[Robotic kidney transplantation.]

Mireia Musquera
Mireia Musquera
Mount Sinai Hospital
Laura Izquierdo
Laura Izquierdo
Hospital Clinic
Antonio Alcaraz
Antonio Alcaraz
Hospital Clínic

Arch Esp Urol 2017 May;70(4):462-467

Servicio de Urología. Hospital Clinic de Barcelona. España.

Objective: Renal transplant surgery has not undergone any major changes until a few years ago, probably due to the technical difficulty involved in performing a laparoscopic transplant. With the introduction of robotic technology, the difficulties derived from laparoscopic surgery in certain procedures have been reduced, so we can now offer a minimally invasive approach to kidney recipients.

Methods: Review of published literature on robotic kidney transplantation.

Results: Since the first robot-assisted renal transplantation in 2009, several hundred cases have been performed. The different series of published cases, although with different surgical techniques, show initial functional results comparable to conventional open surgery. Despite this evidence, there are no comparative quality studies that confirm this hypothesis.

Conclusions: Robotic renal transplantation is a feasible surgical technique with interesting functional results. As a minimally invasive route, it is a promising option to reduce the surgical morbidity inherent to the renal transplant.
May 2017
6 Reads

Similar Publications

Minimally Invasive, Laparoscopic, and Robotic-assisted Techniques Versus Open Techniques for Kidney Transplant Recipients: A Systematic Review.

Eur Urol 2017 08 3;72(2):205-217. Epub 2017 Mar 3.

Department of Surgery, VU Medical Center, Amsterdam, The Netherlands; Department of Surgery, Dutch Cancer Institute/Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.

Context: Literature on conventional and minimally invasive operative techniques has not been systematically reviewed for kidney transplant recipients.

Objective: To systematically evaluate, summarize, and review evidence supporting operating technique and postoperative outcome for kidney transplant recipients.

Evidence Acquisition: A systematic review was conducted in PubMed-Medline, Embase, and Cochrane Library between 1966 up to September 1, 2016, according to Preferred Reporting Items for Systematic Review and Meta-analysis guidelines. Read More

View Article
August 2017

Robotic kidney transplantation: current status and future perspectives.

Minerva Urol Nefrol 2017 02 30;69(1):5-13. Epub 2016 Nov 30.

Puigvert Foundation, Autonoma University of Barcelona, Barcelona, Spain -

Introduction: For the treatment of patients with end-stage renal disease, kidney transplantation is preferred to renal replacement modalities such as hemodialysis and peritoneal dialysis. Although open surgery remains the gold standard, minimally invasive approaches have recently been applied in transplant kidney surgery. Despite growing enthusiasm and potential benefits of robotic kidney transplant, many aspects of this novel technique remain controversial. Read More

View Article
February 2017

[Challenges in renal transplantation].

Prog Urol 2016 Nov 6;26(15):1001-1044. Epub 2016 Oct 6.

Service d'urologie, hôpital européen Georges-Pompidou, AP-HP, 75015 Paris, France; Université Paris Descartes, 75006 Paris, France.

Objectives: To describe kidney transplantation surgical techniques and to propose strategies in high-risk recipients.

Material And Methods: Relevant publications were identified through Medline (http://www.ncbi. Read More

View Article
November 2016

Single Center Experience With Robotic Kidney Transplantation for Recipients With BMI of 40 kg/m2 Or Greater: A Comparison With the UNOS Registry.

Transplantation 2017 Jan;101(1):191-196

1 Division of Transplantation, Department of Surgery, University of Illinois College of Medicine, Chicago, IL.

Background: Obesity represents a barrier to kidney transplantation, but the increasing prevalence among renal failure patients has forced some centers to carefully consider such candidates. Morbidly obese patients may be at increased risk of delayed graft function, higher postoperative complications, and inferior graft outcomes. Nevertheless, mortality on the waiting list remains significantly higher than after transplant. Read More

View Article
January 2017