Single-position transperitoneal robot-assisted nephroureterectomy with the da Vinci Xi robotic system

doi:10.3877/cma.j.issn.1674-3253.2022.02.013

Abstract

Abstract:

Objective

To investigate and evaluate the safety and effect of single-position transperitoneal robotic-assisted nephroureterectomy with the da Vinci Xi robotic system.

Methods

A total of 11 patients' clinical data from November 2019 to November 2020 in our hospital was retrospectively analyzed, including 7 males and 4 females. The age was 50-77 years. Of the 11 localized upper tract urothelial carcinoma (UTUC) patients including, 5 renal pelvic tumors, 5 ureter tumors, 1 ureter tumors combined with renal pelvic tumor. There were 6 cases on the left side, and 5 cases on the right. Single-position transperitoneal robot-assisted nephroureterectomy with the da Vinci Xi robotic system was performed on all the patients.

Results

All procedures were successful.The median operation time was 155(110-210) min, and the median estimated blood loss of 92(30-300) ml. The median length of stay was 10.5(8-13) d. None Clavien grade Ⅱ-Ⅴ complications was occurred after surgery. The median length of follow-up was 4.3(0-12) months. None recurrence and died case until November 2020.

Conclusions

The single-position transperitoneal robotic-assisted nephroureterectomy with the da Vinci Xi robotic system is a safe and efficacious procedure. The postoperative recover time is reduced. Short-term follow-up results prompt good tumor control effect.

Key words: Renal pelvic neoplasms, Ureteral neoplasms, UTUC, Nephroureterectomy, Robot, Laparoscopy

Bowen Weng, Zhilei Qiu, Falin Sun, Jiangang Gao, Yong Jia, Xin Liang, Haitao Lv, Sichuan Hou. Single-position transperitoneal robot-assisted nephroureterectomy with the da Vinci Xi robotic system[J]. Chinese Journal of Endourology(Electronic Edition), 2022, 16(02): 151-155.

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URL: https://zhqjmnmwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3253.2022.02.013

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