Multicenter Experience With Robot-assisted Radical Prostatectomy in Renal Transplant Recipients

Polcari, Anthony J.; Allen, Joseph C.; Núñez-Nateras, Rafael; Mmeje, Chinedu O.; Andrews, Paul; Milner, John; Castle, Erik P.; Woods, Michael

doi:10.1016/j.urology.2012.08.048

Cited by 32 publications

(34 citation statements)

References 23 publications

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“…There are few series with small number of patients [15,16,18,19,20,21,22,23]. Damien et al [18] presented a retrospective analysis of 228 patients, 3 of them were renal transplant recipients.…”

Section: Discussionmentioning

confidence: 99%

“…Polcari et al [19] presented a series of 1,677 RALP, 7 of them were renal transplant recipients. Six-port technique was performed with assistant ports placed in the contralateral side of the renal graft.…”

Section: Discussionmentioning

confidence: 99%

“…Currently, only limited series have been published about RLRP in renal transplant recipients [16,17,18,19,20,21,22,23]. The advantages of the robotic surgery can provide a useful minimally invasive tool for a more accurate dissection and procedure.…”

Section: Introductionmentioning

confidence: 99%

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Robot Assisted Radical Prostatectomy in Kidney Transplant Recipients. Our Clinical Experience and a Systematic Review

et al. 2016

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Introduction: Radical prostatectomy is a more skillful procedure in kidney graft recipients. Robotic surgery can provide a useful minimally invasive tool. Objectives: The study aims to evaluate the robotic-assisted laparoscopic prostatectomy (RALP) in kidney transplant recipients, describing intra/postoperative complications, renal and oncological outcomes. Methods: This is a retrospective study conducted in a single institution of 84 RALP. Four of them were kidney transplant recipients. Side of the renal graft, clinical stage, intra/postoperative events, operating time, creatinine levels before/after intervention and oncologic follow-up were recorded. A systematic review of the literature was performed. Results: Aged 61.25 ± 7.76 years, interval between renal transplantation and RALP: 10 ± 3.16 years. Mean prostate specific antigen: 7.1 ± 2.8 ng/ml, 2 patients were cT1c and 2 cT2a. Preoperative biopsies: Gleason score 3 + 3 in 3 patients, 3 + 4 in 1 patient. Charlson comorbidity index mean was 4.82 ± 0.82. No intra/postoperative events were reported. Mean operating time: 196 ± 20.8 min. Positive surgical margins: 2/4 patients. Pathological analysis: Gleason 3 + 4 in 2 patients and Gleason 3 + 3 in the others 2. A patient developed a bladder neck sclerosis. No differences between pre/postoperative creatinine. Three patients are free of biochemical recurrence and 1 patient required adjuvant radiotherapy. Conclusion: RALP in renal transplant recipients is a safe and feasible technique for localized prostate cancer. No difference in oncological outcomes and no impairments on renal function were found.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Robot Assisted Radical Prostatectomy in Kidney Transplant Recipients. Our Clinical Experience and a Systematic Review

et al. 2016

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“…Therefore, RAKT at the moment should be limited to obese patients who seem to clearly benefit from this method. Furthermore, besides transplantation, robot-assisted procedures have been described in KTx recipients for the management of surgical complications, such as cases of pyeloureterostomy for ureteral stricture [35], partial nephrectomy for the treatment of a renal mass in a transplanted kidney [36], transabdominal graft nephrectomy [37], and radical prostatectomy for prostate cancer treatment in kidney transplant recipients [38] with good results.…”

Section: Resultsmentioning

confidence: 99%

Robot-Assisted Transplant Surgery - Vision or Reality A Comprehensive Review

Stiegler¹,

Schemmer²

2018

Visc Med

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Minimally invasive surgery is standard procedure for many operations. Further refinements include the introduction of robotic surgery which is still an emerging field especially in laparoscopic surgery. Since the successful introduction of the da Vinci Robotic Surgical System, the robotic approach in organ transplantation has become of great interest in both the live donor organ retrieval and the recipient operation. Robotic surgery for kidney, liver, and pancreas transplantation is feasible. Over 700 donor nephrectomies and 100 kidney transplantations have been performed already, and robotic surgery is standard in a small number of pioneer centers; however, larger series and most importantly randomized controlled trials for the highest evidence are needed. Longer warm ischemia time and higher costs limit these procedures at the moment.

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“…Robot‐assisted procedures have been described in recipients of open surgery kidney transplants for the management of surgical complications, such as cases of pyeloureterostomy for ureteral stricture, partial nephrectomy for the treatment of a renal mass in a transplanted kidney, trans‐abdominal graft nephrectomy, and radical prostatectomy for prostate cancer treatment in renal transplant recipients …”

Section: Methodsmentioning

confidence: 99%

The use of robotic surgery in abdominal organ transplantation: A literature review

Sandri

Werra

Mascianà

et al. 2016

Clinical Transplantation

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Minimally invasive surgical approaches in transplantation are gaining increasing interest, and many centers are reporting their, mainly laparoscopic, experiences. Robotic surgery (RS) has some hypothetical advantages over traditional laparoscopy and has been successfully applied, although infrequently to organ transplantation. Our goal was to review and critique the publications reporting RS use in organ transplantation. Most of the RS experience has been with living renal donor organ procurement and, to a lesser extent, with RS procedures in the transplant recipient. The available literature suggests that RS appears to be a safe surgical alternative to standard open procedures. RS in living liver donor surgery remains limited, and more experience is required before commenting on RS-related outcomes RS in pancreatic transplantation is exceedingly rare. The enhanced precision and ergonomics of RS may expand its applicability to liver living donation and pancreas transplantation at some point in the future.

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Multicenter Experience With Robot-assisted Radical Prostatectomy in Renal Transplant Recipients

Cited by 32 publications

References 23 publications

Robot Assisted Radical Prostatectomy in Kidney Transplant Recipients. Our Clinical Experience and a Systematic Review

Robot Assisted Radical Prostatectomy in Kidney Transplant Recipients. Our Clinical Experience and a Systematic Review

Robot-Assisted Transplant Surgery - Vision or Reality A Comprehensive Review

The use of robotic surgery in abdominal organ transplantation: A literature review

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