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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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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cited_by cdi_FETCH-LOGICAL-c528t-a13a4d4bf0332ed57730518abecfdd9a275ed441bb25c6e5c052c32b60d4865e3
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container_end_page 7
container_issue 2015
container_start_page 1
container_title BioMed research international
container_volume 2015
creator Pu, Yeong-Shiau
Hung, Shun-Fa
Ou, Yen-Chuan
Huang, Chao-Yuan
Yang, Cheng-Kuang
Hu, Che-Yuan
Chung, Shiu-Dong
description 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
doi_str_mv 10.1155/2015/918486
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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&lt;0.001), resumed oral intake earlier (p=0.043), and had shorter hospital stays (p=0.014) but higher pain scores associated with their wounds (p=0.043). The oncological outcomes were comparable with those of the HANU group. Conclusions. Our results show that the RANU and HANU groups have comparable operative, early postoperative, and functional outcomes. A longer follow-up period would be needed for final comparison of oncological outcome.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2015/918486</identifier><identifier>PMID: 26539538</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>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 &amp; numerical data ; Hospitals ; Humans ; Hydronephrosis ; Laparoscopic surgery ; Laparoscopy ; Male ; Metastasis ; Methods ; Middle Aged ; Nephrectomy - adverse effects ; Nephrectomy - methods ; Nephrectomy - statistics &amp; numerical data ; Patient outcomes ; Patients ; Postoperative Complications ; Retrospective Studies ; Robotic surgery ; Robotic Surgical Procedures - adverse effects ; Robotic Surgical Procedures - methods ; Robotic Surgical Procedures - statistics &amp; numerical data ; Robotics ; Robots ; Statistical significance ; Surgeons ; Surgery ; Sutures ; Technology application ; Treatment Outcome ; Tumors ; Urinary tract cancer ; Urogenital system ; Urologic Neoplasms - surgery ; Urothelium - surgery</subject><ispartof>BioMed research international, 2015-01, Vol.2015 (2015), p.1-7</ispartof><rights>Copyright © 2015 Che-Yuan Hu et al.</rights><rights>COPYRIGHT 2015 John Wiley &amp; Sons, Inc.</rights><rights>Copyright © 2015 Che-Yuan Hu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2015 Che-Yuan Hu et al. 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c528t-a13a4d4bf0332ed57730518abecfdd9a275ed441bb25c6e5c052c32b60d4865e3</citedby><cites>FETCH-LOGICAL-c528t-a13a4d4bf0332ed57730518abecfdd9a275ed441bb25c6e5c052c32b60d4865e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1726683913/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1726683913?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,25744,27915,27916,37003,37004,44581,74887</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26539538$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Brookman-May, Sabine D.</contributor><creatorcontrib>Pu, Yeong-Shiau</creatorcontrib><creatorcontrib>Hung, Shun-Fa</creatorcontrib><creatorcontrib>Ou, Yen-Chuan</creatorcontrib><creatorcontrib>Huang, Chao-Yuan</creatorcontrib><creatorcontrib>Yang, Cheng-Kuang</creatorcontrib><creatorcontrib>Hu, Che-Yuan</creatorcontrib><creatorcontrib>Chung, Shiu-Dong</creatorcontrib><title>Robot-Assisted Laparoscopic Nephroureterectomy versus Hand-Assisted Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma: A Matched Comparison Study</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>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&lt;0.001), resumed oral intake earlier (p=0.043), and had shorter hospital stays (p=0.014) but higher pain scores associated with their wounds (p=0.043). 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A longer follow-up period would be needed for final comparison of oncological outcome.</description><subject>Abdomen</subject><subject>Aged</subject><subject>Bladder</subject><subject>Body mass index</subject><subject>Cancer</subject><subject>Cellular biology</subject><subject>Clinical Study</subject><subject>Dissection</subject><subject>Female</subject><subject>Hand-Assisted Laparoscopy - adverse effects</subject><subject>Hand-Assisted Laparoscopy - methods</subject><subject>Hand-Assisted Laparoscopy - statistics &amp; numerical data</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hydronephrosis</subject><subject>Laparoscopic surgery</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Metastasis</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Nephrectomy - adverse effects</subject><subject>Nephrectomy - methods</subject><subject>Nephrectomy - statistics &amp; numerical data</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Robotic surgery</subject><subject>Robotic Surgical Procedures - adverse effects</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Robotic Surgical Procedures - statistics &amp; 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The oncological outcomes were comparable with those of the HANU group. Conclusions. Our results show that the RANU and HANU groups have comparable operative, early postoperative, and functional outcomes. A longer follow-up period would be needed for final comparison of oncological outcome.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>26539538</pmid><doi>10.1155/2015/918486</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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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
title Robot-Assisted Laparoscopic Nephroureterectomy versus Hand-Assisted Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma: A Matched Comparison Study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-15T06%3A30%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Robot-Assisted%20Laparoscopic%20Nephroureterectomy%20versus%20Hand-Assisted%20Laparoscopic%20Nephroureterectomy%20for%20Upper%20Urinary%20Tract%20Urothelial%20Carcinoma:%20A%20Matched%20Comparison%20Study&rft.jtitle=BioMed%20research%20international&rft.au=Pu,%20Yeong-Shiau&rft.date=2015-01-01&rft.volume=2015&rft.issue=2015&rft.spage=1&rft.epage=7&rft.pages=1-7&rft.issn=2314-6133&rft.eissn=2314-6141&rft_id=info:doi/10.1155/2015/918486&rft_dat=%3Cgale_pubme%3EA458163844%3C/gale_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c528t-a13a4d4bf0332ed57730518abecfdd9a275ed441bb25c6e5c052c32b60d4865e3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1726683913&rft_id=info:pmid/26539538&rft_galeid=A458163844&rfr_iscdi=true