Abstract
Upper tract urothelial carcinomas (UUT-UC) are usually aggressive tumours and require radical treatments. The standard of care for localised UUT-UC is radical nephroureterectomy (RNU). Robot-assisted laparoscopic surgeries are currently employed in various urological procedures, including RNU. We conducted a literature search on medical databases (PubMed/ MEDLINE) using free text keywords nephroureterectomy, distal ureter, bladder cuff, urothelial carcinoma and/or robotic. In this review, we aim to provide an up-to-date status on robot-assisted laparoscopic nephroureterectomy (RAL-NU) for the management of UUT-UC. The various surgical techniques and approaches for RAL-NU and retroperitoneal lymph node dissection (RPLND) will be discussed and their perioperative and early oncological outcomes reported. The feasibility and safety of RAL-NU has been demonstrated in a number of studies but intermediate and long term clinical and oncological outcomes are still lacking.
| Original language | English |
|---|---|
| Pages (from-to) | 138-146 |
| Number of pages | 9 |
| Journal | Current Urology Reports |
| Volume | 14 |
| Issue number | 2 |
| DOIs | |
| State | Published - Apr 2013 |
Bibliographical note
Funding Information:Acknowledgments This study was supported by a faculty research grant of Yonsei University College of Medicine for 2012 (6–2012–0181) Disclosures No potential conflicts of interest relevant to this article were reported.
Keywords
- Bladder cuff
- Distal ureter
- Laparoscopy
- Nephroureterectomy
- Oncological outcomes.
- Robot
- Surgery
- Techniques
- Upper tract
- Urothelial carcinoma