MP31-13 ROBOTIC SINGLE PORT RENAL AUTOTRANSPLANT CONFERS POSTOPERATIVE ADVANTAGES COMPARED TO OPEN APPROACH

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP31-13 ROBOTIC SINGLE PORT RENAL AUTOTRANSPLANT CONFERS POSTOPERATIVE ADVANTAGES COMPARED TO OPEN APPROACH Shree Agrawal-Patel, Sherry Mortach, Evonne Pei, Yi-Chia Lin, Jaya Sai Chavali, Ethan Ferguson, Roxana Ramos, Venkatesh Krishnamurthi, Alvin Wee, Jihad Kaouk, and Mohamed Eltemamy Shree Agrawal-PatelShree Agrawal-Patel More articles by this author , Sherry MortachSherry Mortach More articles by this author , Evonne PeiEvonne Pei More articles by this author , Yi-Chia LinYi-Chia Lin More articles by this author , Jaya Sai ChavaliJaya Sai Chavali More articles by this author , Ethan FergusonEthan Ferguson More articles by this author , Roxana RamosRoxana Ramos More articles by this author , Venkatesh KrishnamurthiVenkatesh Krishnamurthi More articles by this author , Alvin WeeAlvin Wee More articles by this author , Jihad KaoukJihad Kaouk More articles by this author , and Mohamed EltemamyMohamed Eltemamy More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003264.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Renal autotransplant has been done historically with an open approach. With the advent of the single port robot (SP), this procedure can be done in a minimally invasive manner to potentially improve peri-operative morbidity and the patient experience. The purpose of this study is to compare this novel SP approach with the standard open approach. METHODS: We retrospectively assessed patients who have undergone SP autotransplant from 2020-2021 with matched patients who underwent open autotransplant from 2006-2019 at a single institution who did not undergo additional operative interventions during the index surgical admission. We performed descriptive analyses on patient characteristics, postoperative complications and readmissions with chi-square and t-test analyses. RESULTS: Nine patients underwent SP autotransplant and were matched to 26 patients in the open approach. In the matched SP and open groups, average ages were 41 (SD 11) and 42 (SD 9) years respectively (p=0.72), and 8 (31%) were male in the open and 3 (30%) in the SP group (p=0.89). Nephrolithiasis history was present in 18 (69%) patients in the open and 8 (89%) in the SP group (p=0.25). A majority of patients had history of percutaneous nephrostomy tube or ureteral stent – 20 (77%) in the open and 9 (100%) in the SP groups (p=0.11). Nineteen (73%) in the open and 9 (100%) in the SP groups had ureteral stent placement intraoperatively (p=0.08). In Table 1, there were no significant differences between the open and SP groups regarding operative time (533 vs. 539 minutes, p=0.92), postoperative creatinine (0.98 vs. 0.96, p=0.87), or postoperative complications (14 (54%) vs. 2 (22%), p=0.10), which included bleeding requiring transfusion. Significant differences between open and SP approaches were estimated blood loss (EBL) (910 vs. 147 milliliters, p=0.006), post- and intraoperative bleeding prompting transfusion (13 (50%) vs. 0 (0%), p=0.007), and length of stay (8 vs. 5 days, p=0.006). CONCLUSIONS: In this novel approach, SP renal autotransplant demonstrates lower EBL, bleeding complications, length of stay, and postoperative complications, compared to the traditional open approach. Additional studies are warranted to determine if a minimally invasive approach can improve patient outcomes longitudinally. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e434 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Shree Agrawal-Patel More articles by this author Sherry Mortach More articles by this author Evonne Pei More articles by this author Yi-Chia Lin More articles by this author Jaya Sai Chavali More articles by this author Ethan Ferguson More articles by this author Roxana Ramos More articles by this author Venkatesh Krishnamurthi More articles by this author Alvin Wee More articles by this author Jihad Kaouk More articles by this author Mohamed Eltemamy More articles by this author Expand All Advertisement PDF downloadLoading ...