PD59-05 SINGLE-PORT ROBOTIC RADICAL CYSTECTOMY WITH INTRACORPOREAL BOWEL DIVERSION: INITIAL EXPERIENCE AND REVIEW OF EARLY SURGICAL OUTCOMES

Abstract

You have accessJournal of UrologyBladder Cancer: Invasive V (PD59)1 Sep 2021PD59-05 SINGLE-PORT ROBOTIC RADICAL CYSTECTOMY WITH INTRACORPOREAL BOWEL DIVERSION: INITIAL EXPERIENCE AND REVIEW OF EARLY SURGICAL OUTCOMES David Ali, Rohan Sawhney, Mubashir Billah, Robert Harrison, Michael Stifelman, Gregory Lovallo, Nikhil Gopal, Jay Zaifman, Salma Ahsanuddin, Tenzin Lama-Tamang, Helaine Koster, and Mutahar Ahmed David AliDavid Ali More articles by this author , Rohan SawhneyRohan Sawhney More articles by this author , Mubashir BillahMubashir Billah More articles by this author , Robert HarrisonRobert Harrison More articles by this author , Michael StifelmanMichael Stifelman More articles by this author , Gregory LovalloGregory Lovallo More articles by this author , Nikhil GopalNikhil Gopal More articles by this author , Jay ZaifmanJay Zaifman More articles by this author , Salma AhsanuddinSalma Ahsanuddin More articles by this author , Tenzin Lama-TamangTenzin Lama-Tamang More articles by this author , Helaine KosterHelaine Koster More articles by this author , and Mutahar AhmedMutahar Ahmed More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002096.05AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Scant literature is available on surgical outcomes of radical cystectomies on the new single-port (SP) system. This study compares short term outcomes in patients undergoing radical cystectomy with intracorporeal urinary diversion (ICUD) on the multi-port (MP) vs. SP platform. METHODS: This IRB approved study used a prospective cystectomy database and non-parametric testing including Chi-Squared, Mann-Whitney U, and Fisher Exact tests to analyze all variables stratified by surgical approach. RESULTS: 34 patients underwent radical cystectomy with ICUD from 9/1/2019 to 2/8/2021. 20 patients were in the MP cohort, while 14 were in the SP group. Table 1 presents the demographics of both groups and shows no significant differences. Intra- and post-operative as well as pathology data is shown in Table 2. Patients in the SP group had less narcotic use (MP: 25 MME vs. SP: 11.5 MME, p=0.047) and shorter return of bowel function (MP: 3 days vs. SP: 2 days, p=0.032). Operative times were similar between both groups despite having fewer patients undergoing ileal conduit (MP: 85% vs. SP: 50%, p=0.027) in the SP group. In table 3, the early short term post-operative follow up data for each group showed no significant differences between the two groups with an average follow up of 4.9 months for MP and 4.4 months for SP. CONCLUSIONS: Our initial experience with SP robotic cystectomy and ICUD appears to be safe and an effective alternative to MP cystectomies. A learning curve was involved but the overall transition from MP to SP was smooth. Operative times were similar despite fewer patients undergoing ileal diversion, shorter return of bowel function, and less narcotic use in the SP group. Further studies including longer follow ups with multi-institutional data are underway. Source of Funding: None. © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e1053-e1055 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information David Ali More articles by this author Rohan Sawhney More articles by this author Mubashir Billah More articles by this author Robert Harrison More articles by this author Michael Stifelman More articles by this author Gregory Lovallo More articles by this author Nikhil Gopal More articles by this author Jay Zaifman More articles by this author Salma Ahsanuddin More articles by this author Tenzin Lama-Tamang More articles by this author Helaine Koster More articles by this author Mutahar Ahmed More articles by this author Expand All Advertisement Loading ...