Mp44-17 Comparison of Outcomes Between Single-Port and Multi-Port Robotic Radical Nephrectomy: A Report of the Single Port Advanced Research Consortium (Sparc)

You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy III (MP44)1 May 2024MP44-17 COMPARISON OF OUTCOMES BETWEEN SINGLE-PORT AND MULTI-PORT ROBOTIC RADICAL NEPHRECTOMY: A REPORT OF THE SINGLE PORT ADVANCED RESEARCH CONSORTIUM (SPARC) Kennedy E. Okhawere, Indu Saini, Ruben Calvo Sauer, Laura Zuluaga, Michael Raver, Nicolas Soputro, Yuzhi Wang, Onika Noel, Burak Upcinar, Juan V. Lorenzo, Daniel D. Eun, Akshay Bhandari, Ashok K. Hemal, James Porter, Ronney Abaza, Ahmed M. Mansour, Simone Crivellaro, Phillip Pierorazio, Nirmish Singla, Craig Rogers, Jihad H. Kaouk, Michael Stifelman, Reza Mehrazin, Ketan K. Badani, and Mutahar Ahmed Kennedy E. OkhawereKennedy E. Okhawere , Indu SainiIndu Saini , Ruben Calvo SauerRuben Calvo Sauer , Laura ZuluagaLaura Zuluaga , Michael RaverMichael Raver , Nicolas SoputroNicolas Soputro , Yuzhi WangYuzhi Wang , Onika NoelOnika Noel , Burak UpcinarBurak Upcinar , Juan V. LorenzoJuan V. Lorenzo , Daniel D. EunDaniel D. Eun , Akshay BhandariAkshay Bhandari , Ashok K. HemalAshok K. Hemal , James PorterJames Porter , Ronney AbazaRonney Abaza , Ahmed M. MansourAhmed M. Mansour , Simone CrivellaroSimone Crivellaro , Phillip PierorazioPhillip Pierorazio , Nirmish SinglaNirmish Singla , Craig RogersCraig Rogers , Jihad H. KaoukJihad H. Kaouk , Michael StifelmanMichael Stifelman , Reza MehrazinReza Mehrazin , Ketan K. BadaniKetan K. Badani , and Mutahar AhmedMutahar Ahmed View All Author Informationhttps://doi.org/10.1097/01.JU.0001009508.69111.d0.17AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Single-port (SP) robotic surgery is a novel technology, and although there is emerging data, it remains limited in assessing single-port (SP) robot-assisted surgery as an alternative to multi-port (MP) platforms. The objective of this study is to compare perioperative and postoperative outcomes between SP and MP robotic technologies for radical nephrectomy. METHODS: This is a retrospective cohort study of patients who have undergone robot-assisted radical nephrectomy using either the SP or MP technology. Baseline demographic, clinical, tumor-specific characteristics perioperative outcome and postoperative outcomes were compared using χ2, t-test, fisher exact test, and Mann–Whitney U test. Multivariable analyses were conducted using robust, Poisson, and logistic regressions. RESULTS: A total of 341 patients underwent robotic RN with 47 patients (14%) in the SP group. The two groups exhibited similar baseline characteristics, with no significant differences in age, sex, body mass index, comorbidities, and tumor laterality. However, SP group had a smaller average tumor size (5.1 vs 6.4 cm, p=0.009). The SP had longer operative time (178±84 minutes vs 142±75 minutes; p=0.011) but showed no significant difference in the estimated blood loss, blood transfusion rate, length of stay, overall and major complication rates. Controlling for other variables, SP was significantly associated with a longer operative time and shorter length of stay but had higher odds of postoperative complications, although not statistically significant. CONCLUSIONS: SP is associated with longer operative times but may offer similar advantages such as smaller incisions and shorter hospital stays with a comparative safety profile to MP for radical nephrectomy. Further studies on SP efficiency on larger tumors are warranted. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e738 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Kennedy E. Okhawere More articles by this author Indu Saini More articles by this author Ruben Calvo Sauer More articles by this author Laura Zuluaga More articles by this author Michael Raver More articles by this author Nicolas Soputro More articles by this author Yuzhi Wang More articles by this author Onika Noel More articles by this author Burak Upcinar More articles by this author Juan V. Lorenzo More articles by this author Daniel D. Eun More articles by this author Akshay Bhandari More articles by this author Ashok K. Hemal More articles by this author James Porter More articles by this author Ronney Abaza More articles by this author Ahmed M. Mansour More articles by this author Simone Crivellaro More articles by this author Phillip Pierorazio More articles by this author Nirmish Singla More articles by this author Craig Rogers More articles by this author Jihad H. Kaouk More articles by this author Michael Stifelman More articles by this author Reza Mehrazin More articles by this author Ketan K. Badani More articles by this author Mutahar Ahmed More articles by this author Expand All Advertisement PDF downloadLoading ...