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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8122613/ https://www.ncbi.nlm.nih.gov/pubmed/33919290 http://dx.doi.org/10.3390/jcm10091812 |
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author | Andras, Iulia Territo, Angelo Telecan, Teodora Medan, Paul Perciuleac, Ion Berindean, Alexandru Stanca, Dan V. Buzoianu, Maximilian Coman, Ioan Crisan, Nicolae |
author_facet | Andras, Iulia Territo, Angelo Telecan, Teodora Medan, Paul Perciuleac, Ion Berindean, Alexandru Stanca, Dan V. Buzoianu, Maximilian Coman, Ioan Crisan, Nicolae |
author_sort | Andras, Iulia |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-8122613 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-81226132021-05-16 Role of the Laparoscopic Approach for Complex Urologic Surgery in the Era of Robotics Andras, Iulia Territo, Angelo Telecan, Teodora Medan, Paul Perciuleac, Ion Berindean, Alexandru Stanca, Dan V. Buzoianu, Maximilian Coman, Ioan Crisan, Nicolae J Clin Med Article (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. MDPI 2021-04-21 /pmc/articles/PMC8122613/ /pubmed/33919290 http://dx.doi.org/10.3390/jcm10091812 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Andras, Iulia Territo, Angelo Telecan, Teodora Medan, Paul Perciuleac, Ion Berindean, Alexandru Stanca, Dan V. Buzoianu, Maximilian Coman, Ioan Crisan, Nicolae 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 |
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_short | 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 |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8122613/ https://www.ncbi.nlm.nih.gov/pubmed/33919290 http://dx.doi.org/10.3390/jcm10091812 |
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