Mp56-16 Multiple Renal Tumorectomies: A Matched Comparative Analysis of Robotic and Open Approaches (Uroccr Study N°60)

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You have accessJournal of UrologyKidney Cancer: Localized: Surgical Therapy IV (MP56)1 May 2024MP56-16 MULTIPLE RENAL TUMORECTOMIES: A MATCHED COMPARATIVE ANALYSIS OF ROBOTIC AND OPEN APPROACHES (UROCCR STUDY N°60) Gaëlle Margue, Candice Debard, Clément Klein, Nicolas Doumerc, Charles Dariane, Franck Bruyere, Jerome Rizk, Cedric Lebacle, Pierre Bigot, Alexandre De La Taille, Hervé Lang, Karim Bensalah, and Jean-Christophe Bernhard Gaëlle MargueGaëlle Margue , Candice DebardCandice Debard , Clément KleinClément Klein , Nicolas DoumercNicolas Doumerc , Charles DarianeCharles Dariane , Franck BruyereFranck Bruyere , Jerome RizkJerome Rizk , Cedric LebacleCedric Lebacle , Pierre BigotPierre Bigot , Alexandre De La TailleAlexandre De La Taille , Hervé LangHervé Lang , Karim BensalahKarim Bensalah , and Jean-Christophe BernhardJean-Christophe Bernhard View All Author Informationhttps://doi.org/10.1097/01.JU.0001008940.44711.d4.16AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: In patients with multiple renal tumors, the risk of recurrence is high. It is therefore essential to achieve nephron-sparing surgery (NSS) to preserve the renal parenchyma as much as possible. Because of their complexity, these procedures are usually performed using an open approach.Our aim was therefore to compare the robot-assisted approach (RAPN) with the open approach (OPN) for multiple tumorectomies. METHODS: We conducted a multicentric retrospective study including all patients undergoing surgery for multiple renal tumors between june 2007 and march 2023. Clinical data were collected prospectively, after written consent, in the French kidney cancer research network database UroCCR (CNIL DR 2013-206; NCT03293563). A comparison of RAPN and OPN was performed after matching (1:1) for age, sex, and RENAL score. RESULTS: A total of 212 patients had multiple renal tumorectomies (46 NPO and 166 RAPN) and 92 patients were included in the matched analysis. The two cohorts were comparable for all preoperative characteristics except for single kidney and indication for NSS. There was a significant difference in the rate of main renal artery clamping, length of stay and, operating time. There was no significant difference for the other criteria, in particular blood loss and rates of complications, positive margins, and trifecta satisfaction (Table 1). Recurrence-free survival at 1 year was 89.7% for OPN and 81.4% in RAPN and recurrence-free survival at last follow-up was respectively 76.2% and 73.3% with a median follow-up of 29.9 months. CONCLUSIONS: Robotic approach for NSS in patients with multiple ipsilateral renal tumors is feasible and safe. RAPN and OPN allows good functional and oncological outcomes with the advantage of shorter lengths of stay for the minimally invasive approach. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e933 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Gaëlle Margue More articles by this author Candice Debard More articles by this author Clément Klein More articles by this author Nicolas Doumerc More articles by this author Charles Dariane More articles by this author Franck Bruyere More articles by this author Jerome Rizk More articles by this author Cedric Lebacle More articles by this author Pierre Bigot More articles by this author Alexandre De La Taille More articles by this author Hervé Lang More articles by this author Karim Bensalah More articles by this author Jean-Christophe Bernhard More articles by this author Expand All Advertisement PDF downloadLoading ...