Single-Port RAS Using Da Vinci SP Surgical System for UTUC Patients

Summary

To evaluate patient-reported outcomes of radical nephroureterectomy using single-port robotic surgery

Eligibility

Inclusion Criteria:

* Age 20 years or more
* Histologically or cytologically diagnosed upper tract urothelial cancer
* Fitting indications of radical nephroureterectomy and ipsilateral bladder cuff resection, and deemed feasible for robotic surgery
* ASA physical status classification 1-2 and adequate organ function
* Patients willing and able to comply with study protocol requirements and follow-up
* With informed consent

Exclusion Criteria:

* Synchronous bladder cancer
* Distant metastasis of cancer
* BMI ≥30 or BMI \<18.5
* Unable to tolerate lateral decubitus or Trendelenburg position (relative contra-indication)
* Severe adhesion due to prior abdominopelvic surgery (relative contra-indication)
* Previous radiation treatment to the pelvic area
* Active infectious disease
* Severe concomitant illness that drastically shortens life expectancy or increases risk of therapeutic interventions, such as: severe heart disease (NYHA functional class III-IV) or severe lung disease (GOLD Group C-D)
* Cannot follow trial-required procedures
* Concomitant systemic or pelvic disease that increases the risk of surgery
* Long-term use of anti-coagulant(s)
* Patients with coagulopathy
* Emergency surgery

Conditions2

Browse More Trials