Urological Science

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 29  |  Issue : 1  |  Page : 38--42

Evaluation of perioperative complications and outcomes of robot-assisted radical nephroureterectomy and bladder cuff excision in a tertiary center


Meng-Che Tai1, Hsiao-Jen Chung2, Tzu-Chun Wei2, Tzu-Ping Lin2, Eric Yi-Hsiu Huang2, Shing-Hwa Lu2, Yen-Hwa Chang2, Alex T L. Lin2 
1 Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan
2 Department of Urology, Taipei Veterans General Hospital; Department of Urology, School of Medicine, Shu-Tien Urological Institute, National Yang-Ming University, Taipei, Taiwan

Correspondence Address:
Tzu-Chun Wei
Department of Urology, Taipei Veterans General Hospital, No. 201, Section 2, Shipai Road, Beitou District, Taipei 11217
Taiwan

Purpose: For patients with localized upper tract urothelial carcinoma (UTUC), radical nephroureterectomy with ipsilateral bladder cuff excision (RNU + BCE) is the standard treatment. In recent years, robot-assisted RNU with BCE (RaRNU + BCE) has been another choice of surgical intervention. This article was aimed to analyze the efficacy and perioperative outcomes regarding RaRNU + BCE through a single institutional experience. Patients and Methods: From March 2012 to November 2015, a total of 54 patients with UTUC were treated with RaRNU + BCE at Taipei Veterans General Hospital. We collected demographic data, histopathological reports, perioperative complications, and oncologic outcomes. Results: A total of 54 patients were included in our study. The mean age was 71.9 ± 9.9 (range 48–88) and the mean body mass index was 23.5 ± 2.9 (range: 16.4–30.8). The mean operating time was 314 min (RaRNU: 133.9 ± 41.4 min and RaBCE: 72.9 ± 25.7 min). The mean first docking time was 26.8 ± 7.7 min and the mean second docking time was 16.5 ± 6.7 min. The mean EBL was 87.7 ml. Pathological stage distribution was 22.2%, 27.8%, 13.0%, 31.5%, and 5.6% in pTa, pT1, pT2, pT3, and pT4, respectively. Complications occurred in 7 cases (13%), with 4 Grade I and 3 Grade II by Clavien-Dindo classification. Positive tumor involvement at bladder cuff was noted in three patients, and the bladder recurrence rate was 29.6%. Local recurrence, lymph node metastasis, and distant metastasis were all noted for two patients, respectively. The cancer-specific and overall survival rate was 98.1% and 96.3%. Conclusions: Our experience showed that RaRNU + BCE is a technically feasible and safe procedure for selected patients with UTUC.


How to cite this article:
Tai MC, Chung HJ, Wei TC, Lin TP, Huang EY, Lu SH, Chang YH, L. Lin AT. Evaluation of perioperative complications and outcomes of robot-assisted radical nephroureterectomy and bladder cuff excision in a tertiary center.Urol Sci 2018;29:38-42


How to cite this URL:
Tai MC, Chung HJ, Wei TC, Lin TP, Huang EY, Lu SH, Chang YH, L. Lin AT. Evaluation of perioperative complications and outcomes of robot-assisted radical nephroureterectomy and bladder cuff excision in a tertiary center. Urol Sci [serial online] 2018 [cited 2022 Sep 28 ];29:38-42
Available from: https://www.e-urol-sci.com/article.asp?issn=1879-5226;year=2018;volume=29;issue=1;spage=38;epage=42;aulast=Tai;type=0