Abstract:
PURPOSE:First robotic-assisted kidney transplants (RAKT) were performed in Germany in 2016. To introduce and establish this method as a routine procedure for patients in transplantation medicine, our 2-year experiences are presented. METHODS:Non-randomized open-label cohort study to compare functional and operative results as well as complication rates between RAKT and standard open transplantation. Collected data are part of ERUS RAKT Group Registry. RESULTS:Since initiation of the RAKT program 21/27 transplantations after living kidney donations have been performed as RAKT. This represents the largest series of RAKT in Germany. Patient survival, transplant survival, and primary function rate are 100% (mean follow-up 12.9 ± 8.6 month). Mean incision to closure time was 306.1 ± 45.5, mean handling time 70.8 ± 13.1 min compared to 212.1 ± 40.6 min and 51.7 ± 9.9 min, respectively, in the standard group. Despite extended operating times using the robotic approach, comparable complication rates and graft function with significant reduction in median length of hospital stay (14 vs. 20 days) were observed. CONCLUSIONS:RAKT extends the options for recipients towards minimally invasive techniques. Compared to classic open surgery, RAKT appears to be safe in selected patients without influencing graft outcome or higher complication rates. However, RAKT till today is not suitable for all patients but seems to be one of the upcoming new standard techniques in kidney transplantation.
journal_name
World J Uroljournal_title
World journal of urologyauthors
Pein U,Girndt M,Markau S,Fritz A,Breda A,Stöckle M,Mohammed N,Kawan F,Schumann A,Fornara P,Weigand Kdoi
10.1007/s00345-019-02814-7subject
Has Abstractpub_date
2020-03-01 00:00:00pages
795-802issue
3eissn
0724-4983issn
1433-8726pii
10.1007/s00345-019-02814-7journal_volume
38pub_type
杂志文章abstract::The use of intestinal segments in genitourinary reconstruction could influence vitamin metabolism and affect the skeletal bone and its mineral content in the long term. In 137 patients, serum levels of the vitamins A, B1, B2, B6, B12, D, and E and of folic acid, bile acid, and ammonia as well as levels of intracorpusc...
journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s003450050069
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journal_title:World journal of urology
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journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
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journal_title:World journal of urology
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journal_title:World journal of urology
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journal_title:World journal of urology
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pub_type: 杂志文章,评审
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pub_type: 杂志文章,多中心研究
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章,评审
doi:10.1007/s00345-016-1886-3
更新日期:2017-04-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章,多中心研究
doi:10.1007/s003450050042
更新日期:1998-01-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-014-1274-9
更新日期:2015-01-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章,评审
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journal_title:World journal of urology
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:World journal of urology
pub_type: 杂志文章
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journal_title:World journal of urology
pub_type: 杂志文章,评审
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-003-0395-3
更新日期:2004-04-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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更新日期:2020-10-20 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
doi:10.1007/s00345-011-0791-z
更新日期:2013-04-01 00:00:00
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journal_title:World journal of urology
pub_type: 传,历史文章
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更新日期:2008-02-01 00:00:00
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journal_title:World journal of urology
pub_type: 杂志文章
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更新日期:2018-01-01 00:00:00