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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2021
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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) |
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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 |
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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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