Effects of robot-assisted versus hand-assisted nephroureterectomy on circulating tumor cells for upper urinary tract urothelial carcinoma

Abstract To compare perioperative circulating tumor cells (CTC) in primary upper tract urothelial carcinoma (UTUC) patients who underwent hand-assisted retroperitoneoscopic nephroureterectomy (HANU) or robotic-assisted nephroureterectomy (RANU). A total of 29 patients received RANU (n = 10) or HANU...

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Autores principales: Hui-Kung Ting, Tai-Lung Cha, Yi-Ta Tsai, Shu-Yu Liu, Sheng-Tang Wu, En Meng, Chih-Wei Tsao, Chien-Chang Kao, Chin-Li Chen, Guang-Huan Sun, Dah-Shyong Yu, Ming-Hsin Yang
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/630d822292744be898aafc3de5ddf06a
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spelling oai:doaj.org-article:630d822292744be898aafc3de5ddf06a2021-12-02T17:37:35ZEffects of robot-assisted versus hand-assisted nephroureterectomy on circulating tumor cells for upper urinary tract urothelial carcinoma10.1038/s41598-021-99092-42045-2322https://doaj.org/article/630d822292744be898aafc3de5ddf06a2021-09-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-99092-4https://doaj.org/toc/2045-2322Abstract To compare perioperative circulating tumor cells (CTC) in primary upper tract urothelial carcinoma (UTUC) patients who underwent hand-assisted retroperitoneoscopic nephroureterectomy (HANU) or robotic-assisted nephroureterectomy (RANU). A total of 29 patients received RANU (n = 10) or HANU (n = 19). Peripheral blood samples were collected before, 24 h after surgery (POh24) and on postoperative day 28 (POD28). The demographic and pathologic data are similar in both groups. RANU had a longer operative time (p = 0.031), less bleeding volume (p = 0.004), and comparable pain sore (p = 0.169). The mean CTC numbers before surgery (2.4 vs. 2.3, p = 0.482), POh24 (2.4 vs. 1.9, p = 0.668) and POD28 (0.5 vs. 0.6, p = 0.280) were not significant different among groups. The amount of CTCs in both groups decreased and reached similar level on POD28. No significant difference of overall and intravesical recurrence rate between the two approaches. In comparison to RANU, more surgical manipulation does not affect tumor cell translocation into the bloodstream in UTUC patients who received HANU. However, a longer follow-up would be needed for the final comparison of tumor recurrence.Hui-Kung TingTai-Lung ChaYi-Ta TsaiShu-Yu LiuSheng-Tang WuEn MengChih-Wei TsaoChien-Chang KaoChin-Li ChenGuang-Huan SunDah-Shyong YuMing-Hsin YangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hui-Kung Ting
Tai-Lung Cha
Yi-Ta Tsai
Shu-Yu Liu
Sheng-Tang Wu
En Meng
Chih-Wei Tsao
Chien-Chang Kao
Chin-Li Chen
Guang-Huan Sun
Dah-Shyong Yu
Ming-Hsin Yang
Effects of robot-assisted versus hand-assisted nephroureterectomy on circulating tumor cells for upper urinary tract urothelial carcinoma
description Abstract To compare perioperative circulating tumor cells (CTC) in primary upper tract urothelial carcinoma (UTUC) patients who underwent hand-assisted retroperitoneoscopic nephroureterectomy (HANU) or robotic-assisted nephroureterectomy (RANU). A total of 29 patients received RANU (n = 10) or HANU (n = 19). Peripheral blood samples were collected before, 24 h after surgery (POh24) and on postoperative day 28 (POD28). The demographic and pathologic data are similar in both groups. RANU had a longer operative time (p = 0.031), less bleeding volume (p = 0.004), and comparable pain sore (p = 0.169). The mean CTC numbers before surgery (2.4 vs. 2.3, p = 0.482), POh24 (2.4 vs. 1.9, p = 0.668) and POD28 (0.5 vs. 0.6, p = 0.280) were not significant different among groups. The amount of CTCs in both groups decreased and reached similar level on POD28. No significant difference of overall and intravesical recurrence rate between the two approaches. In comparison to RANU, more surgical manipulation does not affect tumor cell translocation into the bloodstream in UTUC patients who received HANU. However, a longer follow-up would be needed for the final comparison of tumor recurrence.
format article
author Hui-Kung Ting
Tai-Lung Cha
Yi-Ta Tsai
Shu-Yu Liu
Sheng-Tang Wu
En Meng
Chih-Wei Tsao
Chien-Chang Kao
Chin-Li Chen
Guang-Huan Sun
Dah-Shyong Yu
Ming-Hsin Yang
author_facet Hui-Kung Ting
Tai-Lung Cha
Yi-Ta Tsai
Shu-Yu Liu
Sheng-Tang Wu
En Meng
Chih-Wei Tsao
Chien-Chang Kao
Chin-Li Chen
Guang-Huan Sun
Dah-Shyong Yu
Ming-Hsin Yang
author_sort Hui-Kung Ting
title Effects of robot-assisted versus hand-assisted nephroureterectomy on circulating tumor cells for upper urinary tract urothelial carcinoma
title_short Effects of robot-assisted versus hand-assisted nephroureterectomy on circulating tumor cells for upper urinary tract urothelial carcinoma
title_full Effects of robot-assisted versus hand-assisted nephroureterectomy on circulating tumor cells for upper urinary tract urothelial carcinoma
title_fullStr Effects of robot-assisted versus hand-assisted nephroureterectomy on circulating tumor cells for upper urinary tract urothelial carcinoma
title_full_unstemmed Effects of robot-assisted versus hand-assisted nephroureterectomy on circulating tumor cells for upper urinary tract urothelial carcinoma
title_sort effects of robot-assisted versus hand-assisted nephroureterectomy on circulating tumor cells for upper urinary tract urothelial carcinoma
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/630d822292744be898aafc3de5ddf06a
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