AB149. SOH24AB_214. Drain free robotic partial nephrectomy: our experience

Background: Surgical drain placement after robotic partial nephrectomy (RPN) is considered standard practice. With experience lately we performed RPN robotic and routinely omitted a drain even with significant collecting system defect. We report our experience with drain free RPN.

Methods: We reviewed a single surgeon experience of all patients who underwent RPN without placement of surgical drain. Patient details, presentation, clinical, radiological information, operative and post-operative information were obtained retrospectively from chart review. Detains of operative steps during meticulous closure of collecting system and haemostasis are displayed a recorded video which will be shown during presentation.

Results: So far, 15 patients who underwent RPN had no surgical drain placed. Median age was 60 years. Collecting system was opened in 10 patients. Closure of collecting system was performed using 4-0 polyglactin suture. Vascular closure was performed using 3-0 V-LocTM suture. Sliding clip renorrhaphy completed effective closure of the renal defect following RPN. There were no high grade post-operative morbidity and no mortality.

Conclusions: Drain free RPN can be safely performed without increasing the risk of post-operative morbidity.

Keywords: Robotic partial nephrectomy (RPN); drain-free technique; collecting system closure; post-operative morbidity; surgical innovation