Pd33-11 Initial Experience With Single-Port Robotic Partial Nephrectomy in Music-Kidney

You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy II (PD33)1 May 2024PD33-11 INITIAL EXPERIENCE WITH SINGLE-PORT ROBOTIC PARTIAL NEPHRECTOMY IN MUSIC-KIDNEY Yuzhi Wang, Mustafa Almajedi, Savannah Grandy, Adam Matynowski, Kangli Chen, Mackenzie Gammons, Mahin Mirza, Sugandh D. Shetty, Mohammed Jafri, Conrad Tobert, Christopher Brede, Craig G. Rogers, Brian R. Lane, Ryan Nelson, and For the Michigan Urological Surgery Improvement Collaborative Yuzhi WangYuzhi Wang , Mustafa AlmajediMustafa Almajedi , Savannah GrandySavannah Grandy , Adam MatynowskiAdam Matynowski , Kangli ChenKangli Chen , Mackenzie GammonsMackenzie Gammons , Mahin MirzaMahin Mirza , Sugandh D. ShettySugandh D. Shetty , Mohammed JafriMohammed Jafri , Conrad TobertConrad Tobert , Christopher BredeChristopher Brede , Craig G. RogersCraig G. Rogers , Brian R. LaneBrian R. Lane , Ryan NelsonRyan Nelson , and For the Michigan Urological Surgery Improvement Collaborative View All Author Informationhttps://doi.org/10.1097/01.JU.0001008912.25331.d7.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic partial nephrectomy (RPN) has become standard of care for patients with T1 renal masses (T1RMs) amenable to nephron-sparing intervention. Most RPNs use the daVinci Xi (multiport) robot, and urologic surgeons have recently explored the SP (single port) robot. However, there is limited data comparing patient selection and peri-operative outcomes for SP to Xi RPN. We evaluated the outcomes of the initial series of patients undergoing RPN using the daVinci SP compared to the Xi by MUSIC-KIDNEY surgeons. METHODS: MUSIC-KIDNEY is a statewide quality improvement (QI) collaborative that maintains a prospective registry of newly diagnosed T1RM. All data regarding patients undergoing RPN within a MUSIC-KIDNEY practice between October 2020 and August 2023 were collected. Patient, operative, and post-operative data were compared between patients who received SP and Xi RPN. RESULTS: A total of 323 RPNs were completed across 4 MUSIC practices by 6 urologists. Of these, 122 (38%) used the daVinci SP platform (Table 1). Tumor characteristics (size, complexity) were similar, with more complex cysts in the SP group (24% vs. 12%, p=0.02). When comparing peri-operative outcomes, SP cases had significantly shorter operative time (141 vs. 181 minutes, p2 days (4.9% vs. 14%, p=0.008). Surgeons performing SP RPN utilized the retroperitoneal approach significantly more than transperitoneal (80% vs. 6.0%, p<0.001). Opioid-free discharge was more common after SP RPN (66% vs. 17%, p<0.001). At 30 days, the rates of ED visits (10% vs. 13%, p=0.43) and readmission (5.0% vs. 6.6%, p=0.52) were not statistically different. CONCLUSIONS: MUSIC-KIDNEY's initial experience with SP RPN demonstrates procedural safety comparable to multi-port and facilitation of retroperitoneal approach. Potential advantages include lower operative time, hospital stay, and opioid prescription after discharge. Limitations include small number of surgeons and cases using SP. Source of Funding: Blue Cross Blue Shield of Michigan © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e715 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Yuzhi Wang More articles by this author Mustafa Almajedi More articles by this author Savannah Grandy More articles by this author Adam Matynowski More articles by this author Kangli Chen More articles by this author Mackenzie Gammons More articles by this author Mahin Mirza More articles by this author Sugandh D. Shetty More articles by this author Mohammed Jafri More articles by this author Conrad Tobert More articles by this author Christopher Brede More articles by this author Craig G. Rogers More articles by this author Brian R. Lane More articles by this author Ryan Nelson More articles by this author For the Michigan Urological Surgery Improvement Collaborative More articles by this author Expand All Advertisement PDF downloadLoading ...