2019
DOI: 10.1111/ctr.13451
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Robot‐assisted laparoscopic vs laparoscopic donor nephrectomy in renal transplantation: A meta‐analysis

Abstract: BackgroundCurrently, the robot‐assisted laparoscopic donor nephrectomy (RDN) technique is used for live donor nephrectomy. Does it provide sufficient safety and benefits for living donors? We conducted a meta‐analysis to assess the safety and efficacy of RDN compared with the laparoscopic donor nephrectomy (LDN).Material and methodsEligible studies were retrieved and screened from electronic databases from 1999 onward: PubMed, Cochrane Library, and Web of Science. Relevant parameters were explored using Review… Show more

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Cited by 37 publications
(38 citation statements)
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“…Concerning the primary outcomes, operating time was no different between RDN and LDN (223.5 vs. 213 min, see Table 1 ). Most studies describe shorter operating times for LDNs, but report highly variable results [ 17 ]. Mean operating times for RDNs range from 144 to 306 min [ 23 , 24 ], and for LDNs between 178 and 270 min [ 25 , 26 ], even when only studies with cohorts larger than 100 patients are included.…”
Section: Discussionmentioning
confidence: 99%
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“…Concerning the primary outcomes, operating time was no different between RDN and LDN (223.5 vs. 213 min, see Table 1 ). Most studies describe shorter operating times for LDNs, but report highly variable results [ 17 ]. Mean operating times for RDNs range from 144 to 306 min [ 23 , 24 ], and for LDNs between 178 and 270 min [ 25 , 26 ], even when only studies with cohorts larger than 100 patients are included.…”
Section: Discussionmentioning
confidence: 99%
“…In the RDNs, most grafts were extracted via a GelPOINT ® trocar (Applied Medical, Los Angeles, CA, USA), which is an easy and fast, yet expensive method. Wang et al illustrated significantly longer WIT for RDNs than LDNs in their meta-analysis, which is an often-stated argument against RDNs [ 17 , 30 ]. However, it is unlikely that differences of 30 or 60 s in WIT will harm the graft function in the long-, mid- or even short-term.…”
Section: Discussionmentioning
confidence: 99%
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“…Una cohorte de 507 nefrectomías por laparoscopia via retroperitoneal reporto menor tiempo en isquemia caliente sin requerimiento de manipulación intraperitoneal 8 . La nefrectomía laparoscópica robot-asistida también ha presentado un auge importante, aunque requiere el debido y correcto entrenamiento 9 . Del mismo modo, se están realizando diferentes protocolos peri, intra y posoperatorios para mejorar los resultados de la nefrectomía por laparoscopia como por ejemplo, el uso de anestesia epidural posoperatoria 10 .…”
Section: Introductionunclassified
“…Beim direkten Vergleich von LDN und RDN ist die Evidenz geringer mit bisher nur zwei prospektiven, randomisiert kontrollierten Studien [3,20]. Es wird häufig angeführt, die RDN habe noch weniger postoperative Schmerzen und weniger Blutverlust, aber längere Operations-und WIZ [28].…”
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