Robot-assisted laparoscopic surgery is increasingly used in urologic oncologic surgery. Robotic nephroureterectomy is still a relatively new technique. As upper tract urothelial carcinoma is a rare disease, intermediate- and long-term outcome data are scarce. However, robotic nephroureterectomy does seem to offer advantages to open and laparoscopic counterparts, with comparable short-term oncologic and functional outcomes. Here the authors review the robotic surgical management of upper tract urothelial carcinoma, with a review of the steps and tips on making this approach more widely adoptable.
Key points
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Robotic nephroureterectomy with excision of the bladder cuff using a 2-docking approach is safe and feasible in treating upper urinary (UUTUC) tract urothelial carcinoma.
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The robotic approach for UUTUC may offer increased visualization of vascular anatomy for an accurate lymphadenectomy.
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Robotic distal ureterectomy and reimplantation using the 4-arm technique is safe and feasible and adheres to all principles of oncology and reconstruction.
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