Journal article

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

Sohrab Arora, Chandler Bronkema, James R Porter, Alexander Mottrie, Prokar Dasgupta, Benjamin Challacombe, Koon H Rha, Rajesh K Ahlawat, Umberto Capitanio, Sudhir Rawal, Daniel A Moon, Ananthakrishnan Sivaraman, Kris K Maes, Fansesco Porpiglia, Gagan Gautam, Levent Turkeri, Mahendra Bhandari, Wooju Jeong, Mani Menon, Craig G Rogers Show all



OBJECTIVES: 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. RESULTS: ..

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