Robotic-Assisted Laparoscopic Nephroureterectomy and Bladder Cuff Excision

At, Ozdemir; Altinova, Serkan; Asil, Erem; Balbay,

doi:10.4293/108680812x13427982376662

Cited by 2 publications

(2 citation statements)

References 30 publications

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“…[24] Currently, several different laparoscopic procedures are used for the treatment of UTUC, such as TRNU, [5] tRNU, [6,7] hand-assisted laparoscopic nephroureterectomy [25,26] and robotic-assisted laparoscopic technique. [27,28] In all of these procedures, dealing with the bladder cuff is a key process. [13,[29][30][31][32][33] The completely laparoscopic technique has its own advantages since it avoids the initial endoscopic circumferential release of the bladder cuff as well as open incision and position changes.…”

Section: Discussionmentioning

confidence: 99%

“…In our meta-analysis, some patients who underwent CRNU had high stages (T3/T4) and high grades (G3) of UTUC, suggesting that invasive UTUC may not be a contraindication to CRNU. Other procedures such as hand-assist laparoscopic technique and robotic-assisted laparoscopic technique have also been used in the treatment of UTUC, [25][26][27][28] but no case-control studies comparing these approaches with CRNU have been conducted. Thus, we did not conduct a meta-analysis about it and related case-control researches should be performed in the future.…”

Section: First Author Surgerymentioning

confidence: 99%

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Systematic review and meta-analysis of completely retroperitoneoscopic nephroureterectomy versus traditional retroperitoneoscopic nephroureterectomy in upper tract urothelial carcinoma

Zhao

Yin

et al. 2023

Medicine

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Background: This systematic review and meta-analysis aim to evaluate the efficacy and safety of completely retroperitoneoscopic nephroureterectomy (CRNU) for the treatment of upper urinary tract urothelial carcinoma (UTUC).Methods: A systematic review of PubMed and Web of Science databases was conducted to identify trials comparing the outcomes of CRNU and other surgical procedures. A total of 6 case-control studies were selected for analysis. The efficacy and safety of CRNU were evaluated using mean difference or hazard ratio (HR) with 95% CIs, employing continuous or dichotomous method with a random or fixed-effect model. Meta-analysis was performed using STATA 11.0 software. Results:The meta-analysis indicated that CRNU in subjects with UTUC was significantly associated with a shorter operation time (standardized mean difference, −1.36; 95% CI, −1.61 to −1.11, P < .001) and lower blood loss (standardized mean difference, −0.54; 95% CI, −0.77 to −0.31, P < .001) when compared to traditionally retroperitoneoscopic nephroureterectomy (TRNU). No significant difference was observed in the occurrence of grade I & II complications (HR, 1.04; 95% CI, 0.49-2.2, P = .915) and total complications (HR, 0.69; 95% CI, 0.38-1.27, P = .238) between CRNU and TRNU. Conclusion:The findings suggest that CRNU is an advanced surgical technique that is safe and effective for the treatment of UTUC. We recommend that CRNU be further employed for patients with UTUC. Further randomized, multicenter trials are needed to validate these results, given the limitations of this study.

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