單次設置之上泌尿道上皮癌達文西手術-單一醫院初步結果
葉志胤1、林宜佳1,2、蔡德甫1,2、莊光達、葉忠信、鄭以弘、仇光宇、陳宏恩、
何肇晏、吳子翔、朱懿柏、黃一勝1,2
新光吳火獅紀念醫院 外科部 泌尿科1; 輔仁大學 醫學系2
Single-Docking Robotic Nephroureterectomy for Upper Tract Urothelial Carcinoma : Preliminary Results
Chih-Yin Yeh1, Yi-Chia Lin1,2, Te-Fu Tsai1,2, Guang-Dar Juang, Chung-Hsin Yeh, Yi-Hong Cheng, Kuang-Yu Chou, Hong-En Chen, Cho-Yen Ho, Tzu-Hsiang Wu , Yi-Bo Chu, Thomas I.S. Hwang1,2
Division of Urology, Department of Surgery, Shin Kong WHS Memorial Hospital1
School of Medicine, Fu-Jen Catholic University2
Purpose: Robotic-assisted nephroureterectomy has been reported to be an effective surgical procedure for upper tract urothelial carcinoma. Traditionally, we need re-docking for lower third ureteral dissection and bladder cuff excision. Herein, we report our experience on the single docking robotic nephroureterectomy for upper tract urothelial carcinoma.
Material and method: From January 2014 to March 2019, 40 patients with upper tract urothelial carcinoma underwent single-docking robotic nephroureterectomy in our hospital.
Result: Among the 40 patients, peri-operative parameters including operative time and blood loss were 235.25±85.23 minutes and 195±132.84 ml. There was no intra-operative complications. The post-operative pain score was also low as 2.3 and average hospital stay was 9.92±8.14 days. There were 4 patient got recurrence in bladder 6-12 months after robotic surgery and underwent another transurethral bladder tumor resection.
Conclusion: single docking robotic nephroureterectomy for upper tract urothelial carcinoma decreased operation time compared to re-docking. The hospital stay, post-operative wound pain and recurrence rate is almost the same compared with re-docking group. Single docking robotic nephroureterectomy is a safe and effective procedure for upper tract urothelial carcinoma in our preliminary results.