Laparoscopic/ Robotic: Other

Moderated Poster Session

MP16-1 - Evaluation of the association of the Mayo Adhesive Probability Score and perioperative outcomes of Robotic assisted Partial Nephrectomy

Saturday, September 22
10:00 AM - 12:00 PM
Location: Room 243

Introduction & Objective : We evaluated the association of the Mayo Adhesive Probability (MAP) score and robotic assisted partial nephrectomy (RAPN) outcomes. The MAP score is described as an Accurate Image-based Scoring System to Predict Adherent Perinephric Fat in Partial Nephrectomy.


Methods : We retrospectively analyzed 75 patients who had RAPN performed by a single surgeon between May 2016 and March 2018.Our analysis focused on comparing perioperative outcomes, including operative time, warm ischemia time, operative time other than warm ischemia time, estimated blood loss and postoperative complications with MAP score and RENAL score. We categorized Patients into “low” (0 to 3) or “high” (4 or 5) score groups based on MAP score. We also categorized Patients into low (4 to 6) or moderate – high (7 to 10) complexity groups based on RENAL nephrectomy score.


Results :

The operative time was longer in high MAP score group than in low MAP score group (197 vs 174 min, p=0.018). The operative time other than warm ischemia time was longer in high MAP score than in low MAP score (177 vs 155 min, p=0.010).The warm ischemia time, estimated blood loss and postoperative complications were similar between both groups of MAP score.The warm ischemia time was longer in moderate - high complexity groups than in low complexity groups of RENAL nephrectomy score (20.2 vs 15.8 min, p=0.027). The operative time, operative time other than warm ischemia time, estimated blood loss and postoperative complications were similar both groups of RENAL nephrectomy score.


Conclusions : A higher MAP score was associated with longer operative time, and especially longer operative time other than warm ischemia time. A higher RENAL nephrectomy score was associated with longer warm ischemia time.

Azumi Araki

doctor
Department of Urology, Yokohama City University Graduate School of Medicine

Azumi Araki, M.D. ,Clinical Fellow, Department of Urology, Yokohama City University

Licensure and Certification:
National Board of Medicine
Japanese Board of Urology

Education:
2009 Yokohama City University, Medical school

Employment:
2009-2010 Intern, Yokohama Minami Kyousai Hospital
2010-2011 Intern, Yokohama City University Hospital
2011-2012 Clinical Fellow, Yokohama Minami Kyousai Hospital, Urology
2012-2013 Clinical Fellow, Kanagawa Prefectural Ashigarakami Hospital, Urology
2013-2014 Clinical Fellow, Yokohama Sakae Kyosai hospital, Urology
2014-2016 Clinical Fellow n, Yokohama Municipal Citizen’s Hospital, Urology
2016- Clinical Fellow, Yokohama City University Hospital

Presentation(s):

    Send Email for Azumi Araki

    Kazuhide Makiyama

    Associate Professor
    Department of Urology, Yokohama City University Graduate School of Medicine

    Kazuhide Makiyama

    Gender: Male Date of Birth: March 23, 1970 Citizenship: Japan
    Business Address:
    Yokohama City University
    3-9 Fukuura Kanazawa-ku
    Yokohama 236-0004, Japan
    Phone: +81-45-787-2679
    Fax: +81-45-786-5775
    E-mail: makiya@yokohama-cu.ac.jp

    Education:
    2002 Doctor of Medical Science, Yokohama City University
    1994 M.D. Faculty of Medicine, Yokohama City University

    Training:
    1994-1996 Resident, Yokohama City University

    Appointments:
    2009-present Associate Professor, Department of Urology, Yokohama City University
    2002-2009 Assistant Professor, Department of Urology, Yokohama City University
    2001-2002 Assistant Professor, Department of Urology, Tokyo Woman’s Medical University
    2000-2001 Medical staff in Urology, Yokohama City Unversity Medical Center
    1998-2000 Medical staff in Urology, Chigasaki Municipal Hospital
    1996-1998 Medical staff in Urology, Yokohama Minami Kyosai Hospital

    Scientific Activity:
    Member of Japanese Urological Association
    Member of Japanese Society of Endourology
    Member of Japanese Society for Endoscopic Surgery
    Member of Japan Society of Clinical Oncology
    Member of The Japan Society for Transplantation
    Member of Japanese Society for Clinical Renal Transplantation
    Member of The Japanese Society for Dialysis Therapy
    Member of American Urological Association

    Laparoscopic and Robotic surgery
    Adrenalectomy: 270 cases since 2002
    Nephrectomy: 900 cases since 2002
    Partial nephrectomy: 300 cases since 2002
    Pyeloplasty: 100 cases since 2004
    Prostatectomy: 300 cases since 2012
    Cystectomy: 80 cases since 2008

    Presentation(s):

      Send Email for Kazuhide Makiyama

      Shinji Ohtake

      graduate student
      Department of Urology, Yokohama City University Graduate School of Medicine

      Presentation(s):

        Send Email for Shinji Ohtake

        Masahiro Yao

        Professor
        Department of Urology, Yokohama City University Graduate School of Medicine

        Presentation(s):

          Send Email for Masahiro Yao


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