Concomitant robot-assisted laparoscopic surgeries for upper and lower urinary tract malignancies: a comprehensive literature review

Scarcella, Simone; Castellani, Daniele; Piazza, Pietro; Giulioni, Carlo; Sarchi, Luca; Amato, Marco; Bravi, Carlo Andrea; Lores, M. Peraire; Farinha, Rui; Knipper, Sophie; Palagonia, Erika; Skrobot, S.; Develtere, Dries; Berquin, Camille; Sinatti, Céline; Puyvelde, Hannah Van; Groote, Ruben De; Umari, Paolo; Naeyer, Geert De; Dell’Atti, Lucio; Milanese, Giulio; Puliatti, Stefano; Teoh, Jeremy Yuen‐Chun; Galosi, Andrea Benedetto; Mottrie, Alexandre

doi:10.1007/s11701-021-01317-1

Cited by 3 publications

(2 citation statements)

References 32 publications

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“…Moreover, the presence of independent arm‐carts allows for miscellaneous surgical configuration. Furthermore, the possibility to modify the DA without changing port configuration improves the ability to reach different anatomical targets, suggesting an increased surgical efficiency in the case of multi‐quadrant surgery [7]. One unique innovation is represented by the ‘pistol‐like’ handles that let the surgeon move the instruments with the thumb and index finger, while the trigger of the ‘pistol’ represents the novel clutch function.…”

Section: Discussionmentioning

confidence: 99%

Robot‐assisted radical prostatectomy feasibility and setting with the Hugo™ robot‐assisted surgery system

et al. 2022

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Section: Discussionmentioning

confidence: 99%

Robot‐assisted radical prostatectomy feasibility and setting with the Hugo™ robot‐assisted surgery system

et al. 2022

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“…Endoscopic minimal invasive surgery has been applied to UTUC using robotassisted laparoscopic SU (RALSU) [6062]. Patients with a lowgrade distal ureteral tumor, impaired renal function, and highgrade distal UTUC are ideal candidates for SU with ureteral reimplantation, as well as RALSU [28,47,63,64]. The required reduction in the length of the ureter for optimal oncological results is challenging during SU for UTUC.…”

Section: Robot-assisted Laparoscopic Segmental Ureterectomymentioning

confidence: 99%

Nephron-Sparing Surgery for Upper Urinary Tract Urothelial Carcinoma

Kim,

Savul,

Lerner

2024

J Urol Oncol

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Radical nephroureterectomy (RNU) remains the gold standard for the surgical management of upper tract urothelial carcinoma (UTUC) from the ureterovesical junction to the renal pelvis. However, the removal of the ipsilateral intact kidney causes morbidity due to renal functional deterioration after RNU. Recently, the indications for nephron-sparing surgery (NSS) in UTUC have been expanded to preserve the intact kidney. Minimally invasive surgical approaches, including endourological, laparoscopic, and robotic-assisted techniques for segmental resection of the distal ureter with ureteral reimplantation have shown favorable oncological and clinical outcomes (for both noninvasive and invasive ureteral tumors). The established guidelines for UTUC have limited indications for NSS. Because of low tumor burden, stage Ta/T1 UTUC is considered the best indication for NSS. NSS requires close follow-up and managing the risk of recurrence in the preserved ipsilateral ureter and/or renal pelvis. To overcome these limitations, adjuvant administration of various immuno-chemotherapeutic agents is being explored to overcome the resistance to therapeutic cell death and evasion of immune destruction from current therapies with better prognostic outcomes. The aim is to reduce urothelial cancer recurrence improving the effectiveness of NSS and to achieve comparable outcomes to RNU in UTUC. In this review article, we have comprehensively discussed the different types of NSS in UTUC, the indications for NSS in the international guidelines, and oncological outcomes of each of the NSS techniques.

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Concomitant Robot‐Assisted Partial Nephrectomy and Pyelolithotomy for Small Renal Cell Carcinoma and Partial Staghorn Calculus in the Same Kidney: A Case Report and Literature Review

Sawazaki,

Kitamura,

Furukawa

et al. 2024

Asian J Endoscop Surgery

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Management of a small renal mass and a renal stone in the same kidney presents several dilemmas. Simultaneous robot‐assisted partial nephrectomy and pyelolithotomy via the same surgical access site is a reasonable approach in a patient with both entities. An 80‐year‐old woman was diagnosed with a 2.3‐cm enhancing mass in the lower pole of the right kidney (cT1aN0M0, RENAL score 4a) and a 1.5‐cm ipsilateral partial staghorn calculus. Concurrent robot‐assisted partial nephrectomy and pyelolithotomy was planned. Partial nephrectomy was performed first, followed by pyelolithotomy performed through the same surgical access. Both operations were completed successfully. The total operation time was 319 min and the estimated blood loss was 30 mL. Warm ischemia time was 22 min. There were no intraoperative or postoperative complications. Simultaneous robot‐assisted partial nephrectomy and pyelolithotomy was technically feasible and safe. This minimally invasive approach should be considered when managing a kidney that contains both entities.

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Concomitant robot-assisted laparoscopic surgeries for upper and lower urinary tract malignancies: a comprehensive literature review

Cited by 3 publications

References 32 publications

Robot‐assisted radical prostatectomy feasibility and setting with the Hugo™ robot‐assisted surgery system

Robot‐assisted radical prostatectomy feasibility and setting with the Hugo™ robot‐assisted surgery system

Nephron-Sparing Surgery for Upper Urinary Tract Urothelial Carcinoma

Concomitant Robot‐Assisted Partial Nephrectomy and Pyelolithotomy for Small Renal Cell Carcinoma and Partial Staghorn Calculus in the Same Kidney: A Case Report and Literature Review

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