Laparoscopic to robotic living donor nephrectomy: Is it time to change surgical technique?

Abstract

We aimed to explore differences in outcomes of robotic and laparoscopic donor nephrectomies (LDN). This study compared robotic and laparoscopic surgical techniques for live donor nephrectomies in 153 patients at a single centre. Left nephrectomies were more common in both groups, but with no significant difference between the groups (76.6% vs. 77.6%, p=0.88). The robotic donor nephrectomies (RDN) group experienced significantly less blood loss (60 vs. 134mL, p<0.01), but warm ischaemia time was similar between groups (3.2 vs. 3.7min, p=0.54).The RDN group had decreased subjective pain scores (3.54 vs. 4.21, p=0.04) and shorter length of hospitalisation (2.22 vs. 3.04days, p<0.01).There were also fewer complications in the RDN than the LDN group (4 vs. 8, p=0.186). This study demonstrated that RDN is a safe and alternative to LDN. Decreased blood loss and hospital stays and fewer complications may reflect decreased tissue manipulation with robotic assistance.