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• W3020917900 abstract "You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy III (MP21)1 Apr 2020MP21-03 PROLONGED WARM ISCHEMIC TIME IS A SIGNIFICANT RISK FACTOR OF HEMORRHAGIC COMPLICATION IN PATIENTS WHO RECEIVED ROBOTIC ASSISTED PARTIAL NEPHRECTOMY Cheng-Han Tsai*, Hsiao-Jen Chung, Eric Y.H. Huang, Tzu-Ping Lin, Tzu-Hao Huang, and William J. Huang Cheng-Han Tsai*Cheng-Han Tsai* More articles by this author , Hsiao-Jen ChungHsiao-Jen Chung More articles by this author , Eric Y.H. HuangEric Y.H. Huang More articles by this author , Tzu-Ping LinTzu-Ping Lin More articles by this author , Tzu-Hao HuangTzu-Hao Huang More articles by this author , and William J. HuangWilliam J. Huang More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000854.03AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The most frequent and potentially life-threatening events associated with partial nephrectomy (PN) are hemorrhagic complications (HC). The aim of this study was to analysis the risk factors of HC in patients who received robotic assisted partial nephrectomy (RAPN). METHODS: We retrospectively reviewed medical records of 260 patients who underwent RAPN between January 2010 and July 2018. Patient demographics, comorbidities, perioperative outcomes, and complications data were analyzed. HC was defined as bleeding, gross hematuria or arteriovenous fistula requiring blood transfusion or therapeutic intervention, which were divided as intraoperative, postoperative and delayed (after hospital discharge) bleeding. The severity of HC was graded according to the modified Clavien classification system. We investigated whether there is a relevant association between perioperative factors and HC. RESULTS: Of 260 patients included in this study, 32 (12.3%) patients had HC, which were intraoperative in 16 (6.2%), postoperative in 6 (2.3%) and delayed in 10 (3.8%). As classified by the modified Clavien system, HC were grade I in 2.3%, grade II in 6.5%, grade IIIa in 3.1% and grade IIIb in 0.4% of cases. No complication-related deaths occurred. HC group had significantly more essential blood loss (712.5±518.4 mL vs 229.6±212.3 mL, P<0.0001) and longer length of hospital stay (7.0±2.2 days vs 5.6±1.8 days, P<0.0001). In univariate analysis, type 2 DM, RENAL score, prolonged console time (>180 minutes), prolonged warm ischemic time (>25 minutes) and method of pedicle control were the statistically significant risk factors. In multivariate logistic regression analysis, warm ischemic time > 25 minutes was the only significant risk factor for HC (OR, 3.51; 95% CI 1.28-9.59; p=0.01). CONCLUSIONS: Patients who underwent RAPN with prolonged warm ischemic time (> 25 minutes) correlated significantly with hemorrhagic complications and should be carefully monitored. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e318-e318 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Cheng-Han Tsai* More articles by this author Hsiao-Jen Chung More articles by this author Eric Y.H. Huang More articles by this author Tzu-Ping Lin More articles by this author Tzu-Hao Huang More articles by this author William J. Huang More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W3020917900 title "MP21-03 PROLONGED WARM ISCHEMIC TIME IS A SIGNIFICANT RISK FACTOR OF HEMORRHAGIC COMPLICATION IN PATIENTS WHO RECEIVED ROBOTIC ASSISTED PARTIAL NEPHRECTOMY" @default.
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