How to do it: a robotic kidney autotransplant

Yao, Jinna; Laurence, Jerome M.; Hameed, Ahmer; Lee, Taina; Allen, Richard D.; Pleass, Henry; Yuen, Lawrence; Lam, Vincent; Leslie, Scott; Kim, Lawrence; Lau, Howard

doi:10.1111/ans.15936

Cited by 5 publications

(32 citation statements)

References 2 publications

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“…A literature review on seven studies reports the robotic treatment of 20 RAAs with favorable outcomes [27] . In this context, nephrectomies can be avoided in most cases by performing robotic repair of the vessels or, for more challenging cases, a robotic-assisted kidney extraction could be performed, followed by open or robotic-assisted AT of the kidney [28] , [29] .…”

Section: Discussionmentioning

confidence: 99%

Autotransplantation or In Situ Surgical Treatment of Complex Renal Artery Aneurysm: Surgical Technique and Outcomes

Wattier,

Séguier,

Marcq

et al. 2024

European Urology Open Science

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Section: Discussionmentioning

confidence: 99%

Autotransplantation or In Situ Surgical Treatment of Complex Renal Artery Aneurysm: Surgical Technique and Outcomes

Wattier,

Séguier,

Marcq

et al. 2024

European Urology Open Science

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“…11,20 Table 2 shows a summary of the literature on the indications for RAKAT. [8][9][10][11][12][13][14][15][16][17][18][19] To the best of our knowledge, a total of 86 cases were previously reported of heterotopic RAKAT, and no cases undergoing orthotopic RAKAT were reported. Current indications for RAKAT seem to be comparable to those of conventional laparoscopic approaches.…”

Section: Indicationsmentioning

confidence: 99%

“…A total of 11 patients underwent RAKAT for LPHS. 8,16,17 A few reports on RAKAT were available for renal artery diseases 13,16 and stone-related causes. 18 Oncological settings for KAT have been previously described in detail 7,21,22 ; however, to the best of our knowledge, there seem to be very few reports on RAKAT for oncological conditions to date.…”

Section: Indicationsmentioning

confidence: 99%

“…Yao et al reported a patient who underwent contralateral and ipsilateral extracorporeal RAKAT of the left kidney in 2020. 13 Another case report in 2020 by Van Praet et al at Ghent University Hospital described the operative techniques for a total ipsilateral intracorporeal RAKAT procedure of the right kidney. 14 In 2021, a study by Harkrader et al performed contralateral, extracorporeal RAKAT of the left kidney to treat nutcracker syndrome (NCS).…”

Section: Introductionmentioning

confidence: 99%

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Current status and future perspectives on robot‐assisted kidney autotransplantation: A literature review

Sekito,

Yamanoi,

Sadahira

et al. 2024

Int J of Urology

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This review presents the latest insights on robot‐assisted kidney autotransplantation (RAKAT). RAKAT is a minimally invasive surgical procedure and represents a promising alternative to conventional laparoscopic nephrectomy followed by open kidney transplantation for the treatment of various complex urological and vascular conditions. RAKAT can be performed either extracorporeally or intracorporeally. Additionally, a single‐port approach can be performed through one small incision without the need to reposition the patient. Of 86 patients undergoing RAKAT, 8 (9.3%) developed postoperative > Grade 2 Clavien‐Dindo (CD) complications. Although the feasibility of RAKAT was established in 2014, the long‐term efficacy and safety along with outcomes of this surgical approach are still being evaluated, and additional studies are needed. With improvements in the technology of RAKAT and as surgeons gain more experience, RAKAT should become increasingly used and further refined, thereby leading to improved surgical outcomes and improved patients' quality of life.

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“…In 2014, Gordon et al [20] reported the first completely intracorporeal robotic RA in a patient with necrotic ureter loss from failed ureteroscopy. Robotic RA – including single-port approaches – have subsequently been performed in the United States, Canada, Japan, France, Australia, and Belgium [3,21,22 ▪ ,23–27]. Breda et al [28 ▪▪ ] published the largest multiinstitutional prospective series comparing extracorporeal vs. intracorporeal robot-assisted laparoscopic RA and found both approaches conferred acceptable operative outcomes.…”

Section: Operative Approachmentioning

confidence: 99%

Indications for and results of renal autotransplantation

Han

Johnson

Schulster

et al. 2022

Current Opinion in Nephrology &Amp; Hypertension

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Purpose of reviewTo understand the indications and outcomes of renal autotransplantation, and when to consider this unique procedure for patients. Recent findingsRenal autotransplantation confers acceptably low rates of graft failure and prevents need for long-term dialysis. Renal autotransplantation remains an important management strategy in very select patients for complex renovascular disease, ureteral stricture disease, ureteral trauma, upper urinary tract urothelial carcinoma, renal cell carcinoma, and Loin-Pain Hematuria Syndrome. With advancements in minimally invasive procedures, the application of renal autotransplantation for refractory stone disease is rare but exists. Robot-assisted laparoscopic renal autotransplantation demonstrates reproducible graft success and complication rates with improved perioperative outcomes (ex. hospital length of stay) --though comparative studies are lacking. Patients would benefit from a multidisciplinary approach from renal transplant surgeons, vascular surgeons, urologists, nephrologists, dieticians, pain management providers, social workers, and psychiatrists.

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How to do it: a robotic kidney autotransplant

Cited by 5 publications

References 2 publications

Autotransplantation or In Situ Surgical Treatment of Complex Renal Artery Aneurysm: Surgical Technique and Outcomes

Autotransplantation or In Situ Surgical Treatment of Complex Renal Artery Aneurysm: Surgical Technique and Outcomes

Current status and future perspectives on robot‐assisted kidney autotransplantation: A literature review

Indications for and results of renal autotransplantation

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