Results of the 50 first cases of robotic assisted kidney transplantation compared to matched-pair open cases

Felip, M. Musquera; Fardoun, T.; Cusi, L. Peri; D’Anna, M.; Reyes, L. Izquierdo; Diekmann, F.; Asensio, A. Alcaraz

doi:10.1016/s1569-9056(19)30738-9

Cited by 2 publications

(1 citation statement)

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“…Oberholzer et al [22] estimated an increment difference of USD 15,000 for performing RAKT, taking into account an equal length of stay (LOS) and number of readmissions. In our center, we performed a matched paired analysis of robotic versus open kidney transplant; the cost difference was approximately 3,000 EUR, taking into account similar LOS between both groups [25]. Long-term analysis should be performed to assess whether the elevated cost of robotic surgery could be mitigated by other clinical variables such as LOS and postoperative complications.…”

Section: Discussionmentioning

confidence: 99%

Technique Description and Outcomes of Robotic Transvaginal-Assisted Living Donor Kidney Transplantation

et al. 2020

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Objective: The aim of the study was to describe the surgical technique of totally robotic kidney transplantation with transvaginal insertion and to assess its safety and feasibility. Methods: It is a prospective analysis of the first 5 cases of robotic kidney transplantation with transvaginal insertion. Robotic-assisted kidney transplantation was performed after transvaginal insertion of a living donor kidney graft. Donor’s and recipient’s characteristics, intraoperative variables, postoperative complications, and surgical outcomes were assessed. Results: The median operative time was 220 min. Mean rewarming ischemia time of 53 min, with immediate diuresis. No intraoperative complications were observed. Mean hospitalization period was 9 days, with mean Cr of 1.5 mg/dL at discharge. Conclusions: Robotic kidney transplantation with transvaginal insertion is feasible and safe. A greater number of procedures are required to confirm the results of this new technique.

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Section: Discussionmentioning

confidence: 99%