MP26-05 SINGLE-PORT VS. MULTIPORT PARTIAL NEPHRECTOMY: 6-MONTH INTERMEDIATE OUTCOMES

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP26-05 SINGLE-PORT VS. MULTIPORT PARTIAL NEPHRECTOMY: 6-MONTH INTERMEDIATE OUTCOMES Jennifer L Nguyen, Teona Iarajuli, Katherine Kim, Jacquelyn Roth, Martin Malik, Allison Brown, Hunter Hasley, Simon Gelman, Mutahar Ahmed, and Michael Stifelman Jennifer L NguyenJennifer L Nguyen More articles by this author , Teona IarajuliTeona Iarajuli More articles by this author , Katherine KimKatherine Kim More articles by this author , Jacquelyn RothJacquelyn Roth More articles by this author , Martin MalikMartin Malik More articles by this author , Allison BrownAllison Brown More articles by this author , Hunter HasleyHunter Hasley More articles by this author , Simon GelmanSimon Gelman More articles by this author , Mutahar AhmedMutahar Ahmed More articles by this author , and Michael StifelmanMichael Stifelman More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003254.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: This study aims to compare intermediate outcomes in patients following single port (SP) and multiport (MP) robotic-assisted partial nephrectomy (RAPN). METHODS: This prospective, single-center study involved patients who underwent SP or MP RAPN (based on surgeon preference), performed by two surgeons between 2017 and 2022, with at least 6 months of follow-up. Linear and logistic regression analyses were performed to estimate the difference in outcomes between SP and MP, adjusting for the operating surgeon. RESULTS: Overall, 48 patients underwent SP and 185 MP RAPN (20.6% vs. 79.4%) with minimum 6 month follow up. Table 1 summarizes demographics between the SP and MP cohorts and confirms no differences except for more females in the SP group. Table 2 summarizes the intermediate outcomes at 6 month follow up. There was no difference in disease recurrence or hernia incidence. There were significant differences in preservation of GFR (10.5, p = 0.004) despite similar changes in creatinine in the SP group. CONCLUSIONS: Based on our analyses, SP partial nephrectomy is an effective treatment with similar recurrence rates and hernia incidence at 6 months post surgery compared to MP . We did note an improvement in post op 6 month GFR for the SP group. The clinical significance of this is unclear as the change in creatinine was no different between the SP and MP groups. Larger multi-institutional studies are underway to evaluate if SP may have a protective effect on renal function. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e353 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jennifer L Nguyen More articles by this author Teona Iarajuli More articles by this author Katherine Kim More articles by this author Jacquelyn Roth More articles by this author Martin Malik More articles by this author Allison Brown More articles by this author Hunter Hasley More articles by this author Simon Gelman More articles by this author Mutahar Ahmed More articles by this author Michael Stifelman More articles by this author Expand All Advertisement PDF downloadLoading ...