Comparison of lateral flank approach and low anterior access for single port (SP) retroperitoneal partial nephrectomy: an analysis from the single port advanced research consortium (SPARC)

Single Port (SP) robotic partial nephrectomy (RPN) can be performed via retroperitoneal and transperitoneal approach. We aim to compare outcomes of two commonly described incisions for retroperitoneal SP RPN: lateral flank approach (LFA) and low anterior access (LAA). We performed a retrospective st...

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Bibliographic Details
Published in:Journal of robotic surgery 2024-05, Vol.18 (1), p.216, Article 216
Main Authors: Razdan, Shirin, Okhawere, Kennedy E., Zuluaga, Laura, Saini, Indu, Ucpinar, Burak, Sauer, Ruben Calvo, Soputro, Nicholas, Crivellaro, Simone, Kaouk, J. H., Ahmed, Mutahar, Stifelman, Michael D., Badani, Ketan K.
Format: Article
Language:English
Subjects:
Aged
Bivariate analysis
Blood transfusions
Body mass index
Chi-square test
Comorbidity
Consortia
Demographics
Diabetes
Female
Humans
Hypertension
Ischemia
Kidney Neoplasms - surgery
Length of stay
Length of Stay - statistics & numerical data
Male
Medicine
Medicine & Public Health
Middle Aged
Minimally Invasive Surgery
Nephrectomy - methods
Operative Time
Patients
Postoperative period
Regression analysis
Retroperitoneal Space - surgery
Retrospective Studies
Robotic Surgical Procedures - methods
Surgery
Treatment Outcome
Tumors
Urology
Variables
Citations: Items that this one cites
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Description
Summary:Single Port (SP) robotic partial nephrectomy (RPN) can be performed via retroperitoneal and transperitoneal approach. We aim to compare outcomes of two commonly described incisions for retroperitoneal SP RPN: lateral flank approach (LFA) and low anterior access (LAA). We performed a retrospective study of patients who underwent SP retroperitoneal RPN from 2018 to 2023 as part of a large multi-institute collaboration (SPARC). Baseline demographic, clinical, tumor-specific characteristics, and perioperative outcomes were compared using χ2 , t test, Fisher exact test, and Mann–Whitney U test. Multivariable analyses were conducted using robust and logistic regressions. A total of 70 patients underwent SP retroperitoneal RPN, with 44 undergoing LAA. Overall, there were no significant differences in baseline characteristics between the two groups. The LAA group exhibited significantly lower median RENAL scores (8 vs. 5, p  
ISSN:1863-2491
1863-2483
1863-2491
DOI:10.1007/s11701-024-01969-9