Suture versus Sutureless Retroperitoneal Robot-assisted Partial Nephrectomy using Veriset™ Hemostatic Patch: A...

Area of Science:

• Urology
• Surgical Innovation
• Minimally Invasive Surgery

Background:

• Robot-assisted partial nephrectomy (RAPN) is a standard procedure for kidney tumors.
• Conventional renorrhaphy can prolong operative time and contribute to complications.
• Exploring hemostatic agents as alternatives to sutures is crucial for improving surgical outcomes.

Purpose of the Study:

• To evaluate the efficacy of the Veriset™ hemostatic patch as a substitute for traditional renorrhaphy.
• To compare perioperative outcomes between Veriset™ and renorrhaphy in retroperitoneal RAPN.

Main Methods:

• A prospective study included 113 patients undergoing retroperitoneal RAPN.
• Propensity score matching was used to compare 32 patients receiving Veriset™ with 40 patients undergoing renorrhaphy.
• Key outcomes included operative time, ischemia time, blood loss, complications, and renal function.

Main Results:

• The Veriset™ group demonstrated significantly shorter console time and warm ischemia time (WIT).
• Blood loss and immediate postoperative GFR reduction were significantly lower in the Veriset™ group.
• Postoperative pain, transfusion rates, hospital stay, and readmissions were comparable between groups.

Conclusions:

• Veriset™ hemostatic patch is an effective sutureless alternative to renorrhaphy in retroperitoneal RAPN.
• This approach leads to improved perioperative efficiency and reduced immediate impact on renal function.
• Sutureless RAPN using Veriset™ offers favorable outcomes without increased complications.