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Robotic kidney transplantation: one year after the beginning.

Abstract：

INTRODUCTION:Kidney transplantation (KT) is the preferred treatment for patients with end-stage renal disease (ESRD). To reduce the morbidity of the open surgery, a robotic-assisted approach has been recently introduced. Our aim is to evaluate surgical and functional results on 17 cases of robotic-assisted kidney transplantation (RAKT) performed at the same institution. MATERIALS AND METHODS:From July 2015 to June 2016, we performed 17 cases of RAKT from living donors in pre-emptive patients, who underwent laparoscopic nephrectomy. A prospective pilot study was made at Fundació Puigvert (Barcelona), evaluating functional and surgical outcomes. In this series, we considered the functional results, surgical outcomes and complications rates. RESULTS:Seventeen patients successfully underwent RAKT, in particular surgical console time was 181 min (150-200) with vascular suture time 42 min (32-48), and estimated blood loss <70 ml. Overall ischemia time was 98.9 min (84-140). No patient was converted to open transplantation. No major surgical intra-operative complications were observed. The mean post-operative serum creatinine level 160 μmol/L (81-479). We reported a case of delayed graft function (DGF), one case of graft arterial thrombosis and one case of intraperitoneal hematoma. No anastomosis revision and wounds infections occurred. CONCLUSION:RAKT with regional hypothermia appears to be a safe surgical procedure in a properly selected group of patients. The potential advantages of RAKT are related to the quality of the vascular anastomosis, the possible lower complication rate and the shorter recovery of the recipients.

journal_name

World J Urol

journal_title

World journal of urology

authors

Breda A,Territo A,Gausa L,Rodríguez-Faba O,Caffaratti J,de León JP,Guirado L,Facundo C,Guazzieri M,Guttilla A,Villavicencio H

doi

10.1007/s00345-017-2006-8

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

1507-1515

issue

10

eissn

0724-4983

issn

1433-8726

pii

10.1007/s00345-017-2006-8

journal_volume

35

pub_type

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