212 Experimental model of laparoscopic kidney transplantation

Peri, Cusi L.; Serapiao, Mendes R.; Musquera, Felip M.; Cubas, Georgina; Navarro, Rubén Algarra; Ciudin, A.; Vilaseca, Cabo A.; Beltrán, Juan; Alcaraz, Antonio

doi:10.1016/s1569-9056(12)60209-7

Cited by 2 publications

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“…We included ten pigs in the study that were submitted to laparoscopic radical nephrectomy and then laparoscopic kidney transplantation. Despite surgeries being performed with 2D vision and the surgeon describing the procedure as extremely difficult, we managed to complete eight cases with good functional results after 24 hours [ 7 ]. Using the experimental model described by us, the first totally intracorporeal laparoscopic living donor kidney transplantation was performed with good functional results, but the conclusion was that the surgery was too demanding and it was not repeated [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Following our previous experimental work, we developed a laparoscopic animal study on kidney transplantation, without its translation to a human setting because of the difficulties and poor feasibility [ 7 ]. Our wide experience in OKT and robotic surgery encouraged us to start our program of robotic assisted kidney transplantation (RAKT) during the summer of 2015, being one of the three European pioneer centers for this technique and currently the European center with the highest number of cases [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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[Retracted] Results and Lessons Learned on Robotic Assisted Kidney Transplantation

Musquera

Peri

Ajami

et al. 2020

BioMed Research International

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Introduction. Nowadays, minimally invasive surgery in kidney transplantation is a reality thanks to robotic assistance. In this paper, we describe our experience, how we developed the robotic assisted Kidney transplantation (RAKT) technique, and analyze our results. Material and Methods. This is a retrospective study of all RAKTs performed at our center between July 2015 and March 2020. We describe the donor selection, surgical technique, and analyze the surgical results and complications. A comparison between the first 20 cases and the following ones is performed. Results. During the aforementioned period, 82 living donor RAKTs were performed. The mean age was 47.4±13.4 and 50 (61%) were male. Mean body mass index was 25±4.7 and preemptive in 63.7% of cases. Right kidneys and multiple arteries were seen in 14.6% and 12.2%, respectively. Mean operative and rewarming time was 197±42 and 47±9.6 minutes, respectively. Five cases required conversion to open surgery because of abnormal kidney vascularization. Two patients required embolization for subcapsular and hypogastric artery bleeding without repercussion. Three kidneys were lost, two of them due to acute rejection and one because venous thrombosis. Late complications requiring surgery included one kidney artery stenosis, one ureteral stenosis, two lymphoceles, and three hernia repairs. We noticed a significant reduction in time between the first 20 cases and the following ones from 248.25±38.1 to 189.75±25.3 (p<0.05). With a mean follow-up time of 1.8 years (SD 1.3), the mean creatinine was 1.52 (SD 0.7) and RAKT graft survival was 98%. Conclusions. The robotic approach is an attractive, minimally invasive method for kidney transplantation, yielding good results. Further studies are needed to consider it a standard approach.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

[Retracted] Results and Lessons Learned on Robotic Assisted Kidney Transplantation

Musquera

Peri

Ajami

et al. 2020

BioMed Research International

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“…Laparoscopic transplantation has been developed by many groups in animal models; our group has been involved in laparoscopic kidney transplant in a pig model, where we confirmed in our hands the difficulty and limitations of the technique. We could finish 8 out of 10 procedures; we observed a technical improvement over time [3]. In another recent article, an orthotopic laparoscopic kidney animal model was developed by Han et al [5], confirming the feasibility of the technique.…”

Section: Discussionmentioning

confidence: 84%

“…Few surgical groups have developed animal models for laparoscopic kidney transplantation to develop a suitable model for humans to minimize the surgical impact on these patients [3-5]. Laparoscopic kidney transplantation in humans has been performed, but it was not generalized because of its high technical difficulty.…”

Section: Introductionmentioning

confidence: 99%

Technique Description and Outcomes of Robotic Transvaginal-Assisted Living Donor Kidney Transplantation

et al. 2020

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Objective: The aim of the study was to describe the surgical technique of totally robotic kidney transplantation with transvaginal insertion and to assess its safety and feasibility. Methods: It is a prospective analysis of the first 5 cases of robotic kidney transplantation with transvaginal insertion. Robotic-assisted kidney transplantation was performed after transvaginal insertion of a living donor kidney graft. Donor’s and recipient’s characteristics, intraoperative variables, postoperative complications, and surgical outcomes were assessed. Results: The median operative time was 220 min. Mean rewarming ischemia time of 53 min, with immediate diuresis. No intraoperative complications were observed. Mean hospitalization period was 9 days, with mean Cr of 1.5 mg/dL at discharge. Conclusions: Robotic kidney transplantation with transvaginal insertion is feasible and safe. A greater number of procedures are required to confirm the results of this new technique.

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212 Experimental model of laparoscopic kidney transplantation

Cited by 2 publications

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[Retracted] Results and Lessons Learned on Robotic Assisted Kidney Transplantation

[Retracted] Results and Lessons Learned on Robotic Assisted Kidney Transplantation

Technique Description and Outcomes of Robotic Transvaginal-Assisted Living Donor Kidney Transplantation

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