台中榮民總醫院 外科部 泌尿外科
A single institute experience of robot-assisted nephroureterectomy for upper urinary tract urothelial carcinoma
Gu-Shun Lai, Yen-Chuan Ou, Chen-Kuang Yang
Divisions of Urology, Department of Surgery, Taichung Veterans General Hospital, Taiwan.
To present the a single institute experience of robot-assisted nephroureterectomy(RANU) with bladder cuff excision for upper urinary tract urothelial carcinoma(UC).
Materials and Methods:
Patients diagnosed as upper urinary tract UC treated with this method between November 2010 to March 2015 were included in the series. The analysis of patients’ characteristics, perioperative outcomes and oncologic data were presented.
Thirty patients were included. The mean operating time was 136(105-200) min. The mean (range) estimated blood loss was 92(30-500) ml. The mean(range) length of hospital stay 7.4(4-14) days. The pathology reported, of the thirty patients, one patient had T0 tumor, one had Ta tumor, two had Tis tumor, 9 had T1 tumor, 4 had T2 tumor, 12 had T3 tumor and 1 had T4 tumor. High grade tumor were seen in 26 patients, and 4 patients had low grade tumor. Lymph nodes dissection was performed in 9(30%) patients. Urinary bladder recurrence occurred in 4 patients and distant metastasis in 6 with a mean follow-up of 23 months.
Our experience showed robot-assisted nephroureterectomy with bladder cuff excision was a safe and reproducible option for the treatment of upper urinary tract UC.