Robot-assisted nephroureterectomy

Nephroureterectomy is the standard of care for high grade and recurrent low grade upper urinary tract urothelial cell carcinoma (UTUC). Robot-assisted nephroureterectomy (RANU) is an established technique for the minimally invasive performance of nephroureterectomy and has grown to be the favored approach over the past decade. The 3-dimensional vision, efficient wristed suturing, and precise movements of RANU offer advantages over laparoscopic nephroureterectomy (LNU). In addition to the expected benefits with reduced perioperative morbidity, available oncological outcomes are comparable to data associated with other published series. In this review we discuss the indications, preparation, technique, and oncologic outcomes of transperitoneal RANU.