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Biomedical subjects

C J Robson

Publications and source records attributed to C J Robson.

At least 19 recordsLinked to original sources
PubMed1982

Results of radical thoraco-abdominal nephrectomy in the treatment of renal cell carcinoma.

A series of 162 cases of renal cell carcinoma treated by radical thoraco-abdominal nephrectomy is presented, together with the three, five and ten year survival. The increase in survival rate is probably due to three factors. 1) Early ligation of the renal artery and vein. 2) Complete removal of the perinephric envelope. 3) Surgical extirpation of the lymphatic field. Prognosis in renal cell carcinoma is directly related to the stage and grade of the tumour and as yet nephrectomy offers the only hope of cure.

Abdomen↗
PubMed1979

Surgical treatment of carcinoma of the prostate.

Prostatic cancer kills more men than any other malignant condition except that arising from the lung. "Cancer Therapy: Prognostic Factors and Criteria of Response" predicted that there would be approximately 17 500 deaths due to this disease in the United States in 1978. Surgery is only applicable in stages A and B, when the tumour, as shown by various tests, such as measurement of the acid phosphatase value, technetium scanning and radioimmunoassay, is confined to the prostate. Ideally, the lymph glands along the iliac and obturator vessels should first be removed and quick-sectioned. If malignant cells are found in the lymph glands, the disease is considered surgically incurable and the procedure should be abandoned. If, however, the glands are disease free, a total prostatovesiculectomy should be carried out. The author also discusses the place of palliative surgery, such as transurethral resection, in the treatment of cancer of the prostate.

Carcinoma↗
PubMed1977

Traumatic rupture of the supramembranous urethra.

We reviewed 38 patients treated by an immediate realignment of the urethra after a traumatic rupture by urethrography, panendoscopy and clinical assessment. Of these 38 patients 19 have not required urethral dilatation for 4 years or more and 26 for 2 years or more, thus accomplishing with 1 operation satisfactory urinary tract function without stricture. We believe that an immediate repair offers the best results to patients with minimum surgical procedures insofar as the formation of strictures is concerned. Evaluation of the interference with potency will have to await further study.

Endoscopy↗
PubMed1976

Crossed renal ectopia with colic. A clinical clue to embryogenesis.

A clinicopathologic correlation of 2 patients with crossed renal ectopia presenting with ureteric colic and 4 cases collected from the literature is presented. The correlation serves to reaffirm the theory of ureteral and not renal, migration as the primary aberration resulting in this defect.

Adult↗
PubMed1976

Motion picture: transpubic total prostatectomy.

The transpubic approach for total prostatectomy is ideal in cases involving small glands that have been resected and reported as stage A tumors. The approach also is ideal for stage B1 and B2 tumors. It allows great ease in the osmosis of the bladder to the urethra and dissection of the lymph nodes in the obturator and iliac areas.

Humans↗
PubMed1975

The surgical approach to Peyronie's disease.

Seven patients with Peyronie's disease were treated by surgical exposure of the fibrous plaque and dermo-jet injection of steroids into the plaque under direct vision. Relief of pain was obtained in 2 of 3 patients and curvature was only moderately improved i 2 of 7 patients. One of 4 patients who were unable to perform coitus because of the curvature noted improvement after the injections. The low rate of response in this small series of patients would suggest that there is no additional benefit in the use of the dermo-jet over percutaneous injection of the plaques. The latter procedure can be performed more easily on a repeated basis over a longer period. Two patients whose plaques were excised and repalced by a dermal inlay graft have had a good response to treatment and it would appear that this technique is useful for the patient who has failed to respond to conservative measures and who is significantly disabled by the disease.

Adult↗