MP57-01 AMBULATORY ROBOTIC-ASSISTED PARTIAL NEPHRECTOMY: SAFETY AND FEASIBILITY STUDY

Abstract

You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy IV (MP57)1 Apr 2020MP57-01 AMBULATORY ROBOTIC-ASSISTED PARTIAL NEPHRECTOMY: SAFETY AND FEASIBILITY STUDY Eric Bortnick*, Reza Mehrazin, Rollin Say, and Jared Winoker Eric Bortnick*Eric Bortnick* More articles by this author , Reza MehrazinReza Mehrazin More articles by this author , Rollin SayRollin Say More articles by this author , and Jared WinokerJared Winoker More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000926.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Ambulatory surgery is more common in today's medical landscape. Urologic surgeries that were once considered to have necessary inpatient stays are now being performed on an outpatient basis. We aimed to evaluate the feasibility and safety of performing Robotic-Assisted Laparoscopic Partial Nephrectomy (RAPN) as outpatient surgery in patients with renal masses. METHODS: We analyzed RAPN performed by a single surgeon at an academic medical center from July 2018 to June 2019 and identified those individual patients who were discharged on the same day.The ambulatory cases were then compared to a concurrent inpatient RAPN group in respect to patient characteristics, tumor complexity, and operative variables. Relationships with outcome were analyzed using Fisher's exact test and Student's t-test. RESULTS: Twenty-three of 84 RAPNs (27.4%) were performed as ambulatory. Mean age was 57.4 years. Average tumor size was 2.24 cm. The mean total operative time was 99.4 minutes. Average estimated blood loss (EBL) was 51.1 ml. When compared to the cohort of patients who stayed overnight, on univariate analysis, ambulatory patients were more likely to have smaller tumor diameters (2.24±0.71 vs. 3.65±1.55 cm, p<0.001), shorter operative time (99.5±25.1 vs. 131.2±30.8 minutes, p<0.0001), and less EBL (51.1±39.5 vs.108.0±119.5 cc, p=0.028) as compared to patients admitted overnight. On multivariate analysis, the tumor size and operative time remained statistically significant. No differences were seen in regards to Charlson Comorbidity Index (CCI), age, gender, or surgical approach. CONCLUSIONS: RAPN can be performed safely as ambulatory in select patients with comparable outcome and without complication or hospital readmission. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e857-e857 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Eric Bortnick* More articles by this author Reza Mehrazin More articles by this author Rollin Say More articles by this author Jared Winoker More articles by this author Expand All Advertisement PDF downloadLoading ...