Robotic-assisted kidney transplantation: our first case

Abstract

We present the first Spanish transperitoneal pure RAKT from a living-related donor. We believe this is the second pure robotic-assisted kidney transplantation case performed in Europe. We believe that the potential advantages of RAKT are related to the quality of the vascular anastomosis, the possible lower complication rate and the shorter recovery of the recipients.

Robot-assisted Kidney Transplantation: The European Experience

“…Minimally invasive techniques in KT (laparoscopic and robotic approaches) have recently been introduced to increase perioperative and postoperative benefits such as shorter hospital stay, minimal postoperative pain, shorter convalescence period, fewer wound infections, and better cosmetic results, as observed for minimally invasive radical prostatectomy [2]. Following the first European experience in RAKT [7,8], the robotic approach in KT is now performed in a few European centers as an alternative to the open approach in selected patients. To date, 120 RAKTs, mainly from living donors (98%), have been performed in this prospective nonrandomized pilot study.…”

“…In Europe, the first RAKT was performed by Boggi et al [6] in 2011 as a hybrid case with robotic vascular anastomosis and open ureterovesical anastomosis. The first two European pure RAKTs were performed in July 2015 by Doumerc et al [7] and Breda et al [8]. A year later, Breda et al [9] reported surgical and functional outcomes for 17 patients undergoing RAKT.…”

Modified human uterus transplantation using ovarian veins for venous drainage: the first report of surgically successful robotic-assisted uterus procurement and follow-up for 12 months

“…Robotic applications for pancreas and liver transplantation were also reported. The initial results showed the viability of this technique (27)(28)(29). Due to the complex dissection of the ureters with intact uterine arteries, the recovery UTx surgery, including separation of the uterus with bilateral vascular pedicles, has a higher rate of surgical complications.…”

Robot‐assisted kidney transplantation: comparison of the first 40 cases of open vs robot‐assisted transplantations by a single surgeon

“…KT first moved to an endoscopic approach with the application of laparoscopy to donor nephrectomy in the mid-1990s [6]. Now KT may be on the verge of a new endoscopic era, with the advent of robot-assisted kidney transplantation (RAKT), which is a new technique in minimally invasive urology that has been gaining in popularity in recent years [7][8][9][10][11].…”