Robot-assisted nephroureterectomy for upper tract urothelial carcinoma: The Taiwan Robot Urological Surgery Team (TRUST) experience
Journal
World Journal of Surgical Oncology
Journal Volume
12
Journal Issue
1
Pages
219
Date Issued
2014
Author(s)
Abstract
Background: To report Taiwan's experience in robot-assisted laparoscopic nephroureterectomy (RANU) for upper tract urothelial carcinoma (UTUC).Methods: Twenty patients with a diagnosis of renal pelvic or ureteral urothelial carcinoma underwent RANU at three medical centers. We performed RANU by re-docking the robot after the nephrectomy with or without repositioning for excision of the distal ureter and bladder cuff.Results: From November 2010 to July 2013, a total of 20 patients with a mean age of 70.1 +/- 9.9?years (range 43 to 92?years) and mean body mass index (BMI) of 22.9 +/-3.8?kg/m2 underwent RANU for renal pelvic or ureteral urothelial carcinoma. Mean operative time was 251.6 +/- 126.7?minutes (range 110 to 540?minutes), estimated blood loss was 50.0 +/- 42.9?mL (range 10 to 200?mL), and mean length of hospital stay was 6.7 +/- 2.4?days (range 4 to 12?days). Pathology data revealed 19 high and one low-grade urothelial carcinoma and staged Ta for three, T1 for five, T2 for five and T3 for seven. With a mean follow-up of 14.7?months (range 2 to 34?months), three intravesical recurrences developed in the bladder, and four of them also developed metastatic disease.Conclusions: The TRUST early experience showed that RANU is a safe and feasible minimally invasive procedure for UTUC. ? 2014 Yang et al.; licensee BioMed Central Ltd.
SDGs
Other Subjects
adult; aged; cancer grading; cancer staging; female; follow up; human; laparoscopy; length of stay; male; middle aged; Neoplasm Recurrence, Local; nephrectomy; pathology; procedures; prognosis; robotics; statistics and numerical data; ureter; Urologic Neoplasms; very elderly; Article; bleeding; body mass; cancer chemotherapy; cancer recurrence; cancer specific survival; cancer survival; clinical article; computer assisted tomography; cystoscopy; distant metastasis; intravenous urography; nephrectomy; nephroureterectomy; nuclear magnetic resonance imaging; operation duration; patient; robot assisted nephroureterectomy; robotics; Taiwan; thorax radiography; transitional cell carcinoma; transurethral resection; Adult; Aged; Aged, 80 and over; Female; Follow-Up Studies; Humans; Laparoscopy; Length of Stay; Male; Middle Aged; Neoplasm Grading; Neoplasm Recurrence, Local; Neoplasm Staging; Nephrectomy; Prognosis; Robotics; Ureter; Urologic Neoplasms
Publisher
BioMed Central Ltd.
Type
journal article