Robotic <i>vs</i> Laparoscopic Nephroureterectomy for Upper Tract Urothelial Carcinoma: A Multicenter Propensity-Score Matched Pair “tetrafecta” Analysis (ROBUUST Collaborative Group)

Veccia, Alessandro; Carbonara, Umberto; Djaladat, Hooman; Mehrazin, Reza; Eun, Daniel; Reese, Adam C.; Meng, Xiaosong; Uzzo, Robert G.; Srivastava, Abhishek; Porter, James R.; Farrow, Jason; Jamil, Marcus; Rosiello, Giuseppe; Tellini, Riccardo; Mari, Andrea; Al-Qathani, Ali; Rha, Koon Ho; Wang, Linhui; Mastroianni, Riccardo; Ferro, Matteo; Cobelli, O. De; Hakimi, Kevin; Crocerossa, Fabio; Ghoreifi, Alireza; Cacciamani, Giovanni; Bhattu, Amit; Mottrie, Alexandre; Abdollah, Firas; Wu, Zhenjie; Simone, Giuseppe; Derweesh, Ithaar; Gonzalgo, Mark L.; Margulis, Vitaly; Sundaram, Chandru P.; Autorino, Riccardo

doi:10.1089/end.2021.0587

Cited by 40 publications

(40 citation statements)

References 21 publications

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Section: Introductionmentioning

confidence: 99%

“…When comparing minimally invasive modalities, the robotic approach has been found to have longer operative times thought to be caused by the initial docking process [ 2 , 4 ]. Furthermore, Veccia et al found that the robotic approach had lower overall complications and shorter recovery times; however, these results were not statistically significant [ 4 ]. Other studies comparing oncologic outcomes (i.e., progression-free, cancer-specific, and overall survival) concluded that laparoscopic and robotic approaches were comparable [ 2 , 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, Veccia et al found that the robotic approach had lower overall complications and shorter recovery times; however, these results were not statistically significant [ 4 ]. Other studies comparing oncologic outcomes (i.e., progression-free, cancer-specific, and overall survival) concluded that laparoscopic and robotic approaches were comparable [ 2 , 4 , 5 ]. The main advantages of the robotic approach include increased dexterity, improved accuracy, and enhanced visualization intraoperatively [ 2 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…Other studies comparing oncologic outcomes (i.e., progression-free, cancer-specific, and overall survival) concluded that laparoscopic and robotic approaches were comparable [ 2 , 4 , 5 ]. The main advantages of the robotic approach include increased dexterity, improved accuracy, and enhanced visualization intraoperatively [ 2 , 4 ]. Veccia et al defined their “tetrafecta” outcome for robotic nephroureterectomies as concomitant occurrence of bladder cuff excision, lymph node dissection, no complications, and negative surgical margins as their measure of quality.…”

Section: Introductionmentioning

confidence: 99%

“…Veccia et al defined their “tetrafecta” outcome for robotic nephroureterectomies as concomitant occurrence of bladder cuff excision, lymph node dissection, no complications, and negative surgical margins as their measure of quality. They concluded that the improved versatility of robotic platforms overcomes the challenges with laparoscopic approaches achieving their “tetrafecta” [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Robot-Assisted Nephroureterectomy for Upper Tract Urothelial Carcinoma in a Patient with an Ileal Conduit

Stemrich

Patel²,

Baber³

et al. 2022

Case Reports in Urology

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Background. Upper tract urothelial carcinoma remains an uncommon disease that is clinically difficult to identify early and surveil. Open nephroureterectomy is the gold standard for patients with high-grade disease, especially for patients in whom surveillance is complicated such as those with prior cystectomies/ileal conduits. This report presents a case of a patient with a history of radical cystectomy and ileal conduit construction who underwent a successful minimally invasive robotic surgery for treatment of upper tract urothelial carcinoma. Case Presentation. The patient is a 72-year-old Caucasian male with a history of recurrent superficial bladder tumors treated with cystoscopies with fulguration, Bacillus Calmette-Guerin, and a robot-assisted cystectomy with ileal conduit diversion presenting with recurrent urinary tract infections and hematuria secondary to a ureteral stricture. The patient was admitted previously for urosepsis during which time a percutaneous nephrostomy tube was inserted on the right side. Upon presentation, imaging revealed a lesion extending from the lower pole of the right kidney into the renal pelvis. The presence of a nephrostomy and urostomy allowed the surgical team to utilize a minimally invasive approach to remove the diseased kidney and ureter with visualization enhanced by indocyanine green. Conclusion. Minimally invasive robot-assisted approaches to treating upper tract urothelial carcinomas may offer an alternative to the open cases typically employed in cases of patients with prior ileal conduit. Furthermore, utilizing indocyanine green may expand the applicability of such approaches to uro-oncologic cases with greater complexity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Robot-Assisted Nephroureterectomy for Upper Tract Urothelial Carcinoma in a Patient with an Ileal Conduit

Stemrich

Patel²,

Baber³

et al. 2022

Case Reports in Urology

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Robotic‐assisted versus laparoscopic nephroureterectomy; a systematic review and meta‐analysis

et al. 2023

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Background: Upper tract urothelial carcinoma (UTUC) is the malignant transformation of urothelial cells, from the renal calyces to the ureteral orifices. While the benefits of minimally invasive nephroureterectomy over their open counterpart have been established, the optimal technique remains a debate. We aimed to assess current evidence in the literature and compare outcomes between robotic-assisted (RANU) and laparoscopic nephroureterectomy (LNU).Methods: A systematic review of the literature was performed for studies comparing RANU and LNU for bladder cancer. Outcome measurements were recurrence rates (local and distal), positive margins, positive lymph node yield and perioperative outcomes. Meta-analysis was performed using Review Manager 5.Results: Our results demonstrate a significantly higher mortality rate in patients undergoing laparoscopic nephroureterectomy when compared with the roboticassisted approach for the treatment of UTUC (1.8% vs. 1.1%, p = 0.008); however, these results were inconsistent on sensitivity analysis and should therefore be interpreted with caution. No significant difference was observed for other outcomes. Conclusion:The ideal approach to minimally invasive radical nephroureterectomy remains undetermined. Future research, ideally prospective randomised studies, should focus on long-term outcomes, in particular recurrence, recurrence-free survival, overall survival and the correlation between surgical technique and survival.

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Robotic Nephroureterectomy

Butaney,

Rogers

2024

Robotic Urology

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Robotic vs Laparoscopic Nephroureterectomy for Upper Tract Urothelial Carcinoma: A Multicenter Propensity-Score Matched Pair “tetrafecta” Analysis (ROBUUST Collaborative Group)

Cited by 40 publications

References 21 publications

Robot-Assisted Nephroureterectomy for Upper Tract Urothelial Carcinoma in a Patient with an Ileal Conduit

Robot-Assisted Nephroureterectomy for Upper Tract Urothelial Carcinoma in a Patient with an Ileal Conduit

Robotic‐assisted versus laparoscopic nephroureterectomy; a systematic review and meta‐analysis

Robotic Nephroureterectomy

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