Omission of Cortical Renorrhaphy During Robotic Partial Nephrectomy: A Vattikuti Collective Quality Initiative Database Analysis

Published Date : 01st Dec 2020
Authors : Sohrab Arora, Chandler Bronkema, James R.Porter, Alexander Mottrie, Prokar Dasgupta, Benjamin Challacombe, Koon H.Rha, Rajesh K.Ahlawat, Umberto Capitanio, Thyavihally B.Yuvaraja, Sudhir Rawal, Daniel A.Moon, Ananthakrishnan Sivaraman, Kris K.Maes, Fansesco Porpiglia, Gagan Gautam, Levent Turkeri, MahendraBhandari, Firas Abdollah
Procedure Followed : RAPN
Institutions : Vattikuti Urology Institute, Henry Ford Hospital, Detroit, MI; Wayne State University School of Medicine, Detroit, MI; Swedish Medical Center, Seattle, WA; Department of Urology, OLV Hospital, Aalst, Belgium; ORSI Academy, Melle, Belgium; MRC Centre for Transplantation, King's College London, London, UK; Yonsei University Health system, Seoul, South Korea ; Medanta Kidney and Urology Institute, Gurgaon, India; Unit of Urology, Division of Experimental Oncology, Urological Research Institute (URI), IRCCS Ospedale San Raffaele, Milan, Italy; Kokilaben Dhirubhai Ambani Hospital, Mumbai, India; Rajiv Gandhi Cancer Institute and Research Centre, New Delhi, India; Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia; Apollo hospitals, Chennai, India; Department of Uro-Oncology, Hospital Da Luz, Luz Sáude, Portugal; San Luigi Gonzaga University Hospital, Torino, Italy; Max Institute of Cancer Care, New Delhi, India; Acıbadem Hospitals Group, Istanbul, Turkey

Abstract :
Objective : To analyze the outcomes of patients in whom cortical (outer) renorrhaphy (CR) was omitted during robotic partial nephrectomy (RPN). Methods: We analyzed 1453 patients undergoing RPN, from 2006 to 2018, within a large multi-institutional database. Patients having surgery for bilateral tumors (n = 73) were excluded. CR and no-CR groups were compared in terms of operative and ischemia time, estimated blood loss (EBL), complications, surgical margins, hospital stay, change in estimated glomerular filtration rate (eGFR), and need of angioembolization. Inverse probability of treatment weighting with Firth correction for center code was performed to account for selection bias.

This Vattikuti Urology Institute content is published in Urology, Volume 146, December 2020, Pages 125-132.