Comparison of Single-Docking Robotic-Assisted and Traditional Laparoscopy for Retroperitoneal Lymph Node Dissection during Nephroureterectomy with Bladder Cuff Excision for Upper-Tract Urothelial Carcinoma

To compare the results of traditional laparoscopy and a simple, single-docking robotic approach for retroperitoneal lymph node dissection (RPLND), nephroureterectomy, and bladder cuff excision.

We evaluated 63 and 37 consecutive patients who underwent laparoscopic and robotic nephrouretectomy with RPLND, respectively, for upper-tract urothelial carcinoma (UTUC).

Our robotic approach was associated with improved lymph node procurement (21. 0 nodes [IQR 16. 0 - 30. 0]) when compared to laparoscopy (11. 0 nodes [IQR 5. 5-21. 0]) (p

Our single-docking robotic technique for concomitant RPLND during nephrouretectomy is associated with improved lymph node yield.

Urology. 2015 Oct 19 [Epub ahead of print]

Jonathan J Melquist, Grant Redrow, Scott Delacroix, Andrew Park, Eliney E Faria, Jose A Karam, Surena F Matin

Department of Urology, University of Texas MD Anderson Cancer Center, Houston, TX. , Department of Urology, University of Texas MD Anderson Cancer Center, Houston, TX. , Currently at Department of Urology, Louisiana State University, New Orleans, LA. , Department of Urology, University of Texas MD Anderson Cancer Center, Houston, TX. , Currently at Department of Urology, Barretos Cancer Hospital, Barretos, Brasil. , Department of Urology, University of Texas MD Anderson Cancer Center, Houston, TX. , Department of Urology, University of Texas MD Anderson Cancer Center, Houston, TX. 

PubMed