A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study
Abstract Literature data comparing robotic-assisted laparoscopic versus retroperitoneoscopic approaches are still lacking, probably due to difficulties with the retroperitoneoscopic approach. The objective is to compare the results of robotic-assisted pyeloplasty using transperitoneal and retroperit...
Ausführliche Beschreibung
Autor*in: |
Khoder, Wael Y. [verfasserIn] Waidelich, Raphaela [verfasserIn] Ghamdi, Abdel Majeed Al [verfasserIn] Schulz, Therese [verfasserIn] Becker, Armin [verfasserIn] Stief, Christian G. [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2017 |
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Übergeordnetes Werk: |
Enthalten in: Journal of robotic surgery - London : Springer, 2007, 12(2017), 1 vom: 22. Mai, Seite 131-137 |
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Übergeordnetes Werk: |
volume:12 ; year:2017 ; number:1 ; day:22 ; month:05 ; pages:131-137 |
Links: |
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DOI / URN: |
10.1007/s11701-017-0707-z |
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Katalog-ID: |
SPR021925542 |
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520 | |a Abstract Literature data comparing robotic-assisted laparoscopic versus retroperitoneoscopic approaches are still lacking, probably due to difficulties with the retroperitoneoscopic approach. The objective is to compare the results of robotic-assisted pyeloplasty using transperitoneal and retroperitoneal approaches in a prospective randomised single surgeon study. 80 consecutive patients with primary ureteropelvic junction obstruction were prospectively randomised between transperitoneal (40 patients, group 1) and retroperitoneal (40 patients, group 2) robotic-assisted pyeloplasty. All patients underwent preoperative clinical evaluation, retrograde urography, and diuretic isotope renography. All operations were performed by a single-experienced surgeon. Patients were followed up by postoperative clinical examination, sonography, and diuretic renography at 3–6 months. Both approaches were compared with regard to patients’ demographic data, radiological and operative findings, and functional outcomes, and correlations were statistically evaluated. Preoperative demographic, clinical, and renal scintigraphy data were comparable for both groups. No open/laparoscopic conversions were necessary. Mean operative times (skin to skin) were 125 (70–305) and 118 (60–345) min for groups 1 and 2, respectively (p = 0.726). Only minor complications were found in three and four patients from groups 1 and 2, respectively. Pyeloplasty technique included a renal pelvis flap in three patients from either group,; otherwise, the Anderson–Hynes technique was employed. None of perioperative patient and operative parameters, including approach, had a significant impact on operative time or functional outcomes. Median follow-up was 3 months for both groups. Success was recorded in 39 and 38 patients from groups 1 and 2, respectively, while equivocal results were obtained in 3 cases. Postoperative 3 month renal scintigraphy showed no significant GFR or split renal function differences between the groups. There was no detectable postoperative deterioration in ipsilateral split renal function or hydronephrosis grade. Robotic-assisted retroperitoneoscopic pyeloplasty exhibits low morbidity and satisfactory operative and functional outcomes comparable to the usually preferred laparoscopic approach. Robotic-assisted pyeloplasty has high success rates regardless of the used approach. Accordingly, every surgeon should use the approach which he/she feels most comfortable with. | ||
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650 | 4 | |a Ureteropelvic junction obstruction |7 (dpeaa)DE-He213 | |
650 | 4 | |a Robotic-assisted pyeloplasty |7 (dpeaa)DE-He213 | |
650 | 4 | |a Laparoscopy |7 (dpeaa)DE-He213 | |
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700 | 1 | |a Ghamdi, Abdel Majeed Al |e verfasserin |4 aut | |
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700 | 1 | |a Becker, Armin |e verfasserin |4 aut | |
700 | 1 | |a Stief, Christian G. |e verfasserin |4 aut | |
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10.1007/s11701-017-0707-z doi (DE-627)SPR021925542 (SPR)s11701-017-0707-z-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Khoder, Wael Y. verfasserin aut A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Literature data comparing robotic-assisted laparoscopic versus retroperitoneoscopic approaches are still lacking, probably due to difficulties with the retroperitoneoscopic approach. The objective is to compare the results of robotic-assisted pyeloplasty using transperitoneal and retroperitoneal approaches in a prospective randomised single surgeon study. 80 consecutive patients with primary ureteropelvic junction obstruction were prospectively randomised between transperitoneal (40 patients, group 1) and retroperitoneal (40 patients, group 2) robotic-assisted pyeloplasty. All patients underwent preoperative clinical evaluation, retrograde urography, and diuretic isotope renography. All operations were performed by a single-experienced surgeon. Patients were followed up by postoperative clinical examination, sonography, and diuretic renography at 3–6 months. Both approaches were compared with regard to patients’ demographic data, radiological and operative findings, and functional outcomes, and correlations were statistically evaluated. Preoperative demographic, clinical, and renal scintigraphy data were comparable for both groups. No open/laparoscopic conversions were necessary. Mean operative times (skin to skin) were 125 (70–305) and 118 (60–345) min for groups 1 and 2, respectively (p = 0.726). Only minor complications were found in three and four patients from groups 1 and 2, respectively. Pyeloplasty technique included a renal pelvis flap in three patients from either group,; otherwise, the Anderson–Hynes technique was employed. None of perioperative patient and operative parameters, including approach, had a significant impact on operative time or functional outcomes. Median follow-up was 3 months for both groups. Success was recorded in 39 and 38 patients from groups 1 and 2, respectively, while equivocal results were obtained in 3 cases. Postoperative 3 month renal scintigraphy showed no significant GFR or split renal function differences between the groups. There was no detectable postoperative deterioration in ipsilateral split renal function or hydronephrosis grade. Robotic-assisted retroperitoneoscopic pyeloplasty exhibits low morbidity and satisfactory operative and functional outcomes comparable to the usually preferred laparoscopic approach. Robotic-assisted pyeloplasty has high success rates regardless of the used approach. Accordingly, every surgeon should use the approach which he/she feels most comfortable with. Pyeloplasty (dpeaa)DE-He213 Ureteropelvic junction obstruction (dpeaa)DE-He213 Robotic-assisted pyeloplasty (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Waidelich, Raphaela verfasserin aut Ghamdi, Abdel Majeed Al verfasserin aut Schulz, Therese verfasserin aut Becker, Armin verfasserin aut Stief, Christian G. verfasserin aut Enthalten in Journal of robotic surgery London : Springer, 2007 12(2017), 1 vom: 22. Mai, Seite 131-137 (DE-627)523858361 (DE-600)2268283-1 1863-2491 nnns volume:12 year:2017 number:1 day:22 month:05 pages:131-137 https://dx.doi.org/10.1007/s11701-017-0707-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 12 2017 1 22 05 131-137 |
spelling |
10.1007/s11701-017-0707-z doi (DE-627)SPR021925542 (SPR)s11701-017-0707-z-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Khoder, Wael Y. verfasserin aut A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Literature data comparing robotic-assisted laparoscopic versus retroperitoneoscopic approaches are still lacking, probably due to difficulties with the retroperitoneoscopic approach. The objective is to compare the results of robotic-assisted pyeloplasty using transperitoneal and retroperitoneal approaches in a prospective randomised single surgeon study. 80 consecutive patients with primary ureteropelvic junction obstruction were prospectively randomised between transperitoneal (40 patients, group 1) and retroperitoneal (40 patients, group 2) robotic-assisted pyeloplasty. All patients underwent preoperative clinical evaluation, retrograde urography, and diuretic isotope renography. All operations were performed by a single-experienced surgeon. Patients were followed up by postoperative clinical examination, sonography, and diuretic renography at 3–6 months. Both approaches were compared with regard to patients’ demographic data, radiological and operative findings, and functional outcomes, and correlations were statistically evaluated. Preoperative demographic, clinical, and renal scintigraphy data were comparable for both groups. No open/laparoscopic conversions were necessary. Mean operative times (skin to skin) were 125 (70–305) and 118 (60–345) min for groups 1 and 2, respectively (p = 0.726). Only minor complications were found in three and four patients from groups 1 and 2, respectively. Pyeloplasty technique included a renal pelvis flap in three patients from either group,; otherwise, the Anderson–Hynes technique was employed. None of perioperative patient and operative parameters, including approach, had a significant impact on operative time or functional outcomes. Median follow-up was 3 months for both groups. Success was recorded in 39 and 38 patients from groups 1 and 2, respectively, while equivocal results were obtained in 3 cases. Postoperative 3 month renal scintigraphy showed no significant GFR or split renal function differences between the groups. There was no detectable postoperative deterioration in ipsilateral split renal function or hydronephrosis grade. Robotic-assisted retroperitoneoscopic pyeloplasty exhibits low morbidity and satisfactory operative and functional outcomes comparable to the usually preferred laparoscopic approach. Robotic-assisted pyeloplasty has high success rates regardless of the used approach. Accordingly, every surgeon should use the approach which he/she feels most comfortable with. Pyeloplasty (dpeaa)DE-He213 Ureteropelvic junction obstruction (dpeaa)DE-He213 Robotic-assisted pyeloplasty (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Waidelich, Raphaela verfasserin aut Ghamdi, Abdel Majeed Al verfasserin aut Schulz, Therese verfasserin aut Becker, Armin verfasserin aut Stief, Christian G. verfasserin aut Enthalten in Journal of robotic surgery London : Springer, 2007 12(2017), 1 vom: 22. Mai, Seite 131-137 (DE-627)523858361 (DE-600)2268283-1 1863-2491 nnns volume:12 year:2017 number:1 day:22 month:05 pages:131-137 https://dx.doi.org/10.1007/s11701-017-0707-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 12 2017 1 22 05 131-137 |
allfields_unstemmed |
10.1007/s11701-017-0707-z doi (DE-627)SPR021925542 (SPR)s11701-017-0707-z-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Khoder, Wael Y. verfasserin aut A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Literature data comparing robotic-assisted laparoscopic versus retroperitoneoscopic approaches are still lacking, probably due to difficulties with the retroperitoneoscopic approach. The objective is to compare the results of robotic-assisted pyeloplasty using transperitoneal and retroperitoneal approaches in a prospective randomised single surgeon study. 80 consecutive patients with primary ureteropelvic junction obstruction were prospectively randomised between transperitoneal (40 patients, group 1) and retroperitoneal (40 patients, group 2) robotic-assisted pyeloplasty. All patients underwent preoperative clinical evaluation, retrograde urography, and diuretic isotope renography. All operations were performed by a single-experienced surgeon. Patients were followed up by postoperative clinical examination, sonography, and diuretic renography at 3–6 months. Both approaches were compared with regard to patients’ demographic data, radiological and operative findings, and functional outcomes, and correlations were statistically evaluated. Preoperative demographic, clinical, and renal scintigraphy data were comparable for both groups. No open/laparoscopic conversions were necessary. Mean operative times (skin to skin) were 125 (70–305) and 118 (60–345) min for groups 1 and 2, respectively (p = 0.726). Only minor complications were found in three and four patients from groups 1 and 2, respectively. Pyeloplasty technique included a renal pelvis flap in three patients from either group,; otherwise, the Anderson–Hynes technique was employed. None of perioperative patient and operative parameters, including approach, had a significant impact on operative time or functional outcomes. Median follow-up was 3 months for both groups. Success was recorded in 39 and 38 patients from groups 1 and 2, respectively, while equivocal results were obtained in 3 cases. Postoperative 3 month renal scintigraphy showed no significant GFR or split renal function differences between the groups. There was no detectable postoperative deterioration in ipsilateral split renal function or hydronephrosis grade. Robotic-assisted retroperitoneoscopic pyeloplasty exhibits low morbidity and satisfactory operative and functional outcomes comparable to the usually preferred laparoscopic approach. Robotic-assisted pyeloplasty has high success rates regardless of the used approach. Accordingly, every surgeon should use the approach which he/she feels most comfortable with. Pyeloplasty (dpeaa)DE-He213 Ureteropelvic junction obstruction (dpeaa)DE-He213 Robotic-assisted pyeloplasty (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Waidelich, Raphaela verfasserin aut Ghamdi, Abdel Majeed Al verfasserin aut Schulz, Therese verfasserin aut Becker, Armin verfasserin aut Stief, Christian G. verfasserin aut Enthalten in Journal of robotic surgery London : Springer, 2007 12(2017), 1 vom: 22. Mai, Seite 131-137 (DE-627)523858361 (DE-600)2268283-1 1863-2491 nnns volume:12 year:2017 number:1 day:22 month:05 pages:131-137 https://dx.doi.org/10.1007/s11701-017-0707-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 12 2017 1 22 05 131-137 |
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10.1007/s11701-017-0707-z doi (DE-627)SPR021925542 (SPR)s11701-017-0707-z-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Khoder, Wael Y. verfasserin aut A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Literature data comparing robotic-assisted laparoscopic versus retroperitoneoscopic approaches are still lacking, probably due to difficulties with the retroperitoneoscopic approach. The objective is to compare the results of robotic-assisted pyeloplasty using transperitoneal and retroperitoneal approaches in a prospective randomised single surgeon study. 80 consecutive patients with primary ureteropelvic junction obstruction were prospectively randomised between transperitoneal (40 patients, group 1) and retroperitoneal (40 patients, group 2) robotic-assisted pyeloplasty. All patients underwent preoperative clinical evaluation, retrograde urography, and diuretic isotope renography. All operations were performed by a single-experienced surgeon. Patients were followed up by postoperative clinical examination, sonography, and diuretic renography at 3–6 months. Both approaches were compared with regard to patients’ demographic data, radiological and operative findings, and functional outcomes, and correlations were statistically evaluated. Preoperative demographic, clinical, and renal scintigraphy data were comparable for both groups. No open/laparoscopic conversions were necessary. Mean operative times (skin to skin) were 125 (70–305) and 118 (60–345) min for groups 1 and 2, respectively (p = 0.726). Only minor complications were found in three and four patients from groups 1 and 2, respectively. Pyeloplasty technique included a renal pelvis flap in three patients from either group,; otherwise, the Anderson–Hynes technique was employed. None of perioperative patient and operative parameters, including approach, had a significant impact on operative time or functional outcomes. Median follow-up was 3 months for both groups. Success was recorded in 39 and 38 patients from groups 1 and 2, respectively, while equivocal results were obtained in 3 cases. Postoperative 3 month renal scintigraphy showed no significant GFR or split renal function differences between the groups. There was no detectable postoperative deterioration in ipsilateral split renal function or hydronephrosis grade. Robotic-assisted retroperitoneoscopic pyeloplasty exhibits low morbidity and satisfactory operative and functional outcomes comparable to the usually preferred laparoscopic approach. Robotic-assisted pyeloplasty has high success rates regardless of the used approach. Accordingly, every surgeon should use the approach which he/she feels most comfortable with. Pyeloplasty (dpeaa)DE-He213 Ureteropelvic junction obstruction (dpeaa)DE-He213 Robotic-assisted pyeloplasty (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Waidelich, Raphaela verfasserin aut Ghamdi, Abdel Majeed Al verfasserin aut Schulz, Therese verfasserin aut Becker, Armin verfasserin aut Stief, Christian G. verfasserin aut Enthalten in Journal of robotic surgery London : Springer, 2007 12(2017), 1 vom: 22. Mai, Seite 131-137 (DE-627)523858361 (DE-600)2268283-1 1863-2491 nnns volume:12 year:2017 number:1 day:22 month:05 pages:131-137 https://dx.doi.org/10.1007/s11701-017-0707-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 12 2017 1 22 05 131-137 |
allfieldsSound |
10.1007/s11701-017-0707-z doi (DE-627)SPR021925542 (SPR)s11701-017-0707-z-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl Khoder, Wael Y. verfasserin aut A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Literature data comparing robotic-assisted laparoscopic versus retroperitoneoscopic approaches are still lacking, probably due to difficulties with the retroperitoneoscopic approach. The objective is to compare the results of robotic-assisted pyeloplasty using transperitoneal and retroperitoneal approaches in a prospective randomised single surgeon study. 80 consecutive patients with primary ureteropelvic junction obstruction were prospectively randomised between transperitoneal (40 patients, group 1) and retroperitoneal (40 patients, group 2) robotic-assisted pyeloplasty. All patients underwent preoperative clinical evaluation, retrograde urography, and diuretic isotope renography. All operations were performed by a single-experienced surgeon. Patients were followed up by postoperative clinical examination, sonography, and diuretic renography at 3–6 months. Both approaches were compared with regard to patients’ demographic data, radiological and operative findings, and functional outcomes, and correlations were statistically evaluated. Preoperative demographic, clinical, and renal scintigraphy data were comparable for both groups. No open/laparoscopic conversions were necessary. Mean operative times (skin to skin) were 125 (70–305) and 118 (60–345) min for groups 1 and 2, respectively (p = 0.726). Only minor complications were found in three and four patients from groups 1 and 2, respectively. Pyeloplasty technique included a renal pelvis flap in three patients from either group,; otherwise, the Anderson–Hynes technique was employed. None of perioperative patient and operative parameters, including approach, had a significant impact on operative time or functional outcomes. Median follow-up was 3 months for both groups. Success was recorded in 39 and 38 patients from groups 1 and 2, respectively, while equivocal results were obtained in 3 cases. Postoperative 3 month renal scintigraphy showed no significant GFR or split renal function differences between the groups. There was no detectable postoperative deterioration in ipsilateral split renal function or hydronephrosis grade. Robotic-assisted retroperitoneoscopic pyeloplasty exhibits low morbidity and satisfactory operative and functional outcomes comparable to the usually preferred laparoscopic approach. Robotic-assisted pyeloplasty has high success rates regardless of the used approach. Accordingly, every surgeon should use the approach which he/she feels most comfortable with. Pyeloplasty (dpeaa)DE-He213 Ureteropelvic junction obstruction (dpeaa)DE-He213 Robotic-assisted pyeloplasty (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Waidelich, Raphaela verfasserin aut Ghamdi, Abdel Majeed Al verfasserin aut Schulz, Therese verfasserin aut Becker, Armin verfasserin aut Stief, Christian G. verfasserin aut Enthalten in Journal of robotic surgery London : Springer, 2007 12(2017), 1 vom: 22. Mai, Seite 131-137 (DE-627)523858361 (DE-600)2268283-1 1863-2491 nnns volume:12 year:2017 number:1 day:22 month:05 pages:131-137 https://dx.doi.org/10.1007/s11701-017-0707-z lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE AR 12 2017 1 22 05 131-137 |
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Khoder, Wael Y. @@aut@@ Waidelich, Raphaela @@aut@@ Ghamdi, Abdel Majeed Al @@aut@@ Schulz, Therese @@aut@@ Becker, Armin @@aut@@ Stief, Christian G. @@aut@@ |
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author |
Khoder, Wael Y. |
spellingShingle |
Khoder, Wael Y. ddc 610 bkl 44.65 misc Pyeloplasty misc Ureteropelvic junction obstruction misc Robotic-assisted pyeloplasty misc Laparoscopy A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study |
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610 ASE 44.65 bkl A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study Pyeloplasty (dpeaa)DE-He213 Ureteropelvic junction obstruction (dpeaa)DE-He213 Robotic-assisted pyeloplasty (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 |
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ddc 610 bkl 44.65 misc Pyeloplasty misc Ureteropelvic junction obstruction misc Robotic-assisted pyeloplasty misc Laparoscopy |
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ddc 610 bkl 44.65 misc Pyeloplasty misc Ureteropelvic junction obstruction misc Robotic-assisted pyeloplasty misc Laparoscopy |
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A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study |
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A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study |
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Khoder, Wael Y. |
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Khoder, Wael Y. Waidelich, Raphaela Ghamdi, Abdel Majeed Al Schulz, Therese Becker, Armin Stief, Christian G. |
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prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study |
title_auth |
A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study |
abstract |
Abstract Literature data comparing robotic-assisted laparoscopic versus retroperitoneoscopic approaches are still lacking, probably due to difficulties with the retroperitoneoscopic approach. The objective is to compare the results of robotic-assisted pyeloplasty using transperitoneal and retroperitoneal approaches in a prospective randomised single surgeon study. 80 consecutive patients with primary ureteropelvic junction obstruction were prospectively randomised between transperitoneal (40 patients, group 1) and retroperitoneal (40 patients, group 2) robotic-assisted pyeloplasty. All patients underwent preoperative clinical evaluation, retrograde urography, and diuretic isotope renography. All operations were performed by a single-experienced surgeon. Patients were followed up by postoperative clinical examination, sonography, and diuretic renography at 3–6 months. Both approaches were compared with regard to patients’ demographic data, radiological and operative findings, and functional outcomes, and correlations were statistically evaluated. Preoperative demographic, clinical, and renal scintigraphy data were comparable for both groups. No open/laparoscopic conversions were necessary. Mean operative times (skin to skin) were 125 (70–305) and 118 (60–345) min for groups 1 and 2, respectively (p = 0.726). Only minor complications were found in three and four patients from groups 1 and 2, respectively. Pyeloplasty technique included a renal pelvis flap in three patients from either group,; otherwise, the Anderson–Hynes technique was employed. None of perioperative patient and operative parameters, including approach, had a significant impact on operative time or functional outcomes. Median follow-up was 3 months for both groups. Success was recorded in 39 and 38 patients from groups 1 and 2, respectively, while equivocal results were obtained in 3 cases. Postoperative 3 month renal scintigraphy showed no significant GFR or split renal function differences between the groups. There was no detectable postoperative deterioration in ipsilateral split renal function or hydronephrosis grade. Robotic-assisted retroperitoneoscopic pyeloplasty exhibits low morbidity and satisfactory operative and functional outcomes comparable to the usually preferred laparoscopic approach. Robotic-assisted pyeloplasty has high success rates regardless of the used approach. Accordingly, every surgeon should use the approach which he/she feels most comfortable with. |
abstractGer |
Abstract Literature data comparing robotic-assisted laparoscopic versus retroperitoneoscopic approaches are still lacking, probably due to difficulties with the retroperitoneoscopic approach. The objective is to compare the results of robotic-assisted pyeloplasty using transperitoneal and retroperitoneal approaches in a prospective randomised single surgeon study. 80 consecutive patients with primary ureteropelvic junction obstruction were prospectively randomised between transperitoneal (40 patients, group 1) and retroperitoneal (40 patients, group 2) robotic-assisted pyeloplasty. All patients underwent preoperative clinical evaluation, retrograde urography, and diuretic isotope renography. All operations were performed by a single-experienced surgeon. Patients were followed up by postoperative clinical examination, sonography, and diuretic renography at 3–6 months. Both approaches were compared with regard to patients’ demographic data, radiological and operative findings, and functional outcomes, and correlations were statistically evaluated. Preoperative demographic, clinical, and renal scintigraphy data were comparable for both groups. No open/laparoscopic conversions were necessary. Mean operative times (skin to skin) were 125 (70–305) and 118 (60–345) min for groups 1 and 2, respectively (p = 0.726). Only minor complications were found in three and four patients from groups 1 and 2, respectively. Pyeloplasty technique included a renal pelvis flap in three patients from either group,; otherwise, the Anderson–Hynes technique was employed. None of perioperative patient and operative parameters, including approach, had a significant impact on operative time or functional outcomes. Median follow-up was 3 months for both groups. Success was recorded in 39 and 38 patients from groups 1 and 2, respectively, while equivocal results were obtained in 3 cases. Postoperative 3 month renal scintigraphy showed no significant GFR or split renal function differences between the groups. There was no detectable postoperative deterioration in ipsilateral split renal function or hydronephrosis grade. Robotic-assisted retroperitoneoscopic pyeloplasty exhibits low morbidity and satisfactory operative and functional outcomes comparable to the usually preferred laparoscopic approach. Robotic-assisted pyeloplasty has high success rates regardless of the used approach. Accordingly, every surgeon should use the approach which he/she feels most comfortable with. |
abstract_unstemmed |
Abstract Literature data comparing robotic-assisted laparoscopic versus retroperitoneoscopic approaches are still lacking, probably due to difficulties with the retroperitoneoscopic approach. The objective is to compare the results of robotic-assisted pyeloplasty using transperitoneal and retroperitoneal approaches in a prospective randomised single surgeon study. 80 consecutive patients with primary ureteropelvic junction obstruction were prospectively randomised between transperitoneal (40 patients, group 1) and retroperitoneal (40 patients, group 2) robotic-assisted pyeloplasty. All patients underwent preoperative clinical evaluation, retrograde urography, and diuretic isotope renography. All operations were performed by a single-experienced surgeon. Patients were followed up by postoperative clinical examination, sonography, and diuretic renography at 3–6 months. Both approaches were compared with regard to patients’ demographic data, radiological and operative findings, and functional outcomes, and correlations were statistically evaluated. Preoperative demographic, clinical, and renal scintigraphy data were comparable for both groups. No open/laparoscopic conversions were necessary. Mean operative times (skin to skin) were 125 (70–305) and 118 (60–345) min for groups 1 and 2, respectively (p = 0.726). Only minor complications were found in three and four patients from groups 1 and 2, respectively. Pyeloplasty technique included a renal pelvis flap in three patients from either group,; otherwise, the Anderson–Hynes technique was employed. None of perioperative patient and operative parameters, including approach, had a significant impact on operative time or functional outcomes. Median follow-up was 3 months for both groups. Success was recorded in 39 and 38 patients from groups 1 and 2, respectively, while equivocal results were obtained in 3 cases. Postoperative 3 month renal scintigraphy showed no significant GFR or split renal function differences between the groups. There was no detectable postoperative deterioration in ipsilateral split renal function or hydronephrosis grade. Robotic-assisted retroperitoneoscopic pyeloplasty exhibits low morbidity and satisfactory operative and functional outcomes comparable to the usually preferred laparoscopic approach. Robotic-assisted pyeloplasty has high success rates regardless of the used approach. Accordingly, every surgeon should use the approach which he/she feels most comfortable with. |
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container_issue |
1 |
title_short |
A prospective randomised comparison between the transperitoneal and retroperitoneoscopic approaches for robotic-assisted pyeloplasty in a single surgeon, single centre study |
url |
https://dx.doi.org/10.1007/s11701-017-0707-z |
remote_bool |
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author2 |
Waidelich, Raphaela Ghamdi, Abdel Majeed Al Schulz, Therese Becker, Armin Stief, Christian G. |
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Waidelich, Raphaela Ghamdi, Abdel Majeed Al Schulz, Therese Becker, Armin Stief, Christian G. |
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doi_str |
10.1007/s11701-017-0707-z |
up_date |
2024-07-04T01:03:15.697Z |
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score |
7.3985367 |