WCE 2017: Trifecta Outcomes of Robot-assisted Partial Nephrectomy in Solitary Kidney

Vancouver, Canada (UroToday.com) Arora et al. presented a retrospective study of 2,755 patients from the Vattikuti Global Quality Initiative in Robotic Urologic Surgery (GQI-RUS) database. The final analytical cohort included 74 patients who had a history of solitary kidney and underwent robotic-assisted laparoscopic partial nephrectomy (RAPN) between 2007 to 2016.

Trifecta outcomes (i.e., negative surgical margins, warm ischemia time equal to or less than 25 minutes, and no complications up to three months post-procedure) were achieved in 44 patients (59%). The positive surgical margins rate was 5.4%. Warm ischemia time was greater than 25 minutes in eight cases (11%). Intraoperative and/or postoperative complications occurred in 18 cases (24%). The median tumor size was 2.3 cm with an interquartile range of 1.8 to 3.7 cm. The median operative time was 180 minutes with an interquartile range of 142 to 230 minutes.

These authors are to be thanked for providing us a candid look at the oncologic outcomes of patients from the Vattikuti GQI-RUS database.

Presented by: Sohrab Arora

Authors: Sohrab Arora, Rajesh K. Ahlawat, Ronney Abaza, James Adshead, Benjamin Challacombe, Prokar Dasgupta, Giorgio Gandaglia, DA Moon, Giacomo Novara, F Porpiglia, Umberto Capitiano, Tb Yuvaraja, James Porter, Alexander Mottrie, Mahendra Bhandari, Craig G. Rogers, and Harmanjit Gill Affiliation: Henry Ford Hospital, Detroit, MI, USA

Written by: Michael Owyong (@ohyoungmike), LIFT Fellow, Department of Urology, UC Irvine Medical Center, Orange, CA at the 35^th World Congress of Endourology– September 12-16, 2017, Vancouver, Canada.

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