MP42-01 A MATCHED ANALYSIS OF CONVENTIONAL MULTI-PORT VERSUS SP SINGLE-SITE ROBOTIC PARTIAL NEPHRECTOMY

Abstract

You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy III (MP42)1 Sep 2021MP42-01 A MATCHED ANALYSIS OF CONVENTIONAL MULTI-PORT VERSUS SP SINGLE-SITE ROBOTIC PARTIAL NEPHRECTOMY Joon Chae Na, Sylvia Alip, Nak-Hoon Son, Jinu Kim, Won Sik Jang, Yong Seung Lee, Koon Ho Rha, and Woong Kyu Han Joon Chae NaJoon Chae Na More articles by this author , Sylvia AlipSylvia Alip More articles by this author , Nak-Hoon SonNak-Hoon Son More articles by this author , Jinu KimJinu Kim More articles by this author , Won Sik JangWon Sik Jang More articles by this author , Yong Seung LeeYong Seung Lee More articles by this author , Koon Ho RhaKoon Ho Rha More articles by this author , and Woong Kyu HanWoong Kyu Han More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002063.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: A purpose built single-site robotic SP platform has recently been introduced and our institute is currently using this novel platform conducting truly single-site robotic partial nephrectomy. In this study we aimed to compare its initial results with the conventional multi-port robotic partial nephrectomy. METHODS: Patients who underwent single-site robotic partial nephrectomy (SP group) were matched to those who underwent multi-port robotic partial nephrectomy (MP group) during the same period by the same surgeon from Dec, 2018 to Apr, 2020. Patients were matched 1:3 according to RENAL nephrometry score, horizontal location of tumor(anterior/posterior), and vertical location of tumor(upper/mid/lower), sex and BMI. RESULTS: There were 21 patients in the SP group, and 62 matched patients in the MP group. The SP group had a longer overall operation time, console time, and warm ischemic time compared to the MP group. None of the patients included in the study had a complication greater than Clavien-Dindo system grade 1, and all were recurrence free at a mean follow-up of 12.5 (SD 5.8) months. Mean changes in eGFR showed no statistically significant differences in both groups at one week, three months, six months, and one year post-operatively. CONCLUSIONS: True single-site robotic partial nephrectomy using the SP platform can be safely performed without an increase of major perioperative complication rates. Although there was an increase in operative time, especially ischemic time, the oncological and functional outcomes were equivalent to the conventional multi-port robotic approach. This maybe attributed to the precise enucleoresection made possible by the articulating instruments of the SP platform. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e770-e770 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Joon Chae Na More articles by this author Sylvia Alip More articles by this author Nak-Hoon Son More articles by this author Jinu Kim More articles by this author Won Sik Jang More articles by this author Yong Seung Lee More articles by this author Koon Ho Rha More articles by this author Woong Kyu Han More articles by this author Expand All Advertisement Loading ...