Néphrectomie chez le donneur vivant par voie laparoscopique robot-assistée : évaluation préopératoire et résultats à partir de 100 cas

Laplace, B.; Ladrière, Marc; Claudon, M.; Eschwège, P.; Kessler, Michèle; Hubert, Jacques

doi:10.1016/j.purol.2013.09.024

Cited by 10 publications

(2 citation statements)

References 14 publications

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“…A significant advantage of utilizing robots for donor nephrectomies is decreasing the length of hospital stay. We observed a shorter mean length of stay, compared to other studies conducted-3 days, vs. (2,12,(14)(15)(16). This shorter length of stay could be attributed to the robotic technique itself which reduces peritoneal disruption, better visualization and dissection of tissue planes, and better control of minor blood vessel injuries if any encountered during the procedure (15,17).…”

Section: Discussioncontrasting

confidence: 55%

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Retroperitoneal robot-assisted live-donor nephrectomy: A single-center study

et al. 2023

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BackgroundAs the demand for kidney transplants continues to increase globally, healthcare institutions face a challenge to bridge the gap between patients waitlisted for kidney transplants and the number of donors. A major factor influencing the donor's decision is the operative risk and potential complications of the surgery. Open surgical approaches have been vastly replaced with laparoscopic donor nephrectomies as the standard of practice. However, there is a growing body of evidence pointing towards its potential superiority over laparoscopic methods. In this study, we aim to present our experience on outcomes of Robotic-Assisted Live Donor Nephrectomies (RALDN), the first series of its kind in the United Arab Emirates (UAE).MethodsWe retrospectively collected data from patients who underwent RALDN at Mediclinc City Hospital. Demographic data, laboratory investigations, and operative details were collected and analyzed.ResultsSeven patients underwent RALDN between 2021 and April 2022 at our facility. Four donors were male while three were female. Median length of hospital stay was 4 days. In our study, one of the patients suffered from a Clavien-Dindo grade IV complication which necessitated prolonged admission.ConclusionWe conclude that RALDN is a safe method for donor kidney procurement, carrying a low risk of morbidity and mortality. This method could potentially evolve the number of kidney donors to address the issue of high kidney transplant demand.

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Section: Discussioncontrasting

confidence: 55%

“…Horgan et al, were the pioneers in RALDN, performing for the first time globally in 2001, on 10 patients ( 1 ). Ever since then, various other centers adopted the method and reported on their experience in the literature ( 2 , 12 – 14 ).…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal robot-assisted live-donor nephrectomy: A single-center study

et al. 2023

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Trends in utilization and perioperative outcomes in live donor nephrectomies: a multi-surgical discipline analysis

et al. 2018

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Laparoscopic procurement of single versus multiple artery kidney allografts: Meta-analysis of comparative studies

Afriansyah

Rasyid

Rodjani

et al. 2019

Asian Journal of Surgery

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Laparoscopic donor nephrectomy has become the standard procedure to procure kidney graft. Transplantation using multiple arteries allograft is technically more challenging and still controversial with respect to renal transplantation outcomes. The objective of this study was to examine the transplantation outcome in both donor and recipient outcome of multiple arteries allograft kidney compared with single renal artery kidney. Eligible studies were identified from electronic databases: PubMed, Cochrane CENTRAL, Science Direct, and CINAHL as of October 2016. Relevant parameters explored using Review Manager V5.2 included donor and recipient outcomes. Twenty-four studies were included in this meta-analysis. Compared with SA, MA kidneys were associated with a longer donor operative time. There was no difference between donor length of stay, intraoperative blood loss, hospital stay, first warm ischemic time (WIT-I), and donor surgical complications in donors with multiple arteries compared with single. There was an increased risk of one-year graft loss (OR 1.57, 95% CI 1.09 to 2.26, p = 0.016), recipient vascular complications and recipient ureteral complications in multiple arteries compared with single artery allografts. Kidney transplantation with multiple arteries is relatively as safe as single artery in terms of donor outcomes. However, transplantation with multiple arteries allograft had several potential negative impacts on the recipient outcomes.

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Néphrectomie chez le donneur vivant par voie laparoscopique robot-assistée : évaluation préopératoire et résultats à partir de 100 cas

Cited by 10 publications

References 14 publications

Retroperitoneal robot-assisted live-donor nephrectomy: A single-center study

Retroperitoneal robot-assisted live-donor nephrectomy: A single-center study

Trends in utilization and perioperative outcomes in live donor nephrectomies: a multi-surgical discipline analysis

Laparoscopic procurement of single versus multiple artery kidney allografts: Meta-analysis of comparative studies

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