Mp44-16 Adoption of Single Port Robotic Partial Nephrectomy Increases Utilization of the Retroperitoneal Approach: A Report From the Single-Port Advanced Research Consortium

You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy III (MP44)1 May 2024MP44-16 ADOPTION OF SINGLE PORT ROBOTIC PARTIAL NEPHRECTOMY INCREASES UTILIZATION OF THE RETROPERITONEAL APPROACH: A REPORT FROM THE SINGLE-PORT ADVANCED RESEARCH CONSORTIUM Michael Raver, Mutahar Ahmed, Kennedy E. Okhawere, Indu Saini, Ruchir Chaturvedi, Milan Patel, Sarah Brink, Ruben Sauer Calvo, Nicolas A. Soputro, Roxana Ramos, Onika Noel, Yuzhi Wang, Simone Crivellaro, Ahmed M. Mansour, Jihad Kaouk, Nirmish Singla, James Porter, Ronney Abaza, Akshay Bhandari, Ashok K. Hemal, Phillip M. Pierorazio, Benjamin I. Chung, Craig G. Rogers, Reza Mehrazin, Ketan Badani, and Michael Stifelman Michael RaverMichael Raver , Mutahar AhmedMutahar Ahmed , Kennedy E. OkhawereKennedy E. Okhawere , Indu SainiIndu Saini , Ruchir ChaturvediRuchir Chaturvedi , Milan PatelMilan Patel , Sarah BrinkSarah Brink , Ruben Sauer CalvoRuben Sauer Calvo , Nicolas A. SoputroNicolas A. Soputro , Roxana RamosRoxana Ramos , Onika NoelOnika Noel , Yuzhi WangYuzhi Wang , Simone CrivellaroSimone Crivellaro , Ahmed M. MansourAhmed M. Mansour , Jihad KaoukJihad Kaouk , Nirmish SinglaNirmish Singla , James PorterJames Porter , Ronney AbazaRonney Abaza , Akshay BhandariAkshay Bhandari , Ashok K. HemalAshok K. Hemal , Phillip M. PierorazioPhillip M. Pierorazio , Benjamin I. ChungBenjamin I. Chung , Craig G. RogersCraig G. Rogers , Reza MehrazinReza Mehrazin , Ketan BadaniKetan Badani , and Michael StifelmanMichael Stifelman View All Author Informationhttps://doi.org/10.1097/01.JU.0001009508.69111.d0.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Retroperitoneal approach (RA) for partial nephrectomy (PN) has been shown to offer shorter operative times and hospital stays without differences in complication rates compared to the transperitoneal approach (TA). The single port (SP) system may be better suited than multiport (MP) for challenges with the RA such as narrow access geometry. We evaluated if the adoption of SP PN increased the utilization of RA. METHODS: We conducted a retrospective review of an IRB-approved multi-institutional database of all PN from 2013 to 2023. The date of the first SP PN split the cohorts before and after SP adoption. The proportion of RA to TA cases overall and for SP and MP was determined before and after adoption. Logistic regression compared age, gender, BMI, tumor laterality, size, complexity, location, and Charlson Comorbidity Index of patients undergoing RA before and after adoption of SP. RESULTS: Overall 1959 patients were evaluated, of which 654 were performed prior vs. 1305 after SP adoption. Graph 1 summarizes trends of RA vs TA before and after SP adoption, confirming an increased percentage of RA after adoption, from 48 MP before to 190 MP and 134 SP after adoption (7.9% vs 24.9%). Graph 2 illustrates use of RA based on technique after SP adoption, confirming an increased use of RA in both MP (18.2%) and SP (52.8%). Results for logistic regression are in Table 1. After adoption, RA patients had fewer comorbidities, smaller and less complex tumors, and were older. CONCLUSIONS: After SP adoption, the utilization of the RA increased in both MP and SP groups. RA was used more frequently than TA in the SP cohort. The adoption of SP increased the incidence of RA, and may allow surgeons to regionalize surgery to the retroperitoneum more consistently. Download PPTDownload PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e737 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Michael Raver More articles by this author Mutahar Ahmed More articles by this author Kennedy E. Okhawere More articles by this author Indu Saini More articles by this author Ruchir Chaturvedi More articles by this author Milan Patel More articles by this author Sarah Brink More articles by this author Ruben Sauer Calvo More articles by this author Nicolas A. Soputro More articles by this author Roxana Ramos More articles by this author Onika Noel More articles by this author Yuzhi Wang More articles by this author Simone Crivellaro More articles by this author Ahmed M. Mansour More articles by this author Jihad Kaouk More articles by this author Nirmish Singla More articles by this author James Porter More articles by this author Ronney Abaza More articles by this author Akshay Bhandari More articles by this author Ashok K. Hemal More articles by this author Phillip M. Pierorazio More articles by this author Benjamin I. Chung More articles by this author Craig G. Rogers More articles by this author Reza Mehrazin More articles by this author Ketan Badani More articles by this author Michael Stifelman More articles by this author Expand All Advertisement PDF downloadLoading ...