Robotic-assisted versus laparoscopic living donor nephrectomy for renal transplantation: a systematic review and meta-analysis

Hinojosa-González, D.E.; Roblesgil‐Medrano, Andres; Tellez-Giron, Valeria Cecilia; Torres‐Martinez, Mauricio; Galindo-Garza, CA; Estrada-Mendizabal, RJ; Alanis‐Garza, Cordelia; Gonzalez-Bonilla, EA; Flores‐Villalba, Eduardo

doi:10.1308/rcsann.2021.0357

Cited by 4 publications

(3 citation statements)

References 26 publications

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“…12 As an achievable, safe, and reproducible surgery with apparent advantages, robotic assisted live donor nephrectomies (robotic donor nephrectomies (RDN)) have continued to gain popularity. 13 This technique closely replicates the technique of the open surgical approach, with the added benefits associated with a minimally invasive surgery. As a promising alternative, this warrants further investigation into its efficacy.…”

Section: Introductionmentioning

confidence: 85%

“…While open methods are still commonplace among recipients, minimally invasive LD nephrectomies have become the norm, primarily laparoscopic donor nephrectomies (LDN) 12 . As an achievable, safe, and reproducible surgery with apparent advantages, robotic assisted live donor nephrectomies (robotic donor nephrectomies (RDN)) have continued to gain popularity 13 . This technique closely replicates the technique of the open surgical approach, with the added benefits associated with a minimally invasive surgery.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic to robotic living donor nephrectomy: Is it time to change surgical technique?

Papa

Popović

Loerzel

et al. 2023

Robotics Computer Surgery

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BackgroundWe aimed to explore differences in outcomes of robotic and laparoscopic donor nephrectomies (LDN).MethodsThis study compared robotic and laparoscopic surgical techniques for live donor nephrectomies in 153 patients at a single centre.ResultsLeft nephrectomies were more common in both groups, but with no significant difference between the groups (76.6% vs. 77.6%, p = 0.88). The robotic donor nephrectomies (RDN) group experienced significantly less blood loss (60 vs. 134 mL, p < 0.01), but warm ischaemia time was similar between groups (3.2 vs. 3.7 min, p = 0.54).The RDN group had decreased subjective pain scores (3.54 vs. 4.21, p = 0.04) and shorter length of hospitalisation (2.22 vs. 3.04 days, p < 0.01).There were also fewer complications in the RDN than the LDN group (4 vs. 8, p = 0.186).ConclusionThis study demonstrated that RDN is a safe and alternative to LDN. Decreased blood loss and hospital stays and fewer complications may reflect decreased tissue manipulation with robotic assistance.

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Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Laparoscopic to robotic living donor nephrectomy: Is it time to change surgical technique?

Papa

Popović

Loerzel

et al. 2023

Robotics Computer Surgery

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“…In their thorough examination of the robotic technique compared to the laparoscopic approach, Hinojosa-Gonzalez et al [21] conducted an extensive Systematic Review and Meta-analysis (SRMA) to systematically scrutinize the perioperative outcomes associated with these two surgical methods. The authors noted a non-significant difference in EBL between the two approaches.…”

Section: Robotic-assisted Kidney Transplant (Rakt)mentioning

confidence: 99%

Robotic Surgical Techniques in Transplantation: A Comprehensive Review

Di Pangrazio,

Pinto,

Martinino

et al. 2024

Transplantology

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In the field of surgery, the idea of performing organ transplants in a minimally invasive fashion has always been a significant technical challenge. The advent of the robotic approach facilitated the overcoming of difficulties in highly complex surgical procedures that demand high technical skill. Furthermore, robotic transplants are showing significant benefits in patient outcomes, particularly in the obese population. The purpose of this review is to provide an overview of the current state of robotics applications for transplant surgery. Kidney transplants were the first to be performed using a fully robotic approach. Since then, robotic surgery has gradually been applied to other organ transplants, with very recent reports of fully robotic lung and liver transplants. Further experiences and studies will be needed to verify their effectiveness and to satisfy some concerns regarding the longer warm ischemia time related to the robotic approach in comparison with open surgery.

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Robotic-Assisted Nephrectomy for Living Kidney Donation—Single Center Initial Experience (Case Series) and Review of the Literature

Kędzierska-Kapuza,

Łopuszyńska,

Mizerska

et al. 2024

JCM

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Background: Robotic-assisted nephrectomy for living kidney-donation (RANLD) has the potential of becoming the leading technique of harvesting kidney, if expertise is available. The aim of this work is to present our initial experience with robotic technique with additional hand-assistance. Materials and Methods: We initiated RANLD at our clinic using the DaVinci System in September 2022, since then harvesting six kidneys, four left and two right; in two cases, multiple arteries existed. The renal vessels were ligated using vascular staplers. All the operations included a hand-assist with the use of Gelport. The mean operation time was 119.2 min (SD 12 min). Results: There were no conversions or donors’ post-operative complications. Time of discharge from the hospital was 4.5 days post-operatively. Total hospital length of stay was 7.8 days. All the harvested kidneys were transplanted, five of them with adequate function, three with initially delayed function, and one needed to be removed due to thrombotic complications. Post-operative was pain assessed on the VAS scale and overall pain was assessed according to the NRS scale. At the discharge day, donors’ performance status was about 87.5% according to the Karnofsky scale. The donors resumed their normal life activity within 15.7 days and returned to work within 45.2 days. The serum mean creatinine level before the donation was 0.85 mg/dL (SD 0.1 mg/dL), and mean eGFR (MDRD) = 91.8 mL/min/1.73 m2 (SD 16.1 mL/min/1.73 m2). Conclusions: Further development of RANLD could lead to an increase in the number of living kidney donors, particularly in Poland where the number is currently lower than that of deceased donors. Prolonged operation time, longer warm ischemic time, and high equipment costs are significant drawbacks of RANLD.

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Robotic-assisted versus laparoscopic living donor nephrectomy for renal transplantation: a systematic review and meta-analysis

Cited by 4 publications

References 26 publications

Laparoscopic to robotic living donor nephrectomy: Is it time to change surgical technique?

Laparoscopic to robotic living donor nephrectomy: Is it time to change surgical technique?

Robotic Surgical Techniques in Transplantation: A Comprehensive Review

Robotic-Assisted Nephrectomy for Living Kidney Donation—Single Center Initial Experience (Case Series) and Review of the Literature

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