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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

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Introduction

No. 187

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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  • Results

  • Table 2. Perioperative outcomes

  • Our results were superior to those of early adopters, and on par with those from matured robotic PN series1-2 in terms of mean operative time (168-190min); mean WIT 19-20min; conversions (1.6-6%); positive margins (0-3.8%) major complications (2.2-9.5%).

  • RPN following a dedicated robotic radical prostatectomy fellowship provides good early results with excellent functional and early oncological results.

  • Warm ischaemic times are in line with the current best published series.

  • Advanced intensive robotic skills acquisition during fellowship training is likely to have contributed to this success.

  • .

Introduction

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.

.

Aim

To determine if fellowship training in RARP translated to superior early results in RPN

Methods

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

Conclusions

References

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.


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