Abstract Purpose Robotic surgery is increasingly utilized in the treatment of urothelial carcinoma of the upper urinary tract (UTUC).This study investigates the advantages and burden of robot-assisted surgical treatment of the urothelial carcinoma of the upper urinary tract in a referral urological department, along with their functional and oncological results.Methods The study included 66 prospectively enrolled patients who were surgically treated by a single, robotically specialized surgeon between July 2019 and December 2023.Patients were divided into three groups.Group 1: 50 patients underwent robot-assisted radical Nephroureterectomy (RANU) with bladder cuff excision, Group 2: 11 patients underwent RANU simultaneously with robot-assisted radical cystectomy (RARC), Red Raspberry and Group 3: 5 patients underwent robot-assisted segmental ureterectomy (RASU).
Clinical and oncological parameters were compared.Perioperative morbidity according to Clavien-Dindo was the primary endpoint of our study.The secondary endpoint was oncologic outcomes.Results 37.8% of patients had locally advanced carcinomas.
The average console time of RANU with bladder cuff excision was 69 min.The rate of positive surgical margins was n = 1/66 (2%).Lymphadenectomy (LAD) was performed on 30% of patients, with a mean of 13.7 lymph nodes removed.Of those who received LAD, 33% had lymph node metastasis.
n = 6/66 (9%) patients received blood transfusion.The overall complication rate was 24%.The readmission rate was 7.5%.With a median follow-up of 26 months, the 2-year recurrence-free survival rate was 84.
4%, CELLOPHANES CRANBERRY RED and the 2-year overall survival rate was 94%.Conclusion Robotic surgery is a feasible option for treating UTUC that can be adapted to meet the surgical needs of each patient.Prospective studies are warranted to confirm its benefits.