دورية أكاديمية
Is robotic radical nephroureterectomy a safe alternative to open approach: The first prospective analysis
| العنوان: | Is robotic radical nephroureterectomy a safe alternative to open approach: The first prospective analysis |
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| المؤلفون: | Panagiotis Mourmouris, Omer Burak Argun, Lazaros Tzelves, Mustafa Bilal Tuna, Maria Gourtzelidou, Andreas Tziotis, Ali Riza Kural, Andreas Skolarikos |
| المصدر: | Archivio Italiano di Urologia e Andrologia, Vol 93, Iss 4 (2021) |
| بيانات النشر: | PAGEPress Publications, 2021. |
| سنة النشر: | 2021 |
| المجموعة: | LCC:Diseases of the genitourinary system. Urology |
| مصطلحات موضوعية: | Robotic radical nephroureterectomy, Open radical nephroureterectomy, Prospective analysis, Complications, Diseases of the genitourinary system. Urology, RC870-923 |
| الوصف: | Purpose: To test the efficacy and safety profile of robotic radical nephroureterectomy compared to the open approach. Methods: We enrolled 45 consecutive patients who suffered from non-metastatic, upper urinary tract urothelial carcinoma from September 2019 to March 2021 and underwent radical nephroureterectomy. Patients were divided in two groups: group A consisted of 29 patients (open approach) and group B consisted of 16 patients (robotic approach). The factors which were taken into consideration were age, sex, body mass index, tumour size, side and grade, cancer stage, ASA score, operation time, drain removal time, foley time, hospitalization time, estimated blood loss, surgical margins, preoperative and postoperative creatinine, Hct and bladder recurrences. Statistical analysis was performed with the use of SPSS version 26 and p < 0.05 was the cut-off for reaching statistical significance. Results: The mean age in group 1 was 67.12 years and in group 2 68.12 years, whereas the mean body mass index (BMI) in group 1 was 26.54 kg/m2 and in group 2 25.20 kg/m2. Operative time was better in group A (124 vs 186 mins p < 0.001) and estimated blood loss were better in group B compared to group A (137 vs 316 ml p < 0.001). Length of stay (LOS) was significantly less in the robotic group (5.75 vs 4.3 days p = 0.003) and the same applied for time required for drain removal (4.5 vs 3.3 days p = 0.006). Conclusions: Robotic radical nephroureterectomy is a safe and efficient alternative to open approach. It provides a favorable perioperative profile in patients suffering from upper urinary tract carcinoma without metastasis. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1124-3562 2282-4197 |
| Relation: | https://www.pagepressjournals.org/index.php/aiua/article/view/10071; https://doaj.org/toc/1124-3562; https://doaj.org/toc/2282-4197 |
| DOI: | 10.4081/aiua.2021.4.408 |
| URL الوصول: | https://doaj.org/article/d7ad481e22b042d0bd35b7d3eec14173 |
| رقم الأكسشن: | edsdoj.7ad481e22b042d0bd35b7d3eec14173 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 11243562 22824197 |
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| DOI: | 10.4081/aiua.2021.4.408 |