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

Tai, Meng-Che; Chung, Hsiao-Jen; Wei, Ta‐Chin; Lin, Tao; Huang, Eric Yi-Hsiu; Lu, Shing-Hwa; Chang, Yen-Hwa; Lin, Alex Tong‐Long

doi:10.1016/j.urols.2017.07.007

Cited by 2 publications

(3 citation statements)

References 11 publications

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“…In our case, the chief complaint was hematuria, which required differentiation from other potential causes of hematuria. Given the high prevalence of upper tract urothelial carcinoma in Taiwan, 12 , 13 this consideration becomes particularly important. Radiological examinations, including ultrasonography and CT scans, often reveal a solid mass with soft tissue density located on either side of the kidney.…”

Section: Discussionmentioning

confidence: 99%

Primary sclerosing epithelioid fibrosarcoma of the kidney: A rare case report

Wu,

Huang,

2024

Urology Case Reports

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Section: Discussionmentioning

confidence: 99%

Primary sclerosing epithelioid fibrosarcoma of the kidney: A rare case report

Wu,

Huang,

2024

Urology Case Reports

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“…With wristed instrumentation and three‐dimensional magnification, this approach facilitates the dissection of intracorporeal BCE and watertight bladder closure. PSM, local pelvic recurrences, and retained UOs have been reported with robot‐assisted techniques [13,14] (Table 2). Urine from an open bladder may leak and seed into remote parts of the abdomen in the Trendelenburg position.…”

Section: Discussionmentioning

confidence: 99%

“…Some of these methods do not involve UO occlusion and run the risk of tumour spillage and increase the risk of local recurrence [3,10,11]. Complete laparoscopic or robot‐assisted approaches to the management of the distal ureter have been described [12–14], but these may be technically demanding and long‐term oncological safety is not yet established [1,15].…”

Section: Introductionmentioning

confidence: 99%

Long‐term oncological outcomes of the Agarwal loop‐ligation technique for management of the distal ureter during laparoscopic radical nephroureterectomy

et al. 2021

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Objectives To describe the Agarwal loop‐ligation technique for the management of the distal ureter during laparoscopic radical nephroureterectomy (LRNU) for upper tract urothelial carcinoma (UTUC) and report on long‐term oncological outcomes. Patients and Methods In the Agarwal loop‐ligation technique, the distal ureteric stump is controlled using endoscopic Endoloop® or PolyLoop® ligation to ensure en bloc excision of the bladder cuff and prevent spillage of upper tract urine into the perivesical space. A retrospective review of the medical records of 76 patients who underwent the Agarwal loop‐ligation technique for UTUC at participating centres from July 2004 to December 2017 was performed. Data collected included demographics, perioperative, and long‐term oncological outcomes. Survival was calculated using Kaplan–Meier survival analyses. Results and Limitations A total of 76 patients were included. The median age was 71.5 years and median operative time was 4.3 h. The intramural ureter and bladder cuff were completely excised in all patients. Distal surgical margins were clear in all, with only two patients found to have tumour extending to the circumferential surgical margin. There were no cases of perivesical recurrence or port‐site metastasis. The 5‐year bladder, local, and contralateral recurrence‐free survival was 59.6%, 89.0% and 93.5%, respectively. Metastasis‐free survival at 5‐years was 73.5%. The 5‐year overall survival and cancer‐specific survival rates were 70.3% and 84.7%, respectively. Conclusions We have described the Agarwal loop‐ligation technique for the management of the distal ureter in LRNU. This technique complies with oncological principles outlined in the European Association of Urology guidelines, which minimises tumour spillage. Long‐term oncological outcomes are satisfactory, with no cases of perivesical recurrence detected in this series.

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

Cited by 2 publications

References 11 publications

Primary sclerosing epithelioid fibrosarcoma of the kidney: A rare case report

Primary sclerosing epithelioid fibrosarcoma of the kidney: A rare case report

Long‐term oncological outcomes of the Agarwal loop‐ligation technique for management of the distal ureter during laparoscopic radical nephroureterectomy

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