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• W3017811897 abstract "You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology I (MP04)1 Apr 2020MP04-11 SINGLE PORT VS. MULTIPORT ROBOTIC SURGERY FOR THE UPPER URINARY TRACT: SHORT TERM PERI-OPERATIVE OUTCOME ANALYSIS Michael Stifelman, Bethany Desroches*, Juhi Deolankar, Gregory Lovallo, Ravi Munver, and Mutahar Ahmed Michael StifelmanMichael Stifelman More articles by this author , Bethany Desroches*Bethany Desroches* More articles by this author , Juhi DeolankarJuhi Deolankar More articles by this author , Gregory LovalloGregory Lovallo More articles by this author , Ravi MunverRavi Munver More articles by this author , and Mutahar AhmedMutahar Ahmed More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000818.011AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In June 2018, the FDA approved the Intuitive single port (SP) robot for urologic procedures. In January 2019, Hackensack University Medical Center acquired this technology and trained 5 high volume robotic urologic surgeons. This study is designed to evaluate the peri-operative outcomes of SP compared to those of the multiport (MP) robot for procedures of the upper urinary tract to determine the feasibility, safety, and reproducibility of single port robotic surgery. METHODS: Using a prospective IRB database, we compared patients undergoing SP robotic nephrectomy, partial nephrectomy, pyeloplasty, and buccal mucosa ureteroplasty to a 1:1 matched cohort of patients utilizing a MP approach. We used age, sex, BMI, and when appropriate nephrometry score, to create our case matched cohort. Peri-operative outcomes measured included operative time (OR time), warm ischemia time (WIT), estimated blood loss (EBL), Clavien grade greater than 2 complications, positive margin rate, and rate of readmission within 30 days. Due to the 1:1 matching between SP and MP, we treated each analysis as paired data. For the OR comparisons, we performed paired t-tests. For the EBL and LOS comparisons, we performed Wilcoxon signed rank t-tests since these outcomes did not meet normality criteria. RESULTS: Please see Table 1 for a summary of our results. We found statistically significant differences only in the partial nephrectomy cohort – which included SP having longer OR time (117 vs 91; p<0.022) and WIT (21 vs 8; p< 0.002). EBL was higher for the MP group (130 vs 69; p <0.031). CONCLUSIONS: We compared the peri-operative outcomes of 21 patients undergoing upper urinary tract SP robotic surgery to a 1:1 matched MP cohort. Significant differences were noted in OR time and WIT, which favored the MP group, whereas there was higher EBL in the MP group. These differences may be attributed to the fact that two patients’ surgeries in the MP group were performed off clamp. We conclude that SP surgery is safe, reproducible, and offers minimal to no increase in intra- and peri-operative risks compared to MP robotic surgery for upper urinary tract procedures. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e36-e36 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Michael Stifelman More articles by this author Bethany Desroches* More articles by this author Juhi Deolankar More articles by this author Gregory Lovallo More articles by this author Ravi Munver More articles by this author Mutahar Ahmed More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W3017811897 title "MP04-11 SINGLE PORT VS. MULTIPORT ROBOTIC SURGERY FOR THE UPPER URINARY TRACT: SHORT TERM PERI-OPERATIVE OUTCOME ANALYSIS" @default.
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