Category: Laparoscopic/ Robotic: Other

MP16-2 - Zero ischemia robotic partial nephrectomy: preoperative and operative parameters

Sat, Sep 22
10:00 AM - 12:00 PM

Introduction & Objective :

Zero ischemia nephron sparing surgery is increasingly preferred for management of patients with renal tumors when technically feasible. The aim of this study is to report on preoperative and operative parameters of zero ischemia robotic partial nephrectomy patients in our single center series.


Methods :

This is a retrospective analysis of patients who underwent robotic zero ischemia partial nephrectomy by a single surgeon between April 2008 and April 2018. Preoperative and operative data were assessed. Complications were defined based on Clavien-Dindo grading system.


Results :

A total of 222 patients underwent robotic partial nephrectomy (RPN). Zero ischemia robotic partial nephrectomy was performed in 36 patients. Mean age and BMI of the patients was 58.3±13.8 years and 27.5±4.2 kg/m2, respectively. Mean tumor size in surgical specimen was 29.6±12.9 mm. Mean operative time was 84.1±41.7 minutes. Mean estimated blood loss was 276.9±258.9 ml. Mean Padua and nephrometry score was 7.45±1.48 and 5.96±1.55, respectively. There was 1 patient with solitary kidney. One patient had focal positive surgical margin. Two patients had complications (1 Clavien I and 1 Clavien IIIB). Mean length of stay was 3.75±1.09 days.


Conclusions :

Zero ischemia robot assisted partial nephrectomy can be safely performed in technically feasible cases and in experienced hands.

Mustafa Bilal Tuna

MD
Acibadem Maslak Hospital, Department of Urology
Is, Istanbul, Turkey

Tunkut Doganca

Urologist
Acibadem Taksim Hospital, Istanbul,Turkey
Istanbul, Istanbul, Turkey

T├╝nkut Do─čanca, MD, FEBU
Urologist
Acibadem Health Group
Acibadem Taksim Hospital

─░lter T├╝fek

Assoc. Prof.
Acibadem Mehmet Ali Ayd─▒nlar University School of Medicine Urology Department
Istanbul, Istanbul, Turkey

├ľmer Burak Argun

Assoc. Prof.
Acibadem Mehmet Ali Ayd─▒nlar University School of Medicine Urology Department
Istanbul, Istanbul, Turkey

Selcuk Keskin

MD
Acibadem Mehmet Ali Ayd─▒nlar University School of Medicine Urology Department
Istanbul, Istanbul, Turkey

Can ├ľbek

Prof.
Acibadem Taksim Hospital
Istanbul, Istanbul, Turkey

Ali R─▒za Kural

Prof.
Acibadem Mehmet Ali Ayd─▒nlar University School of Medicine Urology department
Istanbul, Istanbul, Turkey