Overcoming High Nephrometry Score Cases in True Single Port Robotic Partial Nephrectomy

Document Type

Conference Proceeding

Publication Date

9-1-2022

Publication Title

J Endourol

Abstract

Introduction &Objective: Currently, some urologists carefully select cases for single-port partial nephrectomies or opt to use an assistant port in addition to the single operative port. We aim to describe urologic techniques for overcoming high nephrometry score cases in true single port robotic-assisted partial nephrectomies. Methods: We compiled pictures and video footage of true single port partial nephrectomy on a renal mass with a Nephrometry score of 10p after consent was obtained. The pictures and video footage were edited and spliced together using Adobe Premiere Pro. Narration and background music were overlaid as well. Results: We performed a true single port partial nephrectomy on an 80-year-old patient with a right mid-lateral 3.0 cm renal mass with a Nephrometry score 10p. This patient had an insignificant past medical history and a past surgical history of a right inguinal hernia repair over four decades ago. She underwent her partial nephrectomy using the Single Port robot without complication. Conclusions: This video highlights the feasibility of performing minimally invasive single-port surgery even with a complex renal tumor. The use of our described techniques can facilitate the completion of more difficult cases utilizing the single port without the need for an assistant port. We now perform all of our cases with a McBurney's point incision to facilitate better exposure of the target anatomy. Furthermore, we recommend the use of adjunct technologies such as ROSI and AirSeal as these may facilitate an easier transition to the single-port partial nephrectomy.

Volume

36

Issue

Supplement 1

First Page

A281

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