Feasibility and Functional Outcome of Robotic Assisted Kidney Transplantation Using Grafts With Multiple Vessels: Comparison to Propensity Matched Contemporary Open Kidney Transplants Cohort

Frontiers in Surgery
Sachin Arakere NatarajRajesh Ahlawat

Abstract

Introduction: The aim of the study was to report the perioperative and functional results of Robotic assisted kidney transplantation (RAKT) in Grafts with multiple vessels (GMVs) and compare it to the results of Open kidney transplantation (OKT) with GMVs. Materials and Methods: Patients undergoing RAKT from living donors using GMVs were reviewed from prospectively collected RAKT database at our institution between March 2013 and March 2018. Patient undergoing Open kidney transplantation (OKT) using GMVs served as controls. Ex-vivo bench surgical reconstruction of GMVs was done according to specific anatomy. Propensity score matching was used to balance the sample size in the two groups. Results: Of 153 RAKT and OKT procedures, 86 cases were eligible for propensity score matching for the statistically significant variables (standardized difference >0.10) and 43 procedures were assigned to each group. Median anastomoses, total and cold ischemia and rewarming times did not differ significantly between the RAKT and OKT groups. In comparison with OKT in GMVs we found that RAKT with GMVs had less pain score on post op 2nd day (p = 0.03). There was also a significant difference in mean analgesic requirement (p = 0.02), hospital stay ...Continue Reading

References

Apr 1, 1995·Annals of Surgery·E BenedettiR W Grussner
May 17, 2000·Transplantation Proceedings·R EmiroğluM Haberal
May 13, 2005·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Jonathan T CarterAndrew M Posselt
May 22, 2010·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·P GiulianottiE Benedetti
Nov 12, 2013·The Surgical Clinics of North America·Ivo TzvetanovEnrico Benedetti
May 23, 2015·Current Transplantation Reports·Ivo TzvetanovEnrico Benedetti
Sep 17, 2017·European Urology·Alberto BredaNicolas Doumerc
Jul 26, 2018·Asian Journal of Surgery·Andika AfriansyahAgus Rizal Ardy Hariandy Hamid
Oct 6, 2019·International Urology and Nephrology·Thekke Adiyat KishoreV Narayanan Unni

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