, P less then 0.01). In terms of problem signs, the occurrence of Trocar hernia in addition to range subcutaneous emphysema in modified Hasson group had been lower than that in Hasson group (20.9per cent (9/43) vs. 2.5% (1/40), P=0.015, 18.6% (8/43) vs. 2.5% (1/40), P=0.030). Conclusions The modified Hasson group is a safe method of developing retroperitoneal hole. The technique is not difficult and fast. It offers urologists with an even more efficient and easy-to-implement choice with a lot fewer complications.Objective To analyze the end result of robotic assisted laparoscopic radical prostatectomy with various approaches on very early postoperative effects. Practices completely 44 clients (average age of 65.9 many years, range 46 to 81 many years) underwent robotic assisted laparoscopic radical prostatectomy by a single operator at Department of Urology, Peking Union Medical Collage Hospital from March 2018 to March 2020 had been retrospectively examined. The mean age had been 65.9 many years (range 46 to 81 many years), including 24 instances into the anterior bladder approach group (anterior strategy group) and 20 instances into the posterior kidney strategy team (posterior strategy group). The preoperative medical data, perioperative associated data and postoperative urinary control data recovery had been compared between the two teams by t test, χ2 test or Fisher exact test. Leads to regards to medical information, there was clearly no difference in age, prostate volume, preoperative prostate specific antigen and Gleason score(all P>0.05). There was no significant difference between opeterm postoperative urinary control.Objective To examine the medical features and prognostic worth of TP53 mutation in circulating cyst DNA(ctDNA) of Chinese prostate cancer clients. Techniques A prospective cohort of 239 prostate cancer patients diagnosed when you look at the division of Urology, Fudan University Shanghai Cancer Center from might 2018 to June 2019 was included. Age of diagnosis was(65.4±7.6) years(range 45 to 85 many years). Medical data had been gathered from patient diagnosis and treatment files along with follow-up studies. TP53 mutations in plasma were recognized by target sequence capture and second-generation sequencing. The partnership between TP53 mutation status and progression-free survival(PFS) was reviewed in clients just who got any therapy outlines.