Robotic-Assisted Live Donor Ileal Segmentectomy for Intestinal Transplantation

Abstract

BackgroundEvery effort should be made to optimize surgical techniques and to minimize potential morbidity rates associated with live donor operations. Advances in a minimally invasive approach by robotic surgery to donor nephrectomy have raised the possibility of applying this technique to live donor bowel resections for intestinal transplantation.MethodsWe report the first 5 consecutive cases of a robotic-assisted live donor ileal segmentectomy. We describe the technical aspects of the procedure, discuss the rationale for considering this option, and evaluate potential advantages of this approach.ResultsWe found that this new approach is associated with less postoperative discomfort, a shorter hospital length of stay, and a faster recovery of bowel function compared to our previous open surgery.ConclusionsOur initial experience suggests that robotic surgery is a safe and feasible procedure for live donor ileal resection for intestinal transplantation and is a useful alternative to conventional open surgery.

Application of robotics in abdominal organ transplantation: A bibliometric analysis

“…7 Furthermore, in a smaller number of cases, living donor hepatectomy, liver, and pancreatic transplantation [8][9][10] in addition to live donor ileal resection in the context of intestinal transplantation have been performed with the assistance of the robot, with successful clinical outcomes. 11 Bibliometric research is an emerging field of information science that provides readers with quantitative information about the research conducted. 12,13 It is widely used to measure the scholarly impact of any scientific publication, and it identifies unexplored areas, it is used to determine the characteristics and impacts of a research field, journal, author, or institution.…”

“…Furthermore, in a smaller number of cases, living donor hepatectomy, liver, and pancreatic transplantation 8–10 in addition to live donor ileal resection in the context of intestinal transplantation have been performed with the assistance of the robot, with successful clinical outcomes 11 …”

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

“…Pancreatic transplantation (PTx) is the only method to restore physiological glycemic control and prevent progression of comAuthor Reference Live liver retrieval Chen [2] 13 (right lobe) Giulianotti [43] 1 (right lobe) Wu [71] 1 (left lobe) plications in diabetic patients [46]. Refinements in surgical technique and immunosuppressive therapy have considerably improved outcome; however, the complication rate remains still at about 25% [47].…”