Although the traditional approach to prostate cancer has been to target the entire gland, Cleveland Clinic has offered focal cryotherapy on a very limited basis since 2005 for men with low-risk disease who understand the implications of all treatment options.
Development of postoperative acute renal failure (ARF) increases the mortality after cardiac surgery to 50%. Previous attempts at therapeutic interventions have failed, and the survival rate associated with ARF remains dismal.
A multidisciplinary consortium of 28 surgeons from the United States and around the world convened for a one-day closed-door brainstorming meeting at Cleveland Clinic on July 7. The consortium’s goal was to establish an approach to advance responsibly the rapidly growing field of single-portal laparoscopic surgery.
The recently developed single-port, multichannel access approach to urologic surgery may allow many common laparoscopic and robotic procedures to be performed entirely through the patient’s umbilicus, enabling essentially scarless abdominal surgery. To date, Cleveland Clinic has performed 115 single-port laparoscopic procedures for various indications.
Most patients with end-stage renal disease (ESRD) depend on hemodialysis and suffer excessive mortality and morbidity. Kidney failure is becoming an epidemic in the United States, fueled by diabetes, obesity and, paradoxically, improved cardiac care.
A year and a half ago, Cleveland Clinic’s Glickman Urological Institute and Nephrology Department joined to form the Glickman Urological & Kidney Institute. Merging urologists, nephrologists, kidney and pancreas transplant surgeons, hypertension specialists, dialysis physicians, and scientists into one group was part of an institution-wide movement at Cleveland Clinic that organized clinical areas around organ and disease systems rather than individual specialties.
Surgeons at the Cleveland Clinic’s Glickman Urological and Kidney Institute completed their 1,000th laparoscopic partial nephrectomy (LPN) on Aug.7, making their experience with the procedure the most extensive in the world.