Robot-Assisted Laparoscopic Donor Nephrectomy <i>vs</i> Standard Laparoscopic Donor Nephrectomy: A Prospective Randomized Comparative Study

Bhattu, Amit Satish; Ganpule, Arvind; Sabnis, Ravindra; Murali, Vinodh; Mishra, Shashikant; Desai, Mahesh

doi:10.1089/end.2015.0213

Cited by 66 publications

(41 citation statements)

References 18 publications

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“…In 1995, Ratner reported the first laparoscopic living-donor nephrectomy, which later became the accepted standard surgical technique for renal transplantation [1]. Since its introduction, laparoscopic donor nephrectomy (LDN) has continuously evolved and has become a surgical standard.…”

Section: Introductionmentioning

confidence: 99%

Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases

et al. 2020

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Departmental sources Background: Laparoscopic donor nephrectomy (LDN) has evolved and has been established as a surgical standard of care for kidney transplantation. Material/Methods: This study retrospectively reviews 1132 patients who underwent 4 different laparoscopic living-donor nephrectomies: hand-assisted laparoscopic nephrectomy (HALDN), pure laparoscopic donor nephrectomy (PLDN), laparoendoscopic single-site plus 1-port donor nephrectomy (LESSOP-DN), and mini laparoscopic donor nephrectomy (MLDN). Results: The mean estimated blood loss (EBL) for the HALDN group was meaningfully higher than those of LESSOP-DN and MLDN (57.5±52.2 mL versus 21.0±30.0 mL versus 18.2±28.7 mL) (P<0.001). The EBL for PLDN (53.3±35.3 mL) was also significantly higher than those of LESSOP-DN and MLDN (P<0.001). Length of stay (LOS) for HALDN was longer than that for LESSOP-DN (4.2±1.2 day versus 4.0±1.4 days, P=0.002). There was 1 intraoperative open conversion in the HALDN group and 2 HALDN surgeries that required postoperative exploratory laparotomy. LESSOP-DN had 3 (0.8%) postoperative incisional hernias. For recipients, the results revealed no significant differences between all 4 groups in terms of estimated glomerular filtration rate (eGFR) and the 1-year graft failure rate. Conclusions: The LESSOP-DN group was associated with a shorter incision length than those of HALDN and PLDN and shorter LOS than that of HALDN. Recipient results showed no meaningful difference regarding laparoscopic donor nephrectomy technique.

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Section: Introductionmentioning

confidence: 99%

Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases

et al. 2020

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“…Bhattu et al [22] performed a randomized controlled trial with 54 kidney donors and compared RADN to LDN. They concluded that RADN is safe and associated with a better morbidity profile than LDN.…”

Section: Resultsmentioning

confidence: 99%

Robot-Assisted Transplant Surgery - Vision or Reality A Comprehensive Review

Stiegler¹,

Schemmer²

2018

Visc Med

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Minimally invasive surgery is standard procedure for many operations. Further refinements include the introduction of robotic surgery which is still an emerging field especially in laparoscopic surgery. Since the successful introduction of the da Vinci Robotic Surgical System, the robotic approach in organ transplantation has become of great interest in both the live donor organ retrieval and the recipient operation. Robotic surgery for kidney, liver, and pancreas transplantation is feasible. Over 700 donor nephrectomies and 100 kidney transplantations have been performed already, and robotic surgery is standard in a small number of pioneer centers; however, larger series and most importantly randomized controlled trials for the highest evidence are needed. Longer warm ischemia time and higher costs limit these procedures at the moment.

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“…RLDN ranked last in VAS and morphine intake. One possible reason for the reduced pain in the robotic surgery is the robotic arms, which rotate around the port site and move at a fixed remote center; therefore, there is less leverage and pressure around the port, resulting in less trauma to the abdominal tissue around the port [ 24 ]. Accordingly, relief of pain leads to an earlier recovery.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Surgical Techniques in Living Donor Nephrectomy: A Systematic Review and Bayesian Network Meta-Analysis

Xiao

Song

et al. 2020

Ann Transplant

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Robot-Assisted Laparoscopic Donor Nephrectomy vs Standard Laparoscopic Donor Nephrectomy: A Prospective Randomized Comparative Study

Abstract: RDN is safe and is associated with better morbidity profile than LDN. Robotic approach provides technical ease and facilitates preservation of longer length of renal artery on right side. Left RDN is associated with longer WIT; however, this does not translate into poor graft outcome.

Cited by 66 publications

References 18 publications

Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases

Evolution of Laparoscopic Donor Nephrectomy Techniques and Outcomes: A Single-Center Experience with More than 1000 Cases

Robot-Assisted Transplant Surgery - Vision or Reality A Comprehensive Review

Comparison of Surgical Techniques in Living Donor Nephrectomy: A Systematic Review and Bayesian Network Meta-Analysis

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