MP68-07 A COMPARISON OF TRANSPERITONEAL AND RETROPERITONEAL APPROACH IN PATIENTS UNDERGOING SINGLE-PORT ROBOTIC-ASSISTED PARTIAL NEPHRECTOMY: A REPORT FROM THE SINGLE PORT ADVANCED RESEARCH CONSORTIUM (SPARC)

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP68-07 A COMPARISON OF TRANSPERITONEAL AND RETROPERITONEAL APPROACH IN PATIENTS UNDERGOING SINGLE-PORT ROBOTIC-ASSISTED PARTIAL NEPHRECTOMY: A REPORT FROM THE SINGLE PORT ADVANCED RESEARCH CONSORTIUM (SPARC) Kennedy Okhawere, Jordan Rich, Laura Zuluaga, Indu Saini, Alp Tuna Beksac, Burak Upcinar, Jennifer Nguyen, Ruben C. Sauer, Mutahar Ahmed, Reza Mehrazin, Ronney Abaza, Michael D. Stifelman, Jihad Kaouk, Simone Crivellaro, and Ketan Badani Kennedy OkhawereKennedy Okhawere More articles by this author , Jordan RichJordan Rich More articles by this author , Laura ZuluagaLaura Zuluaga More articles by this author , Indu SainiIndu Saini More articles by this author , Alp Tuna BeksacAlp Tuna Beksac More articles by this author , Burak UpcinarBurak Upcinar More articles by this author , Jennifer NguyenJennifer Nguyen More articles by this author , Ruben C. SauerRuben C. Sauer More articles by this author , Mutahar AhmedMutahar Ahmed More articles by this author , Reza MehrazinReza Mehrazin More articles by this author , Ronney AbazaRonney Abaza More articles by this author , Michael D. StifelmanMichael D. Stifelman More articles by this author , Jihad KaoukJihad Kaouk More articles by this author , Simone CrivellaroSimone Crivellaro More articles by this author , and Ketan BadaniKetan Badani More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003331.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Single-Port (SP) robotic-assisted partial nephrectomy (RAPN) has been established as a reasonable alternative to the (MP) multiport platform motivated by the potential to regionalize surgery and decrease morbidity. However, there is a dearth of literature on its efficiency and safety for either the transperitoneal (TP) or retroperitoneal (RP) approach. We sought to compare the perioperative and post-operative outcomes of the TP and RP approach for the SP RAPN. METHODS: Using data from the Single Port Advanced Research Consortium (SPARC) database, we conducted a retrospective analysis of 219 patients who underwent SP RPN for a renal mass between 2019 and 2022 (121 [55.25%] TP, 98 [44.75%] RP). Baseline characteristics, perioperative and postoperative data were compared between both approaches using χ2 test, Fisher exact test, Mann Whitney U test, student’s t test. RESULTS: Of the 148 patients in this study, 76 (51.35%) were male and the mean (SD) age was 60 (11) years. The RP group had a significantly higher proportion of posterior tumors [54 (55.10%), RP vs. 28 (23.14 %%), TP; p<0.001], while other baseline characteristics were comparable between the two approaches. Compared to transperitoneal approach, retroperitoneal approach had similar ischemia time (18 [SD=9] mins vs. 18 [SD=11] mins, p=0.898), operative time (147[SD=67] mins vs. 146 [SD=70] mins, p=0.925), estimated blood loss EBL (76 ml [SD=100] vs. 98 ml[SD=124], p=0.167), length of stay (1.07 [SD=2.25] day vs. 1.33 [SD=1.05] day, p=0.270), overall complication rate (5 [5.10%] vs 7 [5.79%], and major complication rate (2 [2.04%] vs. 2 [1.65%], p=1.000). No difference was observed in positive surgical margin rate (p=0.472) or delta eGFR (p=0.273). CONCLUSIONS: Trans peritoneal and retroperitoneal SP RAPN yielded similar perioperative and postoperative outcomes. The SP platform is a safe platform to perform transperitoneal and retroperitoneal RAPN. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e955 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kennedy Okhawere More articles by this author Jordan Rich More articles by this author Laura Zuluaga More articles by this author Indu Saini More articles by this author Alp Tuna Beksac More articles by this author Burak Upcinar More articles by this author Jennifer Nguyen More articles by this author Ruben C. Sauer More articles by this author Mutahar Ahmed More articles by this author Reza Mehrazin More articles by this author Ronney Abaza More articles by this author Michael D. Stifelman More articles by this author Jihad Kaouk More articles by this author Simone Crivellaro More articles by this author Ketan Badani More articles by this author Expand All Advertisement PDF downloadLoading ...