Mp56-12 Perioperative and Functional Outcomes Following Single-Port Retroperitoneal Robotic Partial Nephrectomy for Renal Cell Carcinoma: A Report From the Single-Port Advanced Research Consortium (Sparc)

You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy IV (MP56)1 May 2024MP56-12 PERIOPERATIVE AND FUNCTIONAL OUTCOMES FOLLOWING SINGLE-PORT RETROPERITONEAL ROBOTIC PARTIAL NEPHRECTOMY FOR RENAL CELL CARCINOMA: A REPORT FROM THE SINGLE-PORT ADVANCED RESEARCH CONSORTIUM (SPARC) Nicolas A. Soputro, Kennedy Okhawere, Indu Saini, Celeste Manfredi, Yuzhi Wang, Ruben S. Calvo, Michael Raver, Roxana Ramos-Carpinteyro, Jaya S. Chavali, Adriana M. Pedraza, Carter Mikesell, Michael Stifelman, Simone Crivellaro, Craig Rogers, Riccardo Autorino, Bertram Yuh, Ketan K. Badani, and Jihad Kaouk Nicolas A. SoputroNicolas A. Soputro , Kennedy OkhawereKennedy Okhawere , Indu SainiIndu Saini , Celeste ManfrediCeleste Manfredi , Yuzhi WangYuzhi Wang , Ruben S. CalvoRuben S. Calvo , Michael RaverMichael Raver , Roxana Ramos-CarpinteyroRoxana Ramos-Carpinteyro , Jaya S. ChavaliJaya S. Chavali , Adriana M. PedrazaAdriana M. Pedraza , Carter MikesellCarter Mikesell , Michael StifelmanMichael Stifelman , Simone CrivellaroSimone Crivellaro , Craig RogersCraig Rogers , Riccardo AutorinoRiccardo Autorino , Bertram YuhBertram Yuh , Ketan K. BadaniKetan K. Badani , and Jihad KaoukJihad Kaouk View All Author Informationhttps://doi.org/10.1097/01.JU.0001008940.44711.d4.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Following its introduction in 2018, the novel purpose-built Single-Port (SP) robotic platform has been increasingly utilized for various urological procedures. The objective of this present study was to evaluate the perioperative and functional outcomes associated with SP Retroperitoneal Robotic Partial Nephrectomy (RAPN) for renal cell carcinoma (RCC). METHODS: A retrospective review was performed on the prospectively maintained, IRB-approved multi-institutional database of the SP Advanced Research Consortium (SPARC) to identify 94 patients who underwent SP-RAPN for RCC between 2019 and 2023. Baseline clinicodemographic, perioperative, and postoperative outcomes were analyzed using R Project for Statistical Computing with descriptive statistics as presented. RESULTS: All procedures were successfully completed using the SP robotic platform without any need for conversion or intraoperative complication. The median operating time and estimated blood loss were 161 minutes and 50 mL, respectively. Warm ischemia was pursued in 99 patient (86.8%) with a median ischemia time of 15.7 minutes. Surgical drain tube was not required in 95.8%. Major postoperative complication of Clavien-Dindo grades ³3a was identified in two patients, both pertaining to pseudoaneurysm. At a median follow-up duration of 12 months, we did not identify any disease recurrence and clinically significant CKD upstaging was only identified in three patients. CONCLUSIONS: Retroperitoneal SP-RAPN was associated with favorable perioperative outcomes with low risk of perioperative morbidity and RCC recurrence. Continuous advancements in operating techniques using the SP robotic platform, such as with the introduction of the floating-docking technique and low anterior access for retroperitoneal SP-RAPN, will likely result in further improvements in patient outcomes. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e930 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Nicolas A. Soputro More articles by this author Kennedy Okhawere More articles by this author Indu Saini More articles by this author Celeste Manfredi More articles by this author Yuzhi Wang More articles by this author Ruben S. Calvo More articles by this author Michael Raver More articles by this author Roxana Ramos-Carpinteyro More articles by this author Jaya S. Chavali More articles by this author Adriana M. Pedraza More articles by this author Carter Mikesell More articles by this author Michael Stifelman More articles by this author Simone Crivellaro More articles by this author Craig Rogers More articles by this author Riccardo Autorino More articles by this author Bertram Yuh More articles by this author Ketan K. Badani More articles by this author Jihad Kaouk More articles by this author Expand All Advertisement PDF downloadLoading ...