+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Robotic-assisted laparoscopic donor nephrectomies: early experience and review of the literature



Robotic-assisted laparoscopic donor nephrectomies: early experience and review of the literature



Journal of Robotic Surgery 5(2): 115-120



With over 80,000 patients in the United States awaiting kidney transplantation, renal transplant surgery continues to evolve with attractive surgical options for living donation, which include laparoscopic donor nephrectomy (LDN) and robotic-assisted laparoscopic donor nephrectomy (RALDN). LDN is currently accepted as the gold standard procedure for living donor nephrectomy; RALDN is an evolving technique and may emerge as a preferred procedure over time. We present our initial experience with RALDN from December 2007 to August 2008. Thirty-five patients who underwent RALND were retrospectively analyzed and compared with 35 age- and time (year)-matched patients who underwent LDN. The parameters analyzed were length of hospital stay (3.2 ± 0.9 days, P < 0.59), estimated blood loss (146 ± 363 ml, P < 0.36), operating time (149 ± 44 min, P < 0.23), cold ischemic time (135 ± 202 min, P < 0.19), preoperative creatinine (0.82 ± 0.26 mg/dl, P < 0.46) and postoperative creatinine (1.44 ± 1.03 mg/dl, P < 0.20). There was no statistical difference between RALDN patients with single renal artery (n = 27) and those with more than one renal artery (n = 8) kidneys. There was one serious complication requiring conversion to open laparotomy to control a bleeding renal artery stump following extraction of the kidney. One-year graft survival for the 35 recipients of RALDN was 97.1%. RALDN is feasible and compares favorably to the standard LDN procedure with good graft survival. Robotic-assisted transplant surgery is an emerging technique with potential benefits to both surgeon and patient.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 058783624

Download citation: RISBibTeXText

PMID: 27637537

DOI: 10.1007/s11701-011-0245-z


Related references

Nine-yr experience of 700 hand-assisted laparoscopic donor nephrectomies in Japan. Clinical Transplantation 26(5): 797-807, 2013

Nine-yr experience of 7 hand-assisted laparoscopic donor nephrectomies in Japan. 2012

Morbidity of 200 consecutive cases of hand-assisted laparoscopic living donor nephrectomies: a single-center experience. Journal of Transplantation 2012: 121523-121523, 2012

Robotic-assisted laparoscopic partial nephrectomy: initial experience in Brazil and a review of the literature. International Braz J Urol 38(1): 69-76, 2012

Robotic-assisted laparoscopic surgery for recurrent diverticulitis: experience in consecutive cases and a review of the literature. Surgical Endoscopy 25(1): 199-206, 2011

Comparison of 100 consecutive hand-assisted laparoscopic donor nephrectomies to open live donor nephrectomy. Journal of Urology 167(4 Suppl.): 370, 2002

How safe is hand-assisted laparoscopic donor nephrectomy?--results of 200 live donor nephrectomies by two different techniques. Nephrology Dialysis Transplantation 24(1): 293-297, 2009

Experience with robotic-assisted laparoscopic living donor nephrectomy. 2007

Current controversies and challenges in robotic-assisted, laparoscopic, and open partial nephrectomies. World Journal of Urology 32(3): 591-596, 2014

Complete robotic-assistance during laparoscopic living donor nephrectomies: an evaluation of 38 procedures at a single site. International Journal of Urology 14(11): 986-989, 2007

Imaging and treatment of delayed hemorrhagic complications of robotic assisted laparoscopic partial nephrectomies. Journal of Vascular and Interventional Radiology 25(3): S198-S199, 2014

Initial experience with laparoscopic donor nephrectomies. Transplantation Proceedings 36(7): 1901-1902, 2004

The first 100 hand-assisted laparoscopic donor nephrectomies at the Academic Medical Center in Amsterdam. Nederlands Tijdschrift Voor Geneeskunde 150(15): 851-857, 2006

Influence Of Delayed Graft Function After Hand Assisted Laparoscopic Donor Nephrectomies. Transplantation 86(Suppl.): 379-380, 2008

Consecutive Hand Assisted Laparoscopic Donor Nephrectomies: Evolution of Operative Technique and Outcomes. Yearbook of Urology 2007: 49-50, 2007