V9-09 NOVEL ROBOTIC SYSTEM FOR SINGLE PORT PARTIAL NEPHRECTOMY: INITIAL EXPERIENCE AND TECHNIQUE

Abstract

You have accessJournal of UrologyRobotics – Renal1 Apr 2015V9-09 NOVEL ROBOTIC SYSTEM FOR SINGLE PORT PARTIAL NEPHRECTOMY: INITIAL EXPERIENCE AND TECHNIQUE Daniel Ramirez, Vincent Flammand, Arnauld Villers, and Jihad H. Kaouk Daniel RamirezDaniel Ramirez More articles by this author , Vincent FlammandVincent Flammand More articles by this author , Arnauld VillersArnauld Villers More articles by this author , and Jihad H. KaoukJihad H. Kaouk More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.2284AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Single-port (SP) laparoscopic surgery has been developed with the goal of accelerating patient recovery and improving cosmesis. In this video we describe a new purpose-built robotic system for performing SP robotic partial nephrectomy. METHODS This is a prospective IRB-approved study performed SP robotic renal surgery on 11 patients, including 4 patients who underwent SP robotic partial nephrectomy using a new SP robotic system. Video footage was obtained to describe the feasibility and safety of using this new robotic system. Perioperative data including patient characteristics and post-operative complications were prospectively collected. The patients were followed for 3 years post-operatively for oncologic and functional outcomes. RESULTS A total of 4 patients were enrolled in this study to undergo SP robotic partial nephrectomy. Median age was 62.5 years, median BMI was 27.2, and mean eGFR was 68.6 mL/min. No cases were converted to open procedures. There were no major complications. Two patients had Clavien 2 complications of post-operative anemia requiring transfusion. At 30 day follow up mean eGFR was 74.1 mL/min. At 3-year follow up, all patients were disease free and demonstrated preserved renal function. CONCLUSIONS We describe the steps and present the outcomes from the first application of a new SP robotic system constructed specifically for single-port surgery. SP robotic partial nephrectomy was performed in 4 patients without need for conversion to traditional laparoscopic or open surgery. There were no major complications. Functional and oncologic outcomes were comparable to traditional robotic technique. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e777-e778 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Daniel Ramirez More articles by this author Vincent Flammand More articles by this author Arnauld Villers More articles by this author Jihad H. Kaouk More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...