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You have accessJournal of UrologyReconstruction: Ureteral Reconstruction (Including Pyeloplasty) and Bladder Reconstruction (Including Trauma-Related Fistula) I (MP48)1 May 2024MP48-18 CLINICAL OUTCOMES AFTER IMPLEMENTATION OF THE NOVEL SUPINE ANTERIOR RETROPERITONEAL ACCESS (SARA) TECHNIQUE IN SINGLE-PORT ROBOTIC RECONSTRUCTIVE UROLOGIC SURGERY: ONE-YEAR EXPERIENCE Juan Ramon Torres Anguiano, Grace Luoyia Chen, Luca Alfredo Morgantini, Graham Hale, Rabun Jones, Ndubisi Onah, Antony Pellegrino, Andrew Lai, Halsie Donaldson, Ruben Sauer, and Simone Crivellaro Juan Ramon Torres AnguianoJuan Ramon Torres Anguiano , Grace Luoyia ChenGrace Luoyia Chen , Luca Alfredo MorgantiniLuca Alfredo Morgantini , Graham HaleGraham Hale , Rabun JonesRabun Jones , Ndubisi OnahNdubisi Onah , Antony PellegrinoAntony Pellegrino , Andrew LaiAndrew Lai , Halsie DonaldsonHalsie Donaldson , Ruben SauerRuben Sauer , and Simone CrivellaroSimone Crivellaro View All Author Informationhttps://doi.org/10.1097/01.JU.0001009512.15743.d7.18AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The adoption of robotic retroperitoneal access is hindered by its demanding learning curve, despite its promising potential. The Single Port Robotic SARA method facilitates access through the integration of a supine patient positioning and a simplified anatomical approach. In this study, we offer a one-year analysis of perioperative results associated with the innovative SARA approach in the context of urologic reconstructive surgery. METHODS: We conducted a retrospective examination of patients who underwent SARA ureteral reimplantation, pyeloplasty, and ureteroplasty procedures, which were exclusively performed by a single urological surgeon at our institution between October 2022 and October 2023. Our investigation involved a thorough assessment of preoperative clinical and demographic information, operative specifics, and postoperative outcomes for comprehensive analysis. RESULTS: Ten patients were enrolled. The surgeries were associated with minimal blood loss (23.5 ml) and no need for blood transfusions. Eight patients were discharged on the same day, and only 1 required postoperative opioid analgesics. The patient cohort exhibited an average BMI of 30.687, with 50% falling into the obese category. Five of the patients had an ASA score of 3 or higher. Our success rate, defined as the successful removal of stents without requiring additional interventions, stood at 90%, with only one patient requiring additional intervention. CONCLUSIONS: Despite the limited sample size, our study highlights the potential of our approach in advancing urologic reconstruction. It associates with minimal blood loss and same-day discharge, even in high-obesity cases. SARA also reduces post-operative opioids and transfusions, promising better recovery and success. Our one-year analysis affirms the feasibility and benefits of the SARA approach in urologic reconstruction. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e780 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Juan Ramon Torres Anguiano More articles by this author Grace Luoyia Chen More articles by this author Luca Alfredo Morgantini More articles by this author Graham Hale More articles by this author Rabun Jones More articles by this author Ndubisi Onah More articles by this author Antony Pellegrino More articles by this author Andrew Lai More articles by this author Halsie Donaldson More articles by this author Ruben Sauer More articles by this author Simone Crivellaro More articles by this author Expand All Advertisement PDF downloadLoading ...
Anguiano et al. (Mon,) studied this question.