Robotic Nephrectomy for Living Donation: Surgical Technique and Literature Systematic Review.

Giacomoni, Alessandro; Sandro, Stefano Di; Lauterio, Andrea; Concone, Giacomo; Mihaylov, Plamen; Mangoni, I.; Dorobanţu, Bogdan; Carlis, Riccardo De; Maritato, Sara; Carlis, Luciano De

doi:10.1097/00007890-201407151-00404

Cited by 3 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Horgan et al [14] reported a mean surgical duration of 166 minutes, Giacomonni et al [5] reported a mean follow-up of 311 minutes and, in the first case of RALS kidney transplantation reported by Hoznek et al [6], the operation time was 178 minutes [8,10,21]. In our study, RALS group's operation time average is 412 minutes.…”

Section: Discussionmentioning

confidence: 45%

“…Renal transplantation with classic open surgery for many years has been successfully accomplished with laparoscopic and robotic assisted laparoscopic surgery (RALS) methods with the help of developing technology and increasing laparoscopy experience [4]. Laparoscopic donor nephrectomy has significant advantages such as less pain, premature mobilization and reduction in hospital stay [4,5].…”

mentioning

confidence: 99%

See 1 more Smart Citation

The experience of anesthesia during kidney transplantation with robot assisted laparoscopic surgery

Şeker

Emir

Hergünsel

et al. 2018

The European Research Journal

View full text Add to dashboard Cite

Objective: Renal transplantation is the most commonly used method to improve the quality of life of patients with end-stage renal failure. Kidney transplantation began in our hospital in 2016 with robot-assisted laparoscopic surgery (RALS). Here, we retrospectively compared the RALS technique and open surgery with respect to anesthesia management during kidney transplant operations done in our clinic. Methods: Anesthesia management, the duration of the operation and of vascular anastomosis, the amount of fluid delivered perioperatively, amount of urine, and diuretic requirements were investigated retrospectively in cases of renal transplantation (Group O, open surgical technique, n = 22; Group R, RALS technique, n = 14). Blood gas values, and lactate, bicarbonate, glucose, and electrolyte levels, were examined preoperatively after extubation. Results: The durations of surgery and vascular anastomosis were significantly longer in Group R than in Group O (p < 0.05). Perioperative liquid volume was not significantly different between Groups R and A. Postoperative systolic arterial pressure was significantly higher in Group R than in Group O. As venous blood samples were obtained in Group O and arterial blood samples were obtained in Group R, blood gas parameters were evaluated within, but not between, groups. The pH and HCO 3 values at the end of the operation were significantly lower, while the lactate level was significantly higher, in Group O compared to Group R (p < 0.001). There was a significant decrease in calcium level at the end of the operation versus pre-anesthesia induction in Group O, but no significant increase in the glucose level was found. There were no significant differences in sodium or potassium levels within or between the groups (p > 0.05). Conclusions: The surgical superiority of RALS technique is known. However, anesthesia management in this patient group is difficult due to the risk of the Trendelenburg position and pneumoperitoneum

show abstract

Section: Discussionmentioning

confidence: 45%

mentioning

confidence: 99%

The experience of anesthesia during kidney transplantation with robot assisted laparoscopic surgery

Şeker

Emir

Hergünsel

et al. 2018

The European Research Journal

View full text Add to dashboard Cite

show abstract

“…34 In addition, robot-assisted approach has already been used in other organ transplant surgeries. 35 It has already contributed to minimising invasive living-donor surgery and is, therefore, considered feasible. In this review, the laparoscopic and robot-assisted living-donor UTx operations also tended reduce blood loss compared to the open approach.…”

Section: Discussionmentioning

confidence: 99%

Operative and clinical outcomes of minimally invasive living-donor surgery on uterus transplantation: a literature review

Matoba

Kisu

Banno

et al. 2020

Preprint

View full text Add to dashboard Cite

The surgical approach and choice of drainage veins for uterus transplantation living-donor surgery have been investigated to reduce invasiveness. Of the 51 operations within 26 articles reviewed, the mean operative time was shortest in the laparoscopic approach, and longest in the robot-assisted approach. The mean blood loss was less in the laparoscopic and robot-assisted approaches than in the open approach. In cases where the uterine veins were not preserved, the mean operative time was shortened by each approach and the mean blood loss decreased with the laparoscopic and robot-assisted approaches. These procedures may contribute to less invasive living-donor surgery. Title : Operative and clinical outcomes of minimally invasive living-donor surgery on uterus transplantation: a literature review Running title: Minimally invasive UTx donor surgery

show abstract

“…Although no additional benefits of robotics over laparoscopy have been reported so far, some centres have been implementing robotic donor nephrectomy in their routine practice. 38 Nevertheless, data on this subject are scarce. In a systematic review, only 292 robotic donor nephrectomy procedures have been evaluated.…”

Section: Discussionmentioning

confidence: 99%

“…In a systematic review, only 292 robotic donor nephrectomy procedures have been evaluated. 38 In Turkey, 119 robotic donor nephrectomies have been performed since 2013. The relatively high number of this procedure could be elucidated by surgeon preference, and a higher rate of living donor nephrectomy, which is generally performed with minimally invasive techniques in Turkey.…”

Section: Discussionmentioning

confidence: 99%

Adoption of robotic technology in Turkey: A nationwide analysis on caseload and platform used

Esen

Aytaç

Ozben

et al. 2018

Robotics Computer Surgery

View full text Add to dashboard Cite

Background Limited data exist regarding adoption of evolving robotic technology in surgery. This study evaluated trends and the current condition of robotic platforms in surgical specialties and general surgical subspecialties. Methods Between January 2013 and December 2017, all robotic operations performed in Turkey were included. Results In the study period, 13 760 robotic operations were performed at 32 hospitals. The median numbers of general surgical procedures were 43and eight cases per hospital and per general surgeon, respectively. The high‐volume general surgeons performed 1734 (81%) of the cases. Forty‐five percent and 55% of the general surgical operations were performed with the Xi and S/Si robots, respectively. Conclusion Use of the Xi platform seems to increase caseload in general surgery operations possibly by facilitating robotic colorectal surgery. Targeting the high‐volume centres and surgeons for further training and implantation of upcoming robotic technology can be more effective in terms of increasing case volume and improving outcomes.

show abstract

Robotic Nephrectomy for Living Donation: Surgical Technique and Literature Systematic Review.

Cited by 3 publications

References 0 publications

The experience of anesthesia during kidney transplantation with robot assisted laparoscopic surgery

The experience of anesthesia during kidney transplantation with robot assisted laparoscopic surgery

Operative and clinical outcomes of minimally invasive living-donor surgery on uterus transplantation: a literature review

Adoption of robotic technology in Turkey: A nationwide analysis on caseload and platform used

Contact Info

Product

Resources

About