1. Outcomes of laparoscopic, robotic and open nephroureterectomy with bladder cuff excision in patients with T3T4 upper urinary tract urothelial carcinoma: a multi-center retrospective study
- Author
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Jen-Kai Fang, Hsin-Chih Yeh, Hsiang-Ying Lee, Han-Yu Weng, Ta-Yao Tai, Chao-Yuan Huang, Jian-Hua Hong, Chih-Chin Yu, Shu-Yu Wu, Shiu-Dong Chung, Chung-You Tsai, Thomas Y. Hsueh, Allen W. Chiu, Yuan-Hong Jiang, Yu Khun, Lee, I-Hsuan Alan Chen, Jen-Tai Lin, Yung-Tai Chen, Chang-Min Lin, Ian-Seng Cheong, Hsu-Che Huang, Shih-Hsiu Lo, Wei-Yu Lin, Jen-Shu Tseng, Chia-Chang Wu, Shian-Shiang Wang, Yi-Huei Chang, and Chao-Hsiang Chang
- Subjects
Upper tract urothelial carcinoma ,Minimally invasive surgery ,Robotic surgery ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Abstract Background Nephroureterectomy with bladder cuff excision is the standard treatment for high-risk upper urinary tract urothelial carcinoma (UTUC). The role of minimally invasive surgery in treating locally advanced UTUC remains controversial. This study aimed to compare the outcomes of open, laparoscopic, and robotic surgeries for managing locally advanced UTUC. Methods We retrospectively reviewed 705 patients with locally advanced UTUC from multiple institutions throughout Taiwan. Perioperative outcomes and oncological outcomes, such as cancer-specific survival, overall survival, disease-free survival and bladder-free survival, were compared between the open, laparoscopic and robotic groups. Results The minimally invasive group had better overall and cancer-specific survival (CSS) rates. The 2-year CSS rates of the open, laparoscopic and robotic groups were 71%, 83%, and 77% respectively (p
- Published
- 2024
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