No. 187. Initiating a robotic partial nephrectomy p rogramme following a robotic p rostatectomy fellowship: Are the technical skills transferable?. L Tan 1,2 , BJ Challacomb 3 , G Coughlin 4 , R Weston 5 , D Moon 1,2 , DG Murphy 1,2
Initiating a robotic partial nephrectomy programme following a robotic prostatectomy fellowship:
Are the technical skills transferable?
L Tan1,2, BJ Challacomb3, G Coughlin4, R Weston5, D Moon1,2, DG Murphy1,2
1Royal Melbourne Hospital, Australia ; 2Peter MacCallum Cancer Centre, Australia 3 Guy’s and St Thomas’ Hospitals, UK; 4 Royal Brisbane Hospital, Australia; 5Royal Liverpool Hospital, UK
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Robotic partial nephrectomy (RPN) is a technically demanding advanced minimally invasive procedure.
Longer warm ischaemia times and increased blood loss could be anticipated in the initial learning curves
Fellowship experience in robotic radical prostatectomy (RARP) may enable rapid transfer of skills to RPN.
There are currently limited dedicated RPN fellowships.
To determine if fellowship training in RARP translated to superior early results in RPN
We reviewed a combined prospective consecutive case database from 4 centres initiating RPN with fellowship trained surgeons. From September 2010 to June 2012, 80 patients underwent RPN
Standard metrics were recorded as well as operative time, warm ischaemic time (WIT), margin status, Clavien complications, renal function, hospital stay and Padua score.
Table 1. Patient preoperative characteristics
1. Kaouk, JH et al.Surgery in Motion: Robot-assisted Laparoscopic Partial Nephrectomy : Step-by-step Contemporary Technique and Surgical Outcomes at a Single High-volume Institution. EurUrol 201262, 553–561.
2. Dulabon, LM., et al. Multi-institutional analysis of robotic partial nephrectomy for hilar versus nonhilar lesions in 446 consecutive cases. EurUrol 201159(3), 325–30.