{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T04:49:18Z","timestamp":1780548558177,"version":"3.54.1"},"reference-count":18,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The aim of this study was to investigate the oncological outcomes and recurrence patterns in clinically node-negative patients with renal pelvic and\/or upper or middle ureteral tumors after template-based retroperitoneal lymph node dissection (RPLND) in conjunction with retroperitoneal laparoscopic radical nephroureterectomy (LRNU).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      A total of 283 patients who received LRNU with and without RPLND at three Japanese institutions were enrolled. The template for RPLND included the renal hilar and para-aortic lymph nodes (LNs) (left side) and renal hilar, paracaval, retrocaval, and intra-aortocaval LNs (right side). The LNs and kidneys were removed\n                      <jats:italic toggle=\"yes\">en bloc<\/jats:italic>\n                      . The primary endpoint was set as recurrence-free survival. All RPLND cases were matched one-to-one with no-RPLND cases using a propensity score matching approach, and 47 matched pairs were included in analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Compared with the control group, significant differences were not observed in the RPLND group in terms of operation time, blood loss, postoperative complication rate, and pathological findings. The estimated 5-year recurrence-free survival was significantly higher in the RPLND group (86.8%) compared with the group without RPLND (64.2%) (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.014). The estimated 5-year cancer-specific survival showed a similar tendency; however, it did not reach a statistically significant difference (87.5%\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      71.3%, respectively;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.168). As for the first recurrence site, the RPLND group showed a lower incidence of distant recurrence, while no significant difference was observed in the rate of regional LN recurrence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study suggests that template-based RPLND in conjunction with retroperitoneal LRNU efficiently improves recurrence-free survival by reducing distant recurrences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2022.0103","type":"journal-article","created":{"date-parts":[[2022,5,24]],"date-time":"2022-05-24T03:28:48Z","timestamp":1653362928000},"page":"1206-1213","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Oncological Outcomes of Retroperitoneal Lymph Node Dissection During Retroperitoneal Laparoscopic Radical Nephroureterectomy for Renal Pelvic or Upper Ureteral Tumors: Matched-Pair Analysis"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9445-4035","authenticated-orcid":false,"given":"Toru","family":"Kanno","sequence":"first","affiliation":[{"name":"Department of Urology, Ijinkai Takeda General Hospital, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Go","family":"Kobori","sequence":"additional","affiliation":[{"name":"Department of Urology, Hamamatsu Rosai Hospital, Hamamatsu, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6322-9190","authenticated-orcid":false,"given":"Katsuhiro","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Urology, Ijinkai Takeda General Hospital, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiromichi","family":"Nakagawa","sequence":"additional","affiliation":[{"name":"Department of Urology, Rakuwakai Otowa Hospital, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshifumi","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Urology, Ijinkai Takeda General Hospital, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeki","family":"Koterazawa","sequence":"additional","affiliation":[{"name":"Department of Urology, Ijinkai Takeda General Hospital, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naoto","family":"Takaoka","sequence":"additional","affiliation":[{"name":"Department of Urology, Hamamatsu Rosai Hospital, Hamamatsu, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinya","family":"Somiya","sequence":"additional","affiliation":[{"name":"Department of Urology, Ijinkai Takeda General Hospital, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanji","family":"Nagahama","sequence":"additional","affiliation":[{"name":"Department of Urology, Rakuwakai Otowa Hospital, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaaki","family":"Ito","sequence":"additional","affiliation":[{"name":"Department of Urology, Rakuwakai Otowa Hospital, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuzuru","family":"Megumi","sequence":"additional","affiliation":[{"name":"Department of Urology, Hamamatsu Rosai Hospital, Hamamatsu, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshihito","family":"Higashi","sequence":"additional","affiliation":[{"name":"Department of Urology, Ijinkai Takeda General Hospital, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiji","family":"Moroi","sequence":"additional","affiliation":[{"name":"Department of Urology, Hamamatsu Rosai Hospital, Hamamatsu, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshiya","family":"Akao","sequence":"additional","affiliation":[{"name":"Department of Urology, Rakuwakai Otowa Hospital, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Urology, Ijinkai Takeda General Hospital, Kyoto, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,9,1]]},"reference":[{"key":"e_1_3_4_2_2","first-page":"384","article-title":"Current role of lymphadenectomy in the upper tract urothelial carcinoma","volume":"69","author":"Alvarez-Maestro M","year":"2016","unstructured":"Alvarez-Maestro M, , Rivas JG, , Gregorio SA, , Guerin CC, , Gomez AT, , Ledo JC. 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