This report focuses on highlights from a poster, oral and mini oral sessions covering from several tracks.”
“According to guidelines published by Kidney Disease: Improving Global Outcomes, patients at risk of acute kidney injury (AKI) should be managed according to their susceptibilities

and exposures. Clinical evaluation of a patient’s risk of acute loss of renal function is of undisputed importance. However, such evaluations can be hindered by the complex presentations of critically ill patients and the lack of methods to detect early kidney damage. In this regard, a tool for diagnosis and stratification of patients at risk of AKI would complement clinical assessments and enable improved therapeutic decision-making. Emerging evidence suggests that 15-20% of patients who do not fulfil current serum-creatinine-based HIF activation consensus criteria

for AKI are nevertheless likely to have acute tubular damage, which is associated with adverse outcomes. This evidence supports reassessment of the concept and evolution of the definition of AKI to incorporate biomarkers of tubular damage.”
“Purpose: To present our experience with the first 10 consecutive cases of laparoendoscopic single-site nephroureterectomy (LESSNU) with bladder cuff excision for upper tract urothelial carcinoma.

Patients and Methods: Ten patients (6 men and 4 women; 6 renal pelvis and 4 ureter) underwent LESSNU by a single surgeon. We made a 4-cm single incision at the umbilicus using a homemade single-port device. The single-port device was made with a surgical glove and Alexis wound retractor. LESSNU was performed by the same technique Selleck SB525334 of conventional laparoscopic NU.

Results: The mean age was 62.79 +/- 7.93 years. The mean total operative time, time for nephrectomy, and time for bladder cuff excision

were 225.63 +/- 65.87, 80.00 +/- 29.03, and 145.63 +/- 42.63 minutes. The mean estimated blood loss was 187.50 +/- 83.45 mL. On surgical pathologic examination, four patients were pT(1)N(0), four patients https://www.selleckchem.com/products/17-DMAG,Hydrochloride-Salt.html were pT(2)N(0), one patient was pT(3)N(0), and one patient was pT(3)N(2). There was one positive surgical margin in a pT(3)N(2) patient. The mean number of lymph nodes dissected was 2.5 (range 0-9). One incision extension was performed because of complete renal hilar lymphadenectomy by open technique (for the pT(3)N(2) patient), and one open conversion with a Gibson incision was performed because of severe adhesions around the distal ureter (the pT(3)N(0) patient). There were one case of transient ileus and one of fever that were improved with conservative treatment. The mean hospital stay was 4.75 +/- 3.37 days. Eight patients who underwent LESSNU successfully were satisfied with their operations.

Conclusions: LESSNU for upper urinary tract urothelial carcinoma seems to be feasible and safe, but it is still challenging for advanced cases.