V06-11 RETROPERITONEAL SINGLE-PORT ROBOT-ASSISTED NEPHROURETERECTOMY WITH BLADDER CUFF EXCISION

Abstract

You have accessJournal of UrologyCME1 Apr 2023V06-11 RETROPERITONEAL SINGLE-PORT ROBOT-ASSISTED NEPHROURETERECTOMY WITH BLADDER CUFF EXCISION Seokhwan Bang, Dongho Shin, Hyung Woo Moon, Hyuk Jin Cho, U-Syn Ha, Ji Youl Lee, and Sung-Hoo Hong Seokhwan BangSeokhwan Bang More articles by this author , Dongho ShinDongho Shin More articles by this author , Hyung Woo MoonHyung Woo Moon More articles by this author , Hyuk Jin ChoHyuk Jin Cho More articles by this author , U-Syn HaU-Syn Ha More articles by this author , Ji Youl LeeJi Youl Lee More articles by this author , and Sung-Hoo HongSung-Hoo Hong More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003274.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Gold standard treatment of upper tract urothelial carcinoma is neprhoureterectomy with excision of the ipsilateral ureter orifice and a bladder cuff. However, due to various limitations of the current robot system, it has not been attempted as a retroperitoneal approach. We would like to introduce a new approach through this study. METHODS: We conducted this study on 10 patients from Sep. 2021 when Single port platform robot was introduced in our institution to Aug 2022 who needed nephroureterectomy for upper tract urothelial carcinoma. The patient was included when tumor was founded at the ureter or renal pelvis, and when a clear lesion was confirmed by ureteroscopy or urine cytology. CT scan was also taken to make sure there is no metastatic lesions. The operation was performed through the retroperitoneum in a lateral decubitus position, and only the direction of the robot arm was once changed during surgery. RESULTS: The average age of the patients was 68.70 years, and the mean BMI (body mass index) was 25.98 kg/m. The average tumor size was 2.39 cm and there were 7 cases on the right side and 3 cases on the left side. The average console time was 1 hour 53 minutes 48 seconds, and estimated blood loss was 120 ml. All 10 patients showed surgical margin negative on pathology and were discharged on the 4th day after surgery without complications. (Table 1) CONCLUSIONS: Retroperitoneal Single port robotic Nephroureterectomy with bladder cuff excision is a feasible procedure that could allow for Upper tract urothelial carcinoma. Source of Funding: none © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e512 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Seokhwan Bang More articles by this author Dongho Shin More articles by this author Hyung Woo Moon More articles by this author Hyuk Jin Cho More articles by this author U-Syn Ha More articles by this author Ji Youl Lee More articles by this author Sung-Hoo Hong More articles by this author Expand All Advertisement PDF downloadLoading ...