Robotic‐assisted approaches to urachal carcinoma: A comprehensive systematic review of the safety and efficacy outcomes
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| Format: | Artículo Open Access |
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Wiley
2024
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| author | Caio Vinícius Suartz Lucas Motta Martinez Pedro Henrique Brito Carlos Victori Neto Maurício Dener Cordeiro Luiz Antonio Assan Botelho Fábio Pescarmona Gallucci José Maurício Mota William Carlos Nahas Leopoldo Alves Ribeiro‐Filho |
| author_facet | Caio Vinícius Suartz Lucas Motta Martinez Pedro Henrique Brito Carlos Victori Neto Maurício Dener Cordeiro Luiz Antonio Assan Botelho Fábio Pescarmona Gallucci José Maurício Mota William Carlos Nahas Leopoldo Alves Ribeiro‐Filho Caio Vinícius Suartz Lucas Motta Martinez Pedro Henrique Brito Carlos Victori Neto Maurício Dener Cordeiro Luiz Antonio Assan Botelho Fábio Pescarmona Gallucci José Maurício Mota William Carlos Nahas Leopoldo Alves Ribeiro‐Filho |
| collection | Wiley Open Access |
| contents | Robotic‐assisted approaches to urachal carcinoma: A comprehensive systematic review of the safety and efficacy outcomes Caio Vinícius Suartz Lucas Motta Martinez Pedro Henrique Brito Carlos Victori Neto Maurício Dener Cordeiro Luiz Antonio Assan Botelho Fábio Pescarmona Gallucci José Maurício Mota William Carlos Nahas Leopoldo Alves Ribeiro‐Filho BJUI Compass AbstractIntroductionSurgical intervention is the treatment of choice in patients with urachal carcinoma. Due to complications and to reduce hospital stay from open surgery, minimally invasive approaches are desirable. Nowadays, robotic‐assisted surgery has become increasingly popular, and robot‐assisted cystectomy can be performed in patients with urachal carcinoma with low complication rates.MethodsWe performed a systematic review to search for studies that evaluated patients who underwent robotic‐assisted surgery for urachal carcinoma. The outcomes of interest were the type of cystectomy performed, whether there was umbilicus resection, total operative time, console time, intraoperative complications, estimated blood loss, postoperative complications, time of hospitalisation, positive surgical margins and the presence of documented tumour recurrence.ResultsIn this study, we evaluated three cohorts comprising a total of 21 patients. The median follow‐up period ranged from 8 to 40 months. Medium age was between 51 and 54 years, with a majority (63.1%) being male. One patient (5.2%) underwent a radical cystectomy, and 19 patients (94.7%) underwent to partial cystectomy. Umbilical resections were performed in all cases, and pelvic lymphadenectomy in 14 cases (73.6%). Recurrence occurred in three patients at a median of 17 months postoperation, two cases in the trocar insertion site. Additionally, there was one death, which was attributed to postoperative cardiovascular complications.ConclusionRobotic‐assisted partial cystectomy has a low incidence of adverse outcomes in patients with urachal carcinoma. Controlled studies, ideally randomised, are warranted to establish the comparative efficacy and safety of the robotic‐assisted cystectomy approach relative to open surgery. 10.1002/bco2.333 http://creativecommons.org/licenses/by/4.0/ |
| doi_str_mv | 10.1002/bco2.333 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_bco2_333 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| publishDate | 2024 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Robotic‐assisted approaches to urachal carcinoma: A comprehensive systematic review of the safety and efficacy outcomes Caio Vinícius Suartz Lucas Motta Martinez Pedro Henrique Brito Carlos Victori Neto Maurício Dener Cordeiro Luiz Antonio Assan Botelho Fábio Pescarmona Gallucci José Maurício Mota William Carlos Nahas Leopoldo Alves Ribeiro‐Filho BJUI Compass Robotic‐assisted approaches to urachal carcinoma: A comprehensive systematic review of the safety and efficacy outcomes Caio Vinícius Suartz Lucas Motta Martinez Pedro Henrique Brito Carlos Victori Neto Maurício Dener Cordeiro Luiz Antonio Assan Botelho Fábio Pescarmona Gallucci José Maurício Mota William Carlos Nahas Leopoldo Alves Ribeiro‐Filho BJUI Compass AbstractIntroductionSurgical intervention is the treatment of choice in patients with urachal carcinoma. Due to complications and to reduce hospital stay from open surgery, minimally invasive approaches are desirable. Nowadays, robotic‐assisted surgery has become increasingly popular, and robot‐assisted cystectomy can be performed in patients with urachal carcinoma with low complication rates.MethodsWe performed a systematic review to search for studies that evaluated patients who underwent robotic‐assisted surgery for urachal carcinoma. The outcomes of interest were the type of cystectomy performed, whether there was umbilicus resection, total operative time, console time, intraoperative complications, estimated blood loss, postoperative complications, time of hospitalisation, positive surgical margins and the presence of documented tumour recurrence.ResultsIn this study, we evaluated three cohorts comprising a total of 21 patients. The median follow‐up period ranged from 8 to 40 months. Medium age was between 51 and 54 years, with a majority (63.1%) being male. One patient (5.2%) underwent a radical cystectomy, and 19 patients (94.7%) underwent to partial cystectomy. Umbilical resections were performed in all cases, and pelvic lymphadenectomy in 14 cases (73.6%). Recurrence occurred in three patients at a median of 17 months postoperation, two cases in the trocar insertion site. Additionally, there was one death, which was attributed to postoperative cardiovascular complications.ConclusionRobotic‐assisted partial cystectomy has a low incidence of adverse outcomes in patients with urachal carcinoma. Controlled studies, ideally randomised, are warranted to establish the comparative efficacy and safety of the robotic‐assisted cystectomy approach relative to open surgery. 10.1002/bco2.333 http://creativecommons.org/licenses/by/4.0/ |
| title | Robotic‐assisted approaches to urachal carcinoma: A comprehensive systematic review of the safety and efficacy outcomes |
| topic | BJUI Compass |
| url | https://bjui-journals.onlinelibrary.wiley.com/doi/10.1002/bco2.333 |