A laboratory training and evaluation technique for robot assisted ex vivo kidney transplantation

Abstract

The technique of kidney transplantation has been well established. The operation is typically performed through a lower quadrant muscle cutting incision. With advances in robotic technology, many procedures are now being performed using the robot. This article describes a simple model of ex-vivo kidney transplantation using the robotic technique. This is a good training model and could be applied in select group of patients in the clinical setting.

Current Perspectives on Laparoscopic Robot-Assisted Pancreas and Pancreas-Kidney Transplantation

“…Our subsequent experience on two additional renal allotransplants, including the kidney transplanted simultaneously with the pancreas, showed that anastomotic time quickly improves, achieving the same 30 min time, as required in PT. The ex-vivo model of training confirmed that anastomotic time was quickly reduced [18]. The two transplants reported in the literature functioned immediately and promptly [11,17].…”

“…ncbi.nlm.nih.gov/pubmed/) disclosed three case report publications describing human robotic renal allotransplantation [11,16,17], and one on an experimental model for ex-vivo training [18].…”

Laparoscopic Robot-Assisted Pancreas Transplantation

“…We suggest that preparatory surgeries include as much intracorporeal fine sutures as possible. Training in a dry laboratory or in animal models (22) could also be indicated.…”

Robotic assisted kidney transplantation

“…In an ex vivo model, 10 euthanized pig kidneys were used for learning vascular anastomosis. [23] The authors noted that with each kidney transplanted, there was an improvement in the time taken to satisfactory completion of anastomosis, reduction in number of anastomotic leaks, reduction in the number of “wasted” moves and improvement in surgical finesse.…”