An early experience of the robot-assisted laparoscopic nephroureterectomy without re-docking in a single position
Xue-Chao Li 1,2, Xin Huang 3, Cheng-Wei Fu 1,2, Yong-Jie Zhang 1,2, Shi-Dong Zuo 1,2, Jin-Kai Dong 2, Tao Yang 2, Li-Jun Chen 1,2
Affiliations
Article Info
1 Medical School of Chinese PLA, Beijing, China
2 Fifth Medical Centre of Chinese PLA General Hospital, Beijing, China
3 Department of Scientific Research, Jiangsu East-Mab Biomedical Technology Co. Ltd, Nan Tong, Jiangsu province, China
Abstract
OBJECTIVE: This study aims to evaluate the execution of robot-assisted laparoscopic nephroureterectomy without repositioning the patient. METHODS: The clinical data of 9 patients who underwent robot-assisted laparoscopic nephroureterectomy between May 2017 and November 2018 were analyzed, proceeding in a single position, without repositioning the patient. This involved 5 men and 4 women, with an average age of 61.67 ± 10.37 years and an average body mass index (BMI) of 24.78 ± 3.84. We considered the duration of the intervention, the blood loss, the duration of the hospital stay, the duration of maintenance of the drainage and the follow-up on all patients, with or without complications and recurrence of the tumor. RESULTS: The intervention was completed in all 9 cases. The average duration of the intervention was 242.89 ± 13.37 minutes, the average blood loss was 166.67 ± 70.71 ml, the average hospitalization time was 2 ± 0.71 days, the average time drainage maintenance was 5.11 ± 1.05 days and the average follow-up times without complications and tumor recurrence were 12.56 ± 6.19 months. CONCLUSION: Robot-assisted laparoscopic nephroureterectomy without repositioning the patient during the procedure simplifies the procedure and shortens the duration of the procedure. It is also a safe, effective and feasible minimally invasive treatment method.
Keywords
- Nephroureterectomy
- Robot-assisted laparoscopic
- Tumor recurrence
- Single position
- Upper tract urothelial carcinoma
