V13-04 ONE-STEP PROCEDURE COMBINING ROBOTIC NEPHROURETERECTOMY AND ANTERIOR PELVIC EXENTERATION WITH A ONE-PIECE VAGINAL EXTRACTION

You have accessJournal of UrologyBladder & Upper Tract Urothelial Oncology (V13)1 Sep 2021V13-04 ONE-STEP PROCEDURE COMBINING ROBOTIC NEPHROURETERECTOMY AND ANTERIOR PELVIC EXENTERATION WITH A ONE-PIECE VAGINAL EXTRACTION Stefan Jeglinschi, Thibault Tricard, Daniel Chevallier, Matthieu Durand, and Youness Ahallal JeglinschiStefan Jeglinschi More articles by this author , TricardThibault Tricard ChevallierDaniel Chevallier DurandMatthieu Durand AhallalYouness View All Author Informationhttps://doi.org/10.1097/JU.0000000000002100.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION OBJECTIVE: When urothelial carcinoma affects concomitantly the bladder upper urinary tract, radical surgery may be required for both organs. The objective was describe feasibility a one-step procedure combining nephroureterectomy (NU) anterior pelvic exenteration (APE) using Da Vinci X robot with one-piece vaginal extraction. METHODS: We included all consecutive patients from 2 institutions that underwent concomitant robotic NU APE, between January 1st 2019 February 26th 2021. Pre operative data, time, blood loss, length stay were recorded. RESULTS: 3 had APE Median age 71 years (min 69 – max 73). indication cystectomy Muscle Invasive Bladder Cancer (MIBC) in cases (66%) very high risk Non (NMIBC) 1 case (33%). time 338 minutes 326-max 410). loss 180 mL 150–max 220). Bilateral lymph node dissection (PLND) done (100%). hospital 7 days 5 8). Pathologic examination R0 dans R1 (Table 1) CONCLUSIONS: extraction is feasible technique allowing better preservation female’s body image avoiding large abdominal incision. Source Funding: none © 2021 American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1079-e1079 Advertisement Copyright Permissions© Inc.MetricsAuthor Information Expand Loading ...