Article ; Online: Comparison of Single-docking Robotic-assisted and Traditional Laparoscopy for Retroperitoneal Lymph Node Dissection During Nephroureterectomy With Bladder Cuff Excision for Upper-tract Urothelial Carcinoma.
2016 Volume 87, Page(s) 216–223
Abstract: Objective: To compare the results of traditional laparoscopy and a simple, single-docking robotic approach for retroperitoneal lymph node dissection (RPLND), nephroureterectomy, and bladder cuff excision.: Materials and methods: We evaluated 63 and ... ...
| Abstract | Objective: To compare the results of traditional laparoscopy and a simple, single-docking robotic approach for retroperitoneal lymph node dissection (RPLND), nephroureterectomy, and bladder cuff excision. Materials and methods: We evaluated 63 and 37 consecutive patients who underwent laparoscopic and robotic nephrouretectomy with RPLND, respectively, for upper-tract urothelial carcinoma (UTUC). Results: Our robotic approach was associated with improved lymph node procurement (21.0 nodes [interquartile range 16.0-30.0]) when compared with laparoscopy (11.0 nodes [interquartile range 5.5-21.0]) (P < .0001). Major blood loss as defined by requiring a blood transfusion was less for the robotic group than for the laparoscopic cohort (8% vs 30%) (P = .012). In contrast, the robotic group had longer operative times (5.1 vs 3.9 hours) (P = .0001) and longer hospital stays (5.0 vs 4.0 days) (P = .0002). Conclusion: Our single-docking robotic technique for concomitant RPLND during nephrouretectomy is associated with improved lymph node yield. |
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| MeSH term(s) | Aged ; Aged, 80 and over ; Carcinoma, Transitional Cell/diagnosis ; Carcinoma, Transitional Cell/secondary ; Carcinoma, Transitional Cell/surgery ; Female ; Follow-Up Studies ; Humans ; Laparoscopy/methods ; Lymph Node Excision/methods ; Lymphatic Metastasis ; Male ; Middle Aged ; Nephrectomy/methods ; Retroperitoneal Space ; Retrospective Studies ; Robotics/methods ; Treatment Outcome ; Ureter/surgery ; Urinary Bladder/surgery ; Urinary Bladder Neoplasms/pathology ; Urinary Bladder Neoplasms/surgery | ||||||||||
| Language | English | ||||||||||
| Publishing date | 2016-01 | ||||||||||
| Publishing country | United States | ||||||||||
| Document type | Journal Article | ||||||||||
| ZDB-ID | 192062-5 | ||||||||||
| ISSN | 1527-9995 ; 0090-4295 | ||||||||||
| ISSN (online) | 1527-9995 | ||||||||||
| ISSN | 0090-4295 | ||||||||||
| DOI | 10.1016/j.urology.2015.07.070 | ||||||||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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