{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T13:11:14Z","timestamp":1791897074701,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,7,23]],"date-time":"2013-07-23T00:00:00Z","timestamp":1374537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2013,8]]},"abstract":"\n Objective<\/jats:title>\n \n \n \n \n To review a multi\u2010institutional series of robot\u2010assisted nephroureterectomy (\n RANU<\/jats:styled-content>\n ) for management of upper urinary tract urothelial carcinoma (\n UUTUC<\/jats:styled-content>\n ) with respect to technique and perioperative outcomes.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n \n \n \n Between\n M<\/jats:styled-content>\n ay 2007 and\n J<\/jats:styled-content>\n uly 2011, 43\n RANU<\/jats:styled-content>\n were performed at three institutions for\n UUTUC<\/jats:styled-content>\n with review of perioperative outcomes.\n <\/jats:p>\n <\/jats:list-item>\n \n A three\u2010 or four\u2010armed robotic technique was used in all cases based on surgeon preference and the entirety of all procedures was performed using the robot\u2010assisted technique.<\/jats:p>\n <\/jats:list-item>\n \n Single and two robot\u2010docking techniques are described.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n \n \n The mean (range) operating time was 247 (128\u2013390) min, blood loss was 131 (10\u2013500) mL and the median (range) length of stay was 3 (2\u201387) days.<\/jats:p>\n <\/jats:list-item>\n \n \n Pathology was\n pTa<\/jats:styled-content>\n in nine patients,\n pT1<\/jats:styled-content>\n in 14 patients,\n pT2<\/jats:styled-content>\n in three patients,\n pT3<\/jats:styled-content>\n in 15 patients and\n pT4<\/jats:styled-content>\n in two patients.\n <\/jats:p>\n <\/jats:list-item>\n \n Lymph node dissection was performed in 22 patients (51%) with a mean (range) lymph node count of 11 (4\u201323).<\/jats:p>\n <\/jats:list-item>\n \n \n There were six postoperative complications: bleeding requiring a blood transfusion (grade\n II<\/jats:styled-content>\n ), splenic bleeding (grade\n IV<\/jats:styled-content>\n ), two cases of pneumonia (grade\n II<\/jats:styled-content>\n ) and two cases of rhabdomyolysis (grades\n II<\/jats:styled-content>\n and\n IV<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:list-item>\n \n Nine recurrences (six bladder, two within the retroperitoneum and one in the contralateral collecting system) have been found to date on routine surveillance with a mean follow\u2010up of 9 months.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n \n \n \n RANU<\/jats:styled-content>\n is a feasible alternative to laparoscopic and open techniques.\n <\/jats:p>\n <\/jats:list-item>\n \n Particular steps of the operation including sutured closure of the cystotomy and regional lymphadenectomy are facilitated with the use of robot\u2010assisted surgery.<\/jats:p>\n <\/jats:list-item>\n \n Long\u2010term outcomes are necessary to assess the relative efficacy of these approaches to more established techniques; however, early perioperative outcomes appear promising.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n 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