Minimally Invasive Radical Nephroureterectomy: 5-Year Update of Techniques and Outcomes

The gold standard treatment for non-metastatic upper tract urothelial cancer (UTUC) is represented by radical nephroureterectomy (RNU). The choice of surgical technique in performing UTUC surgery continues to depend on several factors, including the location and extent of the tumor, the patient’s ov...

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Main Authors: Antonio Franco, Francesco Ditonno, Carol Feng, Celeste Manfredi, Morgan R. Sturgis, Mustafa Farooqi, Francesco Del Giudice, Christopher Coogan, Matteo Ferro, Chao Zhang, Zhenjie Wu, Bo Yang, Linhui Wang, Riccardo Autorino
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/18/4585
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author Antonio Franco
Francesco Ditonno
Carol Feng
Celeste Manfredi
Morgan R. Sturgis
Mustafa Farooqi
Francesco Del Giudice
Christopher Coogan
Matteo Ferro
Chao Zhang
Zhenjie Wu
Bo Yang
Linhui Wang
Riccardo Autorino
author_facet Antonio Franco
Francesco Ditonno
Carol Feng
Celeste Manfredi
Morgan R. Sturgis
Mustafa Farooqi
Francesco Del Giudice
Christopher Coogan
Matteo Ferro
Chao Zhang
Zhenjie Wu
Bo Yang
Linhui Wang
Riccardo Autorino
author_sort Antonio Franco
collection DOAJ
description The gold standard treatment for non-metastatic upper tract urothelial cancer (UTUC) is represented by radical nephroureterectomy (RNU). The choice of surgical technique in performing UTUC surgery continues to depend on several factors, including the location and extent of the tumor, the patient’s overall health, and very importantly, the surgeon’s skill, experience, and preference. Although open and laparoscopic approaches are well-established treatments, evidence regarding robot-assisted radical nephroureterectomy (RANU) is growing. Aim of our study was to perform a critical review on the evidence of the last 5 years regarding surgical techniques and outcomes of minimally invasive RNU, mostly focusing on RANU. Reported oncological and function outcomes suggest that minimally invasive RNU is safe and effective, showing similar survival rates compared to the open approach.
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spelling doaj.art-e9fa6eb3e01745bbbd013c15f4911f312023-11-19T09:55:51ZengMDPI AGCancers2072-66942023-09-011518458510.3390/cancers15184585Minimally Invasive Radical Nephroureterectomy: 5-Year Update of Techniques and OutcomesAntonio Franco0Francesco Ditonno1Carol Feng2Celeste Manfredi3Morgan R. Sturgis4Mustafa Farooqi5Francesco Del Giudice6Christopher Coogan7Matteo Ferro8Chao Zhang9Zhenjie Wu10Bo Yang11Linhui Wang12Riccardo Autorino13Department of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Urology, Rush University, Chicago, IL 60612, USADepartment of Maternal Infant and Urologic Sciences, Policlinico Umberto I Hospital, “Sapienza” University of Rome, 00161 Rome, ItalyDepartment of Urology, Rush University, Chicago, IL 60612, USADivision of Urology, European Institute of Oncology (IEO), IRCCS, 20141 Milan, ItalyDepartment of Urology, Changhai Hospital, Naval Medical University, Shanghai 200433, ChinaDepartment of Urology, Changhai Hospital, Naval Medical University, Shanghai 200433, ChinaDepartment of Urology, Changhai Hospital, Naval Medical University, Shanghai 200433, ChinaDepartment of Urology, Changhai Hospital, Naval Medical University, Shanghai 200433, ChinaDepartment of Urology, Rush University, Chicago, IL 60612, USAThe gold standard treatment for non-metastatic upper tract urothelial cancer (UTUC) is represented by radical nephroureterectomy (RNU). The choice of surgical technique in performing UTUC surgery continues to depend on several factors, including the location and extent of the tumor, the patient’s overall health, and very importantly, the surgeon’s skill, experience, and preference. Although open and laparoscopic approaches are well-established treatments, evidence regarding robot-assisted radical nephroureterectomy (RANU) is growing. Aim of our study was to perform a critical review on the evidence of the last 5 years regarding surgical techniques and outcomes of minimally invasive RNU, mostly focusing on RANU. Reported oncological and function outcomes suggest that minimally invasive RNU is safe and effective, showing similar survival rates compared to the open approach.https://www.mdpi.com/2072-6694/15/18/4585kidney surgeryrobotic urologic surgeryrobot-assistedupper tract urothelial carcinomaureterectomy
spellingShingle Antonio Franco
Francesco Ditonno
Carol Feng
Celeste Manfredi
Morgan R. Sturgis
Mustafa Farooqi
Francesco Del Giudice
Christopher Coogan
Matteo Ferro
Chao Zhang
Zhenjie Wu
Bo Yang
Linhui Wang
Riccardo Autorino
Minimally Invasive Radical Nephroureterectomy: 5-Year Update of Techniques and Outcomes
Cancers
kidney surgery
robotic urologic surgery
robot-assisted
upper tract urothelial carcinoma
ureterectomy
title Minimally Invasive Radical Nephroureterectomy: 5-Year Update of Techniques and Outcomes
title_full Minimally Invasive Radical Nephroureterectomy: 5-Year Update of Techniques and Outcomes
title_fullStr Minimally Invasive Radical Nephroureterectomy: 5-Year Update of Techniques and Outcomes
title_full_unstemmed Minimally Invasive Radical Nephroureterectomy: 5-Year Update of Techniques and Outcomes
title_short Minimally Invasive Radical Nephroureterectomy: 5-Year Update of Techniques and Outcomes
title_sort minimally invasive radical nephroureterectomy 5 year update of techniques and outcomes
topic kidney surgery
robotic urologic surgery
robot-assisted
upper tract urothelial carcinoma
ureterectomy
url https://www.mdpi.com/2072-6694/15/18/4585
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