Robot-Assisted Laparoscopic Nephroureterectomy versus Hand-Assisted Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma: A Matched Comparison Study

Objectives. To investigate the perioperative and oncological outcomes of hand-assisted laparoscopic nephroureterectomy (HANU) and robotic-assisted nephroureterectomy (RANU). Methods. Patients who underwent RANU were matched by sex, age (±5 years), and tumor location to those who underwent HANU; 18 m...

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Bibliographic Details
Published in:BioMed research international 2015-01, Vol.2015 (2015), p.1-7
Main Authors: Pu, Yeong-Shiau, Hung, Shun-Fa, Ou, Yen-Chuan, Huang, Chao-Yuan, Yang, Cheng-Kuang, Hu, Che-Yuan, Chung, Shiu-Dong
Format: Article
Language:English
Subjects:
Abdomen
Aged
Bladder
Body mass index
Cancer
Cellular biology
Clinical Study
Dissection
Female
Hand-Assisted Laparoscopy - adverse effects
Hand-Assisted Laparoscopy - methods
Hand-Assisted Laparoscopy - statistics & numerical data
Hospitals
Humans
Hydronephrosis
Laparoscopic surgery
Laparoscopy
Male
Metastasis
Methods
Middle Aged
Nephrectomy - adverse effects
Nephrectomy - methods
Nephrectomy - statistics & numerical data
Patient outcomes
Patients
Postoperative Complications
Retrospective Studies
Robotic surgery
Robotic Surgical Procedures - adverse effects
Robotic Surgical Procedures - methods
Robotic Surgical Procedures - statistics & numerical data
Robotics
Robots
Statistical significance
Surgeons
Surgery
Sutures
Technology application
Treatment Outcome
Tumors
Urinary tract cancer
Urogenital system
Urologic Neoplasms - surgery
Urothelium - surgery
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Summary:Objectives. To investigate the perioperative and oncological outcomes of hand-assisted laparoscopic nephroureterectomy (HANU) and robotic-assisted nephroureterectomy (RANU). Methods. Patients who underwent RANU were matched by sex, age (±5 years), and tumor location to those who underwent HANU; 18 matched pairs were included. Results. Each group consisted of five men and 13 women. The mean age was 70.4 years in RANU group and 69.6 years in HANU group (p=0.646). Each group contained 10 patients with tumor location in the renal pelvis, five in the ureter, and three in both sites. The median follow-up time was 6.1 months for the RANU group and 47.8 months for the HANU group. The demographic and pathological data did not differ significantly. The RANU group had significantly less blood loss (p
ISSN:2314-6133
2314-6141
DOI:10.1155/2015/918486