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Every measurement provides three kinds of information: the size or magnitude of the measurement (a number), a standard of comparison for the measurement (a unit), and an indication of the uncertainty of the measurement. While the number and unit are explicitly represented when a quantity is written, the uncertainty is an aspect of the errors in the measurement results.
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On comparing the reactivity of silver and lead, it is observed that the two ionic species, Ag+ (aq) and Pb2+ (aq), show a difference in their redox reactivity towards copper: the silver ion undergoes spontaneous reduction, while the lead ion does not. This relative redox activity can be easily quantified in electrochemical cells by a property called cell potential. This property is commonly known as cell voltage in electrochemistry, and it is a measure of the energy which accompanies the charge...
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The identity of a substance is defined not only by the types of atoms or ions it contains but by the quantity of each type of atom or ion. For example, water, H2O, and hydrogen peroxide, H2O2, are alike in that their respective molecules are composed of hydrogen and oxygen atoms. However, because a hydrogen peroxide molecule contains two oxygen atoms, as opposed to the water molecule, which has only one, the two substances exhibit very different properties.
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Enthalpy changes are typically tabulated for reactions in which both the reactants and products are at the same conditions. A standard state is a commonly accepted set of conditions used as a reference point for the determination of properties under other different conditions. For chemists, the IUPAC standard state refers to materials under a pressure of 1 bar and solutions at 1 M and does not specify a temperature. Many thermochemical tables list values with a standard state of 1 atm. Because...
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Direct Drug Delivery to Kidney via the Renal Artery
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[Standard surgery for small renal masses (<4 cm)].

S K Frees1, R Mager2, H Borgmann2

  • 1Klinik und Poliklinik für Urologie und Kinderurologie, Universitätsmedizin Mainz, Langenbeckstr. 1, 55131, Mainz, Deutschland. sebastian.frees@unimedizin-mainz.de.

Der Urologe. Ausg. A
|February 23, 2018
PubMed
Summary

Minimally invasive partial nephrectomy, including robotic approaches, is increasingly used for small renal masses. These techniques may offer benefits over open surgery, with robotic surgery potentially overcoming laparoscopic disadvantages.

Keywords:
Laparoscopic surgical proceduresMinimally invasive surgical proceduresNephrectomy, radicalResectionRobotic surgical procedures

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Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Small renal masses (<4 cm) have new treatment options beyond surgery.
  • Active surveillance and ablative techniques are available, but patient selection is key.
  • Nephron-sparing surgery has replaced radical nephrectomy for small renal masses.

Purpose of the Study:

  • To evaluate the role and outcomes of minimally invasive partial nephrectomy for small renal masses.
  • To compare minimally invasive techniques with open partial nephrectomy.
  • To determine the suitability of robotic partial nephrectomy over laparoscopic approaches.

Main Methods:

  • Review of recent surgical data comparing open, laparoscopic, and robotic partial nephrectomy.
  • Analysis of outcomes including blood loss, ischemia time, operation duration, and renal function.
  • Assessment of current guideline recommendations for surgical management.

Main Results:

  • Minimally invasive partial nephrectomy, particularly robotic, is increasingly adopted.
  • Robotic partial nephrectomy may mitigate disadvantages associated with laparoscopic techniques, such as prolonged ischemia and renal impairment.
  • Benefits like reduced blood loss are observed with minimally invasive approaches.

Conclusions:

  • Minimally invasive partial nephrectomy is a viable alternative to open surgery for small renal masses.
  • Robotic partial nephrectomy shows promise in overcoming laparoscopic limitations.
  • Guidelines support these approaches when surgical expertise is available.