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Concomitant robot-assisted laparoscopic surgeries for upper and lower urinary tract malignancies: a comprehensive literature review

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A Correction to this article was published on 14 December 2021

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Abstract

Worldwide, we have witnessed an expansion of robot-assisted laparoscopic surgery (RALS) and thanks to the global adoption of high-resolution diagnostic imaging technologies, an increased incidence of newly diagnosed prostatic, renal and bladder cancers has been recorded with concurrent second primary urological cancer diagnoses increasing by 1.5%. Diverse authors have reported their findings concerning synchronous multi-visceral malignances robotic treatment within the scientific literature. The aim of this study is to comprehensively review all reported articles describing concurrent upper and lower RALS using a singular robotic port scheme within the same intervention for renal malignances and concomitant prostatic or bladder cancers. To the best of our knowledge and vigorous literature search, this is the first study that comprehensively evaluates and reports all combined upper and lower urinary tract surgeries published so far. In carefully selected patients, thanks to multidisciplinary preoperative assessment and surgical planning a combined robotic approach can reduce the morbidity, complications, hospital admissions and the overall length of hospitalization.

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Change history

Abbreviations

BMI:

Body Mass Index

HTN:

Hypertension

DM:

Diabetes Mellitus

ASA:

American Society of Anesthesiologists

PSA:

Prostate-Specific Antigen

GS:

Gleason Score

TCC:

Transitional Cell Carcinoma

BCG:

Bacillus Calmette–Guèrin

TURB:

Transurethral Bladder Resection

RARP:

Robot-Assisted Radical Prostatectomy

RAPN:

Robot-Assisted Partial Nephrectomy

RARN:

Robot-Assisted Radical Nephrectomy

RARC:

Robot-Assisted Radical Cystectomy

PreOPsCR:

Preoperative Serum Creatinine

OT:

Operative Time

WIT:

Warm Ischemia Time

EBL:

Estimated Blood Loss

PostOPsCR:

Postoperative Serum Creatinine

LOS:

Length Of Hospital Stay

TCC:

Transitional Cell Carcinoma

RCC:

Renal Cell Carcinoma

RARP:

Robot-Assisted Radical Prostatectomy

FU:

Follow-Up Time

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Author information

Authors and Affiliations

  1. Department of Urology, Polytechnic University of Marche Region, Umberto I Hospital “Ospedali Riuniti”, 71 Conca Street, 60126, Ancona, Italy

    Simone Scarcella, Daniele Castellani, Carlo Giulioni, Erika Palagonia, Lucio Dell’Atti, Giulio Milanese & Andrea B.Galosi

  2. Division of Urology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy

    Pietro Piazza

  3. Department of Urology, Onze-Lieve-Vrouwziekenhuis, Aalst, Belgium

    Carlo Andrea Bravi, Dries Develtere, Camille Berquin, Céline Sinatti, Hannah Van Puyvelde, Ruben De Groote, Geert De Naeyer & Alexandre Mottrie

  4. ORSI Academy, Melle, Belgium

    Carlo Andrea Bravi, Rui Farinha & Alexandre Mottrie

  5. Urology Department, University of Modena and Reggio Emilia, Modena, Italy

    Luca Sarchi, Marco Amato & Stefano Puliatti

  6. Division of Oncology/Unit of Urology; URI, IRCCS Ospedale San Raffaele, Milan, Italy

    Carlo Andrea Bravi

  7. Department of Urology, Son Espases University Hospital, Palma de Mallorca, Spain

    Maria Peraire Lores

  8. Martini-Klinik Prostate Cancer Center, University Hospital Hamburg-Eppendorf, Hamburg, Germany

    Sophie Knipper

  9. Hospital Santa Catarina de Blumenau, Blumenau, Brazil

    Sérgio Augusto Skrobot

  10. S.H.Ho Urology Centre, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China

    Jeremy Yuen-Chun Teoh

  11. Division of Surgery and Interventional Sciences, University College London, London, UK

    Paolo Umari

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  1. Simone Scarcella
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Corresponding author

Correspondence to Simone Scarcella.

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Conflict of interest

Simone Scarcella, Daniele Castellani, Pietro Piazza, Carlo Giulioni, Luca Sarchi, Marco Amato, Carlo Andrea Bravi, Maria Peraire Lores, Rui Farinha, Sophie Knipper, Erika Palagonia, Sérgio Augusto Skrobot, Dries Develtere, Camille Berquin, Céline Sinatti, Hannah Van Puyvelde, Ruben De Groote, Paolo Umari, Geert De Naeyer, Lucio Dell’Atti, Giulio Milanese, Stefano Puliatti, Jeremy Yuen-Chun Teoh, Andrea B.Galosi, Alexandre Mottrie have no conflict of interest to declare regarding this study.

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Scarcella, S., Castellani, D., Piazza, P. et al. Concomitant robot-assisted laparoscopic surgeries for upper and lower urinary tract malignancies: a comprehensive literature review. J Robotic Surg 16, 991–1005 (2022). https://doi.org/10.1007/s11701-021-01317-1

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