Efficacy and safety of robot-assisted laparoscopic, laparoscopic and open surgery in ureteral reimplantation: a network meta-analysis and systematic review

Fan, Guangrui; Li, Kun; Wang, Yuhan; Zhao, Yuhao; Wang, Zhiping

doi:10.1007/s13304-022-01344-z

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…Ureteral reimplantation can be used for various ureteral terminal obstruction and reflux diseases. 51 , 52 In PL patients who need urinary diversion, ureteral reimplantation is often combined with fat removal. 1 , 2 As early as 1977, Gerson et al 30 reported for the first time the case of a PL patient undergoing ureteral reimplantation.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of pelvic lipomatosis: a systematic review of 231 cases

Xia,

Xiong,

et al. 2023

Therapeutic Advances in Urology

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Background: Pelvic lipomatosis (PL) is a rare condition that is characterized by excessive growth of fat in the pelvic cavity. Studies have yet to systematically review surgical treatments for PL. Objectives: To provide a reference for selecting reasonable surgical treatments for PL patients according to previous literature on the surgical treatment of PL. Design and methods: We conducted this systematic review in accordance with the Preferred Reporting Items for a Systematic Review and Meta-Analysis (PRISMA) of Individual Participant Data guidelines. Literature on PL published from 1968 to 2022 was retrieved from the PubMed and EMBASE databases. Data were collected and analyzed independently by two independent investigators. Results: A total of 42 studies, involving 231 patients with PL, were included in the analysis. The surgical treatments included transurethral resection (TUR) (48.5%), ureteral stent placement (11.7%), percutaneous nephrostomy (1.3%), ureterocutaneostomy (1.3%), ureteral reimplantation (10.4%), ileal conduit (13%), and allograft kidney transplantation (0.4%). After excluding patients with unclear prognoses, 42.9% of patients showed improvement in lower urinary tract symptoms (LUTS) after TUR. Ureteral stent placement provided relief of hydronephrosis in 62.5% of PL patients. Percutaneous nephrostomy resulted in stable renal function in 33.3% of PL patients, while ureterocutaneostomy led to remission of postoperative hydronephrosis in 33.3% of PL patients. After ureteral reimplantation, 70.8% of patients experienced relief of hydronephrosis or had stable renal function. Ileal conduit led to remission of hydronephrosis, alleviation of symptoms, or maintenance of stable renal function in 83.3% of PL patients. One patient with PL had stable renal function after allograft renal transplantation. Conclusion: The surgical treatments for PL include TUR, ureteral stent placement, urinary diversion, and allograft renal transplantation. However, the choice of surgical method should be determined after comprehensive consideration of the patient’s condition.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of pelvic lipomatosis: a systematic review of 231 cases

Xia,

Xiong,

et al. 2023

Therapeutic Advances in Urology

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“…The increase in UTUC patients, characterized by localized lesions on first diagnosis, has been attributed to the strengthening of health awareness and widespread use of CT [1]. In addition, advances in minimally invasive therapies (especially in laparoscopic and robotic technology) have assuaged concerns about conventional surgery, offered advantages associated with less blood loss, decreased pain, and faster operation time, and created an opportunity to perform surgery on elderly patients [52,53]. However, the RNU for the aged UTUC patients is still controversial.…”

Section: Discussionmentioning

confidence: 99%

Advanced Age May Not Be an Absolute Contraindication for Radical Nephroureterectomy in Patients with Upper Tract Urothelial Carcinoma: A Single-Center Case Series and a Systematic Review with Meta-Analyses

Ye,

Wu,

Liao

et al. 2023

JCM

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Objective: This study aims to investigate whether advanced age is an absolute contraindication for radical nephroureterectomy (RNU) in patients with upper tract urothelial carcinoma (UTUC) through a single-center case series and a systematic review with meta-analysis. Materials and methods: In the single-center case series, 588 UTUC patients who underwent RNU between May 2003 and June 2019 in West China Hospital were enrolled, and cancer-specific survival (CSS) was the primary outcome of interest. In the systematic review with meta-analysis, PubMed, Scopus, Embase, and Cochrane databases were systematically searched for related articles for further analysis. The endpoints for meta-analyses were overall survival (OS) and CSS. Results: The single-center case series included 57 (9.7%) octogenarians. The CSS of octogenarians after RNU was comparable to that of younger people. Advanced age (≥80) was not an independent risk factor for poor CSS (HR, 1.08; 95% CI, 0.48, 2.40). In a systematic review with meta-analysis, the cut-off value of advanced age is 70, and the results showed that advanced age was associated with inferior OS (pooled HR, 1.55; 95% CI, 1.29, 2.01) and CSS (pooled HR, 1.37; 95% CI, 1.08, 1.65). However, the subgroup analysis of countries found no positive correlation between advanced age and CSS (pooled HR, 1.33; 95% CI 0.92, 1.74) in Chinese. Conclusions: Advanced age may no longer be an absolute contraindication for RNU. RNU can be safely and effectively performed on UTUC patients of advanced age after a comprehensive presurgical evaluation.

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Robot-Assisted Ureterovesical Replantation

Chen,

Zhou

2023

Pediatric Robotic Surgery

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Efficacy and safety of robot-assisted laparoscopic, laparoscopic and open surgery in ureteral reimplantation: a network meta-analysis and systematic review

Cited by 4 publications

References 23 publications

Surgical treatment of pelvic lipomatosis: a systematic review of 231 cases

Surgical treatment of pelvic lipomatosis: a systematic review of 231 cases

Advanced Age May Not Be an Absolute Contraindication for Radical Nephroureterectomy in Patients with Upper Tract Urothelial Carcinoma: A Single-Center Case Series and a Systematic Review with Meta-Analyses

Robot-Assisted Ureterovesical Replantation

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