You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy V1 Apr 2016MP75-06 NATIONAL OUTCOMES IN POSTOPERATIVE COMPLICATIONS AND READMISSION RATES FOLLOWING OPEN AND MINIMALLY INVASIVE NEPHRECTOMY Ruben M. Pinkhasov, Alexandr Pinkhasov, Michall Abaev, Zuhair Alhussaini, Mark Cogburn, Buddima Ranasinghe, Antonio Montgomery, Ervin Teper, Ciril Godec, and David Silver Ruben M. PinkhasovRuben M. Pinkhasov More articles by this author , Alexandr PinkhasovAlexandr Pinkhasov More articles by this author , Michall AbaevMichall Abaev More articles by this author , Zuhair AlhussainiZuhair Alhussaini More articles by this author , Mark CogburnMark Cogburn More articles by this author , Buddima RanasingheBuddima Ranasinghe More articles by this author , Antonio MontgomeryAntonio Montgomery More articles by this author , Ervin TeperErvin Teper More articles by this author , Ciril GodecCiril Godec More articles by this author , and David SilverDavid Silver More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.1724AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Minimally invasive nephrectomy (laparoscopic and robot-assisted) offers lower postoperative morbidity. The purpose of this study is to compare postoperative complications, readmission rates, and predictors of readmission within cohorts of open and minimally invasive nephrectomy (MIN) patients using a national outcomes database. METHODS American College of Surgeons National Surgical Quality Improvement Project (ACS-NSQIP) database was used to analyze patients who underwent open or MIN in 2012. Perioperative variables and Clavien complications were analyzed using Chi-squared and Student t-test as appropriate. Multinomial logistic regression was used to identify readmission risk factors. RESULTS Of the total (N = 4,548) patients that were included in the analysis, N=1,667 (36.7%) underwent open nephrectomy, and N=2,881 (63.3%) MIN. Open and MIN experienced different readmission rates (7.6% vs. 4.4%, respectively; p<0.001). In addition, open nephrectomy experienced a higher rate of overall complications than MIN (28.9% vs. 10.0%, respectively; p<0.001), and higher rates of reoperation (2.9% vs. 1.9%, respectively; p=0.04). Most common complication for open nephrectomy (N=387; 23.2%) and MIN (N= 174; 6%) was bleeding. Clavien II and III complications were more likely in Open vs. MIN (p<0.001). Overall predictors of readmission included patients with history of diabetes (OR 2.1; p=0.02), hypertension (OR 1.7; p=0.04), and ESRD on hemodialysis (OR 1.2; p <0.001). Risk factors that were not predictive of readmission included age of patient (OR 1.0; p=0.07), operative time (OR 1.0; p=0.88), smoking history (OR 1.0; p=1.0), history of CHF (OR 1.9; p = 1.0), COPD (OR 1.0; p=1.0), or metastatic cancer (OR 0.65; p=0.35). CONCLUSIONS There are significant differences in postoperative complication and readmission rates in open nephrectomy and MIN. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e980 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Ruben M. Pinkhasov More articles by this author Alexandr Pinkhasov More articles by this author Michall Abaev More articles by this author Zuhair Alhussaini More articles by this author Mark Cogburn More articles by this author Buddima Ranasinghe More articles by this author Antonio Montgomery More articles by this author Ervin Teper More articles by this author Ciril Godec More articles by this author David Silver More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...