https://doi.org/10.4081/aiua.2022.1.7
Laparoscopic radical nephroureterectomy with only three trocars: Results of a prospective single centre study
Submitted: December 29, 2021
Accepted: January 7, 2022
Published: March 28, 2022
Accepted: January 7, 2022
Abstract Views: 1218
PDF: 399
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Introduction: Radical nephroureterectomy (RNU) with full bladder cuff excision is the gold standard for treatment of non-metastatic upper tract urothelial cancer (UTUC). We describe our technique of laparoscopic nephroureterectomy (LNU) with bladder cuff excision technique with modified port placement, reporting our long-term follow-up outcomes.
Methods: Patients affected by UTUC were prospectively enrolled and undergone to LNU. Perioperative outcomes, oncological data at 6, 12, 24 and 36 months after surgery, and all the surgical complications according to Clavien-Dindo classification were evaluated in all subjects.
Results: A total of 50 patients with UTUC underwent LNU, using this new technique without patient and port repositioning. The mean operative time was 168 minutes, estimated blood loss was 75 mL, mean length of hospital stay was 3 days. There were no intraoperative complications while four late complications occurred (two grade IIIb and two grade II according to Clavien-Dindo classification, incisional hernias and fever, respectively). Postoperative pathology was T1 in 12 patients, T2 in 17 patients, and T3 in 21 patients. Tumor grade was low in 12 patients and high in 38 patients.
Conclusions: In our study the described LNU technique was related to a significant reduction in terms of operative time and length of hospital stay, with a faster patients’ recovery and no peri and postoperative complications. The long-term oncological outcomes were similar to data reported in literature.
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How to Cite
Al Salhi, Y., Fuschi, A., Martoccia, A., Velotti, G., Suraci, P. P., Scalzo, S., Rera, O. A., Antonioni, A., Valenzi, F. M., Bozzini, G., Carbone, A., & Pastore, A. L. (2022). Laparoscopic radical nephroureterectomy with only three trocars: Results of a prospective single centre study. Archivio Italiano Di Urologia E Andrologia, 94(1), 7–11. https://doi.org/10.4081/aiua.2022.1.7
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