Robotic distal ureterectomy for high-risk distal ureteral urothelial carcinoma: a retrospective multicenter comparative analysis (ROBUUST 2.0 collaborative group)

DITONNO, Francesco; FRANCO, Antonio; VECCIA, Alessandro; BOLOGNA, Eugenio; WANG, Linhui; ABDOLLAH, Firas; FINATI, Marco; SIMONE, Giuseppe; TUDERTI, Gabriele; HELSTROM, Emma; CORREA, Andreas; DE COBELLI, Ottavio; FERRO, Matteo; PORPIGLIA, Francesco; AMPARORE, Daniele; TUFANO, Antonio; PERDONÀ, Sisto; BHANVADIA, Raj; MARGULIS, Vitaly; BRÖNIMANN, Andres; SINGLA, Nirmish; PURI, Dhruv; DERWEESH, Ithaar H.; MENDIOLA, Dinno F.; GONZALGO, Mark L.; BEN-DAVID, Reuben; MEHRAZIN, Reza; MOON, Sol C.; RAIS-BAHRAMI, Soroush; YONG, Courtney; MOGHADDAM, Farshad Sheybaee; GHOREIFI, Alireza; SUNDARAM, Chandru P.; WU, Zhenjie; DJALADAT, Hooman; ANTONELLI, Alessandro; AUTORINO, Riccardo

doi:10.23736/s2724-6051.24.05737-9

Minerva Urol Nephrol

2024

DOI: 10.23736/s2724-6051.24.05737-9

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Robotic distal ureterectomy for high-risk distal ureteral urothelial carcinoma: a retrospective multicenter comparative analysis (ROBUUST 2.0 collaborative group)

Francesco DITONNO,

Antonio FRANCO,

Alessandro VECCIA

et al.

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2024

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Robotic surgery of the urothelial carcinoma of the upper urinary tract single surgeon initial experience, 66 consecutive cases

Farzat,

Leyh-Bannurah,

Wagenlehner

2024

BMC Urol

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Purpose Robotic surgery is increasingly utilized in the treatment of urothelial carcinoma of the upper urinary tract (UTUC). This study investigates the advantages and burden of robot-assisted surgical treatment of the urothelial carcinoma of the upper urinary tract in a referral urological department, along with their functional and oncological results. Methods The study included 66 prospectively enrolled patients who were surgically treated by a single, robotically specialized surgeon between July 2019 and December 2023. Patients were divided into three groups. Group 1: 50 patients underwent robot-assisted radical Nephroureterectomy (RANU) with bladder cuff excision, Group 2: 11 patients underwent RANU simultaneously with robot-assisted radical cystectomy (RARC), and Group 3: 5 patients underwent robot-assisted segmental ureterectomy (RASU). Clinical and oncological parameters were compared. Perioperative morbidity according to Clavien-Dindo was the primary endpoint of our study. The secondary endpoint was oncologic outcomes. Results 37.8% of patients had locally advanced carcinomas. The average console time of RANU with bladder cuff excision was 69 min. The rate of positive surgical margins was n = 1/66 (2%). Lymphadenectomy (LAD) was performed on 30% of patients, with a mean of 13.7 lymph nodes removed. Of those who received LAD, 33% had lymph node metastasis. n = 6/66 (9%) patients received blood transfusion. The overall complication rate was 24%. The readmission rate was 7.5%. With a median follow-up of 26 months, the 2-year recurrence-free survival rate was 84.4%, and the 2-year overall survival rate was 94%. Conclusion Robotic surgery is a feasible option for treating UTUC that can be adapted to meet the surgical needs of each patient. Prospective studies are warranted to confirm its benefits.

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Robotic surgery of the urothelial carcinoma of the upper urinary tract single surgeon initial experience, 66 consecutive cases

Farzat,

Leyh-Bannurah,

Wagenlehner

2024

BMC Urol

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Balancing oncological control and renal function: the emerging role of robotic distal ureterectomy in upper tract urothelial carcinoma

PIRAMIDE,

DI MAIDA,

BRAVI

et al. 2024

Minerva Urol Nephrol

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Robotic distal ureterectomy for high-risk distal ureteral urothelial carcinoma: a retrospective multicenter comparative analysis (ROBUUST 2.0 collaborative group)

Cited by 2 publications

References 30 publications

Robotic surgery of the urothelial carcinoma of the upper urinary tract single surgeon initial experience, 66 consecutive cases

Robotic surgery of the urothelial carcinoma of the upper urinary tract single surgeon initial experience, 66 consecutive cases

Balancing oncological control and renal function: the emerging role of robotic distal ureterectomy in upper tract urothelial carcinoma

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