Volume 20 Issue 1
Jan.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(1): 39-42, 71
WEI Hai-bin, MIAO Jia, ZHANG Qi, QIAN Lin, LI En-hui, XU Xiao-bo, LYU Jia, LIU Feng, QI Xiao-long, ZHANG Da-hong. Clinical observation of single-docking robot-assisted laparoscopic radical nephroureterectomy for renal pelvic carcinoma[J]. Chinese Journal of General Practice, 2022, 20(1): 39-42, 71. doi: 10.16766/j.cnki.issn.1674-4152.002271
Citation: WEI Hai-bin, MIAO Jia, ZHANG Qi, QIAN Lin, LI En-hui, XU Xiao-bo, LYU Jia, LIU Feng, QI Xiao-long, ZHANG Da-hong. Clinical observation of single-docking robot-assisted laparoscopic radical nephroureterectomy for renal pelvic carcinoma[J]. Chinese Journal of General Practice, 2022, 20(1): 39-42, 71. doi: 10.16766/j.cnki.issn.1674-4152.002271
shu

Clinical observation of single-docking robot-assisted laparoscopic radical nephroureterectomy for renal pelvic carcinoma

doi: 10.16766/j.cnki.issn.1674-4152.002271
  • 1.

    Department of Urology, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang 310014, China

Funds:

 LY15H160052

 2020KY401

  • Received Date: 2020-03-05
    Available Online: 2022-03-03
    Abstract
  •   Objective  To evaluate the clinical efficacy and safety of single-docking technique for robot-assisted laparoscopic radical nephroureterectomy in the treatment of renal pelvic carcinoma.  Methods  Total 42 consecutive patients with renal pelvic carcinoma were enrolled for the retrospective study in our hospital from September 2014 to September 2018. There were 27 male and 15 female patients. All patients were underwent Da Vinci Si robot-assisted laparoscopic radical nephroureterectomy. The robotic camera port was placed in the affected side 6-8 cm beside the abdominal midline at the level of the umbilicus. The No. 1 robotic port and the No. 2 robotic port were respectively located parallel to the abdominal midline and 8 cm from the camera port. They were symmetrically distributed to the camera port line. The operative time, perioperative blood loss and postoperative complications were recorded. All patients were followed up for 12-48 months, and tumour recurrence was recorded.  Results  All operations were successfully completed, without transition to laparoscopic or open surgery. The blood loss was 90 (50, 260) mL, the operating time was 140 (100, 205) min, and the postoperative hospital stay was 8 (6, 12) days. Postoperative pathology confirmed renal pelvic malignant tumours, 16 cases of grade Ⅰ, 17 cases of grade Ⅱ, 4 cases of grade Ⅲ and 5 cases of grade Ⅳ. In 15 patients (35.7%), lymphadenectomy was performed with mean lymph node count of 14 (4, 24), and 5 patients were positive for lymph nodes. Postoperative complication rate: the incidence rate of Clavien grade 2 was 9.5% (2 patients required blood transfusion, 2 other patients with lung infections required anti-infective treatment), Clavien grade 3 complications occurred in 4.8% of patients (2 patients underwent thoracic drainage because of pleural effusion). The incidence of complications was generally low. The median follow-up time was 16.5 months. During the follow-up period, 3 patients had intravesical tumour recurrence and transurethral resection of bladder tumour.  Conclusion  Single-docking technique for robot-assisted laparoscopic radical nephroureterectomy is a safe and effective minimally invasive procedure with the advantages of larger operation space and more convenient operation for the treatment of renal pelvic carcinoma.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    SIEGEL R L, MILLER K D, JEMAL A. Cancer statistics, 2018[J]. CA Cancer J Clin, 2018, 68(1): 7-30. doi: 10.3322/caac.21442
    [2]
    ATTALLA K, PATNAIK S, VELLOS T, et al. Management of distal ureter and bladder cuff at the time of nephroureterectomy: Surgical techniques and predictors of outcome[J]. Future Oncol, 2019, 15(20): 2385-2393. doi: 10.2217/fon-2019-0064
    [3]
    LIN V C, CHEN C H, CHIU A W. Laparoscopic nephroureterectomy for upper tract urothelial carcinoma-Update[J]. Asian J Urol, 2016, 3(3): 115-119. doi: 10.1016/j.ajur.2016.05.003
    [4]
    WEI H B, QI X L, LIU F, et al. Robot-assisted laparoscopic reconstructed management of multiple aneurysms in renal artery primary bifurcations: A case report and literature review[J]. BMC Urol, 2017, 17(1): 96-100. doi: 10.1186/s12894-017-0265-8
    [5]
    MORGAN R, BABJUK M, EVA C, et al. European association of urology guidelines on upper urinary tract urothelial carcinoma: 2017 update[J]. Eur Urol, 2018, 73(1): 111-122. doi: 10.1016/j.eururo.2017.07.036
    [6]
    LIU F, GUO W, ZHOU X, et al. Laparoscopic versus open nephroureterectomy for upper urinary tract urothelial carcinoma: A systematic review and meta-analysis[J]. Medicine (Baltimore), 2018, 97(35): e11954. doi: 10.1097/MD.0000000000011954
    [7]
    ZAMBONI S, FOERSTER B, ABUFARAJ M, et al. Incidence and survival outcomes in patients with upper urinary tract urothelial carcinoma diagnosed with variant histology and treated with nephroureterectomy[J]. BJU Int, 2019, 124(5): 738-745. doi: 10.1111/bju.14751
    [8]
    PEYRONNET B, SEISEN T, DOMINGUEZ-ESCRIG J L, et al. Oncological outcomes of laparoscopic nephroureterectomy versus open radical nephroureterectomy for upper tract urothelial carcinoma: An European association of urology guidelines systematic review[J]. Eur Urol Focus, 2019, 5(2): 205-223. doi: 10.1016/j.euf.2017.10.003
    [9]
    GULAMHUSEIN A, SILVA P, CULLEN D, et al. Safety and feasibility of early single-dose mitomycin C bladder instillation after robot-assisted radical nephroureterectomy[J]. BJU Int, 2020, 126(6): 739-744. doi: 10.1111/bju.15162
    [10]
    PATEL M N, ABOUMOHAMED A, HEMAL A. Does transition from the da Vinci Si to Xi robotic platform impact single-docking technique for robot-assisted laparoscopic nephroureterectomy?[J]. BJU Int, 2015, 116(6): 990-994. doi: 10.1111/bju.13210
    [11]
    TAYLOR B L, SCHERR D S. Robotic nephroureterectomy[J]. Urol Clin North Am, 2018, 45(2): 189-197. doi: 10.1016/j.ucl.2017.12.004
    [12]
    PATHAK R A, HEMAL A K. Techniques and outcomes of robot-assisted nephro-ureterectomy for upper tract urothelial carcinoma[J]. Eur Urol Focus, 2018, 4(5): 657-661. doi: 10.1016/j.euf.2018.08.007
    [13]
    DE G R, DECAESTECKER K, LARCHER A, et al. Robot-assisted nephroureterectomy for upper tract urothelial carcinoma: Results from three high-volume robotic surgery institutions[J]. J Robot Surg, 2020, 14(1): 211-219. doi: 10.1007/s11701-019-00965-8
    [14]
    VECCIA A, ANTONELLI A, FRANCAVILLA S, et al. Robotic versus other nephroureterectomy techniques: A systematic review and meta-analysis of over 87, 000 cases[J]. World J Urol, 2020, 38(4): 845-852. doi: 10.1007/s00345-019-03020-1
    [15]
    夏灿灿, 杨洋, 江志伟, 等. 1例达芬奇机器人下行胃癌根治术后48h内出院患者的护理[J]. 中华全科医学, 2016, 14(11): 1962-1964. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201611055.htm
    [16]
    PAI A, HUSSAIN M, HINDLEY R, et al. Long-Term Outcomes of laparoscopic nephroureterectomy with transurethral circumferential excision of the ureteral orifice for urothelial carcinoma[J]. J Endourol, 2017, 31(7): 651-654. doi: 10.1089/end.2017.0049
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(3)  / Tables(1)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (224) PDF downloads(6) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return