Current guidelines recommend radical nephroureterectomy with bladder cuff excision as the standard surgical treatment for high-risk upper tract urothelial carcinoma (UTUC). While large evidence is available regarding open and laparoscopic nephroureterectomy, data focusing on robotic nephroureterectomy (RNU) in UTUC are mostly limited with mixed results, especially in locally advanced disease.
In light of the recent introduction of new robotic platforms, it is of utmost importance to further investigate oncologic outcomes associated with RNU. Moreover, stronger data exploring different operative settings (i.e. robotic arms and trocars placement) for the new robotic systems are eagerly warranted. To give an answer to such open clinical questions, the Junior ERUS/Young Academic Urologist Working Group on Robot-assisted Surgery designed a multicentric project involving different high-volume centers across the world. The aim of the study will be exploring surgical and oncologic outcomes of RNU, specifically focusing on several clinical unmet needs, such as best operative setting for new robotic platforms, lymph node dissection (LDN) template and robotic bladder cuff management.
Minerva urology and nephrology. 2024 Jul 24 [Epub ahead of print]
Fabrizio DI Maida, Carlo A Bravi, Ruben DE Groote, Federico Piramide, Filippo Turri, Mike Wenzel, Gopal Sharma, Christoph Würnschimmel, Iulia Andras, Edward Lambert, Paolo Dell'oglio, Marcio Covas Moschovas, Riccardo Campi, Nikolaos Liakos, Antonio A Grosso, Francesco Montorsi, Alberto Briganti, Alexandre Mottrie, Andrea Minervini, Alessandro Larcher, Junior ERUS / EAU-YAU Working Group on Robot-assisted Surgery
Unit of Oncologic Minimally-Invasive Urology and Andrology, Careggi Hospital, University of Florence, Florence, Italy - ., Department of Urology, The Royal Marsden NHS Foundation Trust, London, UK., Department of Urology, Onze-Lieve-Vrouwziekenhuis Hospital, Aalst, Belgium., Division of Urology, Department of Oncology, San Luigi Gonzaga Hospital, University of Turin, Orbassano, Turin, Italy., Department of Urology, ASST Santi Paolo e Carlo, University of Milan, Milan, Italy., Department of Urology, Goethe University Hospital Frankfurt, Frankfurt am Main, Germany., Department of Urologic Oncology, Medanta The Medicity, Gurgaon, India., Department of Urology, Luzerner Kantonsspital, Lucerne, Switzerland., Department of Urology, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania., Department of Urology, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy., AdventHealth Global Robotics Institute, Celebration, FL, USA., Unit of Urologic Robotics, Minimally-Invasive Surgery and Renal Transplantation, Careggi University Hospital, University of Florence, Florence, Italy., Department of Urology, Faculty of Medicine, Medical Center of the University of Freiburg, Freiburg, Germany., Unit of Oncologic Minimally-Invasive Urology and Andrology, Careggi Hospital, University of Florence, Florence, Italy., Department of Urology, IRCCS San Raffaele Hospital, Milan, Italy.
PubMed http://www.ncbi.nlm.nih.gov/pubmed/39045659