Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics

(1) Introduction: The advent of robotic surgery led to the assumption that laparoscopic surgery would be replaced entirely. However, the high costs of robotic surgery limit its availability. The aim of the current study was to assess the feasibility of the 3D laparoscopic approach for the most compl...

Descripción completa

Detalles Bibliográficos
Autores: Andras, Iulia|||0000-0002-8586-3491, Territo, Angelo|||0000-0002-5162-5356, Telecan, Teodora, Medan, Paul|||0000-0001-7493-7574, Perciuleac, Ion|||0000-0003-2946-2017, Berindean, Alexandru, Stanca, Dan V., Buzoianu, Maximilian, Coman, Ioan, Crisan, Nicolae
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:255504
Acceso en línea:https://ddd.uab.cat/record/255504
https://dx.doi.org/urn:doi:10.3390/jcm10091812
Access Level:acceso abierto
Palabra clave:3D laparoscopy
Dual combined approach
Radical cystectomy
Radical nephroureterectomy
Robotic surgery
id ES_76fae7f6cd950fb4e209ddac2d63667c
oai_identifier_str oai:ddd.uab.cat:255504
network_acronym_str ES
network_name_str España
repository_id_str
spelling Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of RoboticsAndras, Iulia|||0000-0002-8586-3491Territo, Angelo|||0000-0002-5162-5356Telecan, TeodoraMedan, Paul|||0000-0001-7493-7574Perciuleac, Ion|||0000-0003-2946-2017Berindean, AlexandruStanca, Dan V.Buzoianu, MaximilianComan, IoanCrisan, Nicolae3D laparoscopyDual combined approachRadical cystectomyRadical nephroureterectomyRobotic surgery(1) Introduction: The advent of robotic surgery led to the assumption that laparoscopic surgery would be replaced entirely. However, the high costs of robotic surgery limit its availability. The aim of the current study was to assess the feasibility of the 3D laparoscopic approach for the most complex urological procedures. (2) Materials and methods: We included in the current study all patients who had undergone complex 3D laparoscopic procedures in our department since January 2017, including radical nephrectomy (LRN) using a dual combined approach (19 patients), radical nephroureterectomy (LRNU) with bladder cuff excision (13 patients), and radical cystectomy (LRC) with intracorporeal urinary diversion (ICUD) (21 patients). (3) Results: The mean operative time was 345/230/478 min, the complications rate was 26%/30.76%/23.8% and positive surgical margins were encountered in 3/1/1 patients for the combined approach of LRN/LRNU/LRC with ICUD, respectively. A single patient was converted to open surgery during LRN due to extension of the vena cava thrombus above the hepatic veins. After LRC, sepsis was the most common complication and 8 patients were readmitted at a mean of 15.5 days after discharge. (4) Conclusions: In the era of robotic surgery, laparoscopy remains a plausible alternative for most complex oncological cases.Universitat Autònoma de Barcelona 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/255504https://dx.doi.org/urn:doi:10.3390/jcm10091812reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2555042026-06-06T12:50:31Z
dc.title.none.fl_str_mv Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics
title Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics
spellingShingle Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics
Andras, Iulia|||0000-0002-8586-3491
3D laparoscopy
Dual combined approach
Radical cystectomy
Radical nephroureterectomy
Robotic surgery
title_short Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics
title_full Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics
title_fullStr Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics
title_full_unstemmed Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics
title_sort Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics
dc.creator.none.fl_str_mv Andras, Iulia|||0000-0002-8586-3491
Territo, Angelo|||0000-0002-5162-5356
Telecan, Teodora
Medan, Paul|||0000-0001-7493-7574
Perciuleac, Ion|||0000-0003-2946-2017
Berindean, Alexandru
Stanca, Dan V.
Buzoianu, Maximilian
Coman, Ioan
Crisan, Nicolae
author Andras, Iulia|||0000-0002-8586-3491
author_facet Andras, Iulia|||0000-0002-8586-3491
Territo, Angelo|||0000-0002-5162-5356
Telecan, Teodora
Medan, Paul|||0000-0001-7493-7574
Perciuleac, Ion|||0000-0003-2946-2017
Berindean, Alexandru
Stanca, Dan V.
Buzoianu, Maximilian
Coman, Ioan
Crisan, Nicolae
author_role author
author2 Territo, Angelo|||0000-0002-5162-5356
Telecan, Teodora
Medan, Paul|||0000-0001-7493-7574
Perciuleac, Ion|||0000-0003-2946-2017
Berindean, Alexandru
Stanca, Dan V.
Buzoianu, Maximilian
Coman, Ioan
Crisan, Nicolae
author2_role author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv 3D laparoscopy
Dual combined approach
Radical cystectomy
Radical nephroureterectomy
Robotic surgery
topic 3D laparoscopy
Dual combined approach
Radical cystectomy
Radical nephroureterectomy
Robotic surgery
description (1) Introduction: The advent of robotic surgery led to the assumption that laparoscopic surgery would be replaced entirely. However, the high costs of robotic surgery limit its availability. The aim of the current study was to assess the feasibility of the 3D laparoscopic approach for the most complex urological procedures. (2) Materials and methods: We included in the current study all patients who had undergone complex 3D laparoscopic procedures in our department since January 2017, including radical nephrectomy (LRN) using a dual combined approach (19 patients), radical nephroureterectomy (LRNU) with bladder cuff excision (13 patients), and radical cystectomy (LRC) with intracorporeal urinary diversion (ICUD) (21 patients). (3) Results: The mean operative time was 345/230/478 min, the complications rate was 26%/30.76%/23.8% and positive surgical margins were encountered in 3/1/1 patients for the combined approach of LRN/LRNU/LRC with ICUD, respectively. A single patient was converted to open surgery during LRN due to extension of the vena cava thrombus above the hepatic veins. After LRC, sepsis was the most common complication and 8 patients were readmitted at a mean of 15.5 days after discharge. (4) Conclusions: In the era of robotic surgery, laparoscopy remains a plausible alternative for most complex oncological cases.
publishDate 2021
dc.date.none.fl_str_mv 2
2021-01-01
2021
2021-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/255504
https://dx.doi.org/urn:doi:10.3390/jcm10091812
url https://ddd.uab.cat/record/255504
https://dx.doi.org/urn:doi:10.3390/jcm10091812
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869411089465212928
score 15.300719

Similares en LA Referencia