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Abstracts

79

P9-10: Table 2

P9-10: Figure 1

P9-11 Retroperitoneal robotic partial
nephrectomy for T1b and larger tumours
Segaran S1, Hussain M1, Barber N1
Park Hospital, United Kingdom

1Frimley

Objectives: To determine the operative outcomes of retroperitoneal robotic-assisted partial nephrectomy
(RRAPN) for T1b and larger tumours.
Subjects and Methods: A prospective database of all
renal surgery is kept at our institution which was examined retrospectively to obtain relevant data.
Results: 337 RAPN were performed between June 2010
- July 2017. 56 (17%) had tumours >40mm and 52 underwent RRAPN. 20 were female and 32 male. Mean age was
60 years (SD ± 12.7), mean BMI was 30 (SD ± 6.9), median
ASA grade was 2 and mean tumour size was 50mm (SD ±
9.9). Operative time averaged 154 minutes (SD ± 37.8).

Mean warm ischaemia time (WIT) was 24 minutes (SD ±
9.5). Median estimated blood loss (EBL) was 50ml (0-2000).
3.8% had positive margins.
2 procedures were converted to radical nephrectomy
(robotic) and 1 each were converted to open partial
nephrectomy and open radical nephrectomy. 4 patients
received blood transfusions. 2 patients had Clavien-Dindo
Grade 3 complications. Median postoperative length of
stay (LOS) was 2 days (1-12).
Compared to patients undergoing RRAPN for T1a tumours,
there were statistically significant differences in operative
time (125 vs 154 mins, p<0.01),WIT (21 vs 24 mins, p=0.01),
EBL (40 vs 200ml, p<0.01) but no difference in LOS. There
was a lower positive margin rate of 1.4% in the T1a group.
Conclusion: RRAPN can be safely utilised for suitable
T1b and larger renal tumours with few complications and
rapid recovery. Resection of T1b tumours may be more
challenging than T1a tumours.



Table of Contents for the Digital Edition of JCU - Abstracts of the BAUS 2018 Scientific Meeting - June 2018

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