Single-stage Xi® robotic radical nephroureterectomy for upper tract urothelial carcinoma: surgical technique and outcomes.
Publication/Presentation Date
4-1-2022
Abstract
BACKGROUND: Radical nephroureterectomy (RNU) represents the standard of care for high grade upper tract urothelial carcinoma (UTUC). Open and laparoscopic approaches are well-established treatments, but evidence regarding robotic RNU is growing. The introduction of the Xi
METHODS: Single stage Xi
RESULTS: Overall, 148 patients were included in the analysis; 14% had an ECOG >1 and 68.2% ASA ≥3. Median tumor dimension was 3.0 (IQR:2.0-4.2) cm and 34.5% showed hydronephrosis at diagnosis. Forty-eight% were cT1 tumors. Bladder cuff excision and lymph node dissection were performed in 96% and 38.1% of the procedures, respectively. Median operative time and estimated blood loss were 215.5 (IQR:160.5-290.0) minutes and 100.0 (IQR: 50.0-150.0) mL, respectively. Approximately 56% of patients took opioids during hospital stay for a total morphine equivalent dose of 22.9 (IQR:16.0-60.0) milligrams equivalent. Post-operative complications were 26 (17.7%), with 4 major (2.7%). Seven patients underwent adjuvant chemotherapy, with median number of cycles of 4.0 (IQR:3.0-6.0).
CONCLUSIONS: Single stage Xi
Volume
74
Issue
2
First Page
233
Last Page
241
ISSN
2724-6442
Published In/Presented At
Veccia, A., Carbonara, U., Derweesh, I., Mehrazin, R., Porter, J., Abdollah, F., Mazzone, E., Sundaram, C. P., Gonzalgo, M., Mastroianni, R., Ghoreifi, A., Cacciamani, G. E., Patel, D., Marcus, J., Danno, A., Steward, J., Satish Bhattu, A., Asghar, A., Reese, A. C., Wu, Z., … Autorino, R. (2022). Single-stage Xi® robotic radical nephroureterectomy for upper tract urothelial carcinoma: surgical technique and outcomes. Minerva urology and nephrology, 74(2), 233–241. https://doi.org/10.23736/S2724-6051.21.04247-8
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
33781022
Department(s)
Administration and Leadership
Document Type
Article