Pd22-02 Single-Port Surgery Delivers Improved Cosmesis Compared to Multi-Port Surgery Regardless of Incision Site

You have accessJournal of UrologySurgical Technology & Simulation: Instrumentation & Technology I (PD22)1 May 2024PD22-02 SINGLE-PORT SURGERY DELIVERS IMPROVED COSMESIS COMPARED TO MULTI-PORT SURGERY REGARDLESS OF INCISION SITE Michael Raver, Mason Henrich, Qilin Cao, Katherine Kim, Sarah Brink, Ruth Sanchez De La Rosa, Gregory Lovallo, Ravi Munver, Mubashir Billah, Mutahar Ahmed, and Michael Stifelman Michael RaverMichael Raver , Mason HenrichMason Henrich , Qilin CaoQilin Cao , Katherine KimKatherine Kim , Sarah BrinkSarah Brink , Ruth Sanchez De La RosaRuth Sanchez De La Rosa , Gregory LovalloGregory Lovallo , Ravi MunverRavi Munver , Mubashir BillahMubashir Billah , Mutahar AhmedMutahar Ahmed , and Michael StifelmanMichael Stifelman View All Author Informationhttps://doi.org/10.1097/01.JU.0001009504.18450.e0.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: One potential advantage of single-port (SP) robotic surgery compared to multi-port (MP) robotic surgery is improved cosmesis. The only study in urology patients to suggest this finding did not assess differences by incision site. Our study evaluated SP, MP, incision location, age, gender, and prior abdominal surgery as predictors of cosmesis and scar consciousness. METHODS: This is a cohort study using an IRB-approved prospective GU reconstruction database. Patients at least 3 months from surgery were emailed and called to complete the Consciousness subsection of the Patient Scar Acceptance Questionnaire. Bothersome was defined as a score of 11 or greater. Overall consciousness was scored with a single item as "not conscious" or "conscious". Cronbach's alpha was calculated to ensure reliability (0.81). Median time from surgery to survey was recorded. Cochran-Mantel-Haenszel (CMH) chi-squared test and logistic regression were performed to assess how age, gender, prior surgery and incision location affect cosmesis. RESULTS: There were 92 patients with 52 MP and 40 SP, of which 26 were umbilical SP and 14 were non-umbilical SP. Median time from surgery to survey for SP and MP was 28 (IQR 15,36) and 30 (IQR 21,51) weeks. Bothersome score is reported in Table 1. Overall, SP was less bothersome than MP (10% vs 29%). When differentiating by age, there was no significant difference in bothersome score of SP vs MP over 40 (11% vs 22%), whereas patients under 40 had significant decrease in consciousness (8% vs 55%).Logistic regression findings are reported in Table 2. SP had improved cosmesis and lower consciousness. Age was not predictive of cosmesis but did predict consciousness, with younger patients more likely to be conscious. Gender, prior abdominal surgery, and SP incision location did not make a difference in cosmesis or consciousness. CONCLUSIONS: This study confirms that SP has better patient-reported cosmetic outcomes compared to MP, especially among younger patients. The cosmetic benefits of SP do not appear to be affected by choice of incision location. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e460 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Michael Raver More articles by this author Mason Henrich More articles by this author Qilin Cao More articles by this author Katherine Kim More articles by this author Sarah Brink More articles by this author Ruth Sanchez De La Rosa More articles by this author Gregory Lovallo More articles by this author Ravi Munver More articles by this author Mubashir Billah More articles by this author Mutahar Ahmed More articles by this author Michael Stifelman More articles by this author Expand All Advertisement PDF downloadLoading ...