Authors: Alberto Breda Angelo Territo Lluis Gausa Oscar RodríguezFaba Jorge Caffaratti Javier Ponce de León Lluis Guirado Carme Facundo Marco Guazzieri Andrea Guttilla Humberto Villavicencio
Publish Date: 2017/02/22
Volume: 35, Issue: 10, Pages: 1507-1515
Abstract
Kidney transplantation KT is the preferred treatment for patients with endstage renal disease ESRD To reduce the morbidity of the open surgery a roboticassisted approach has been recently introduced Our aim is to evaluate surgical and functional results on 17 cases of roboticassisted kidney transplantation RAKT performed at the same institutionFrom July 2015 to June 2016 we performed 17 cases of RAKT from living donors in preemptive patients who underwent laparoscopic nephrectomy A prospective pilot study was made at Fundació Puigvert Barcelona evaluating functional and surgical outcomes In this series we considered the functional results surgical outcomes and complications ratesSeventeen patients successfully underwent RAKT in particular surgical console time was 181 min 150–200 with vascular suture time 42 min 32–48 and estimated blood loss 70 ml Overall ischemia time was 989 min 84–140 No patient was converted to open transplantation No major surgical intraoperative complications were observed The mean postoperative serum creatinine level 160 μmol/L 81–479 We reported a case of delayed graft function DGF one case of graft arterial thrombosis and one case of intraperitoneal hematoma No anastomosis revision and wounds infections occurredRAKT with regional hypothermia appears to be a safe surgical procedure in a properly selected group of patients The potential advantages of RAKT are related to the quality of the vascular anastomosis the possible lower complication rate and the shorter recovery of the recipients
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