Publications by authors named "K Guru"

Article Synopsis
  • The study investigates the relationship between tumors in the trigone/urethra (T/U) area of the bladder and various cancer outcomes in patients who had robot-assisted radical cystectomy (RARC).
  • Out of 608 patients, 191 (31%) had tumors in the T/U, which were linked to more advanced tumor stages, higher rates of positive surgical margins, and increased need for salvage chemotherapy.
  • Overall, the findings suggest that T/U tumor involvement significantly raises the risk of cancer recurrence and cancer-specific deaths, highlighting the need for careful monitoring in these patients.
View Article and Find Full Text PDF

Objective: We described the technique and outcomes of robot-assisted repair of uretero-enteric strictures (UES) following robot-assisted radical cystectomy (RARC) and urinary diversion.

Methods: Retrospective review of our RARC database from November 2005 to August 2023 at Roswell Park Comprehensive Cancer center was performed. Patients who developed UES and ultimately underwent robot-assisted uretero-enteric reimplantation (RUER) were identified.

View Article and Find Full Text PDF

Robot-assisted radical nephroureterectomy (RANU) has emerged as a valid alternative to open or laparoscopic nephroureterectomy in recent years. However, different types of robotic platforms can limit surgical maneuvers in various ways. This study aimed to describe the surgical procedure and demonstrate RANU's technical feasibility and safety using the Hugo robot-assisted surgery (RAS) system.

View Article and Find Full Text PDF

Objective: To describe the management and outcomes of patients with Ta predominantly low-grade urothelial carcinoma with focal high-grade features (FHG) (<5%), compared to those with Ta low grade (LG) and Ta high grade (HG).

Methods: Retrospective review of all patients who underwent transurethral resection of bladder tumor between 2005 and 2023. Patients with Ta disease were identified and categorized into LG, FHG, and HG.

View Article and Find Full Text PDF

Introduction: We aimed to investigate the differences in perioperative outcomes, especially ureteroenteric strictures, between patients who underwent a stented ureteroenteric anastomosis at the time of robot-assisted radical cystectomy (RARC) and ileal conduit vs those who did not.

Methods: A retrospective review of our RARC database was performed (2009-2023). Patients were divided into those who received stented ureteroenteric anastomosis vs those who did not.

View Article and Find Full Text PDF