PD22-07 ROBOTIC ASSISTED KIDNEY TRANSPLANTATION: UPDATE FROM THE ERUS SERIES

Abstract

You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation & Vascular Surgery I (PD22)1 Apr 2020PD22-07 ROBOTIC ASSISTED KIDNEY TRANSPLANTATION: UPDATE FROM THE ERUS SERIES Mireia Musquera*, Tarek Ajami, Lluis Peri, Alberto Breda, Angelo Territo, Riccardo Campi, Sergio Serni, Volkan Tugcu, Selcuk Sahin, Karel Decaestecker, Philip Zeuschner, Micheal Stockle, Paolo Fornara, Nicolas Doumerc, Francesc Vigues, Ravi Barod, and Antonio Alcaraz Mireia Musquera*Mireia Musquera* More articles by this author , Tarek AjamiTarek Ajami More articles by this author , Lluis PeriLluis Peri More articles by this author , Alberto BredaAlberto Breda More articles by this author , Angelo TerritoAngelo Territo More articles by this author , Riccardo CampiRiccardo Campi More articles by this author , Sergio SerniSergio Serni More articles by this author , Volkan TugcuVolkan Tugcu More articles by this author , Selcuk SahinSelcuk Sahin More articles by this author , Karel DecaesteckerKarel Decaestecker More articles by this author , Philip ZeuschnerPhilip Zeuschner More articles by this author , Micheal StockleMicheal Stockle More articles by this author , Paolo FornaraPaolo Fornara More articles by this author , Nicolas DoumercNicolas Doumerc More articles by this author , Francesc ViguesFrancesc Vigues More articles by this author , Ravi BarodRavi Barod More articles by this author , and Antonio AlcarazAntonio Alcaraz More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000872.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic assisted kidney transplantation (RAKT) has recently been introduced in many centers in Europe with an important expansion over the last year, because of the good functional results that have been shown and the proved advantages of the minimally invasive surgery. From July 2015 till September 2019, 312 cases of RAKT have been performed in 10 European centers members of the ERUS-RAKT with favorable outcomes. The objective is to update the results of RAKT experience after 4 years since its introduction. METHODS: This is a multicenter prospective observational study of recipients who underwent RAKT. Descriptive analysis on recipients and donor characteristics, surgical data, intraoperative outcomes, complication rate and functional results were collected. RESULTS: A total of 312 RAKT have been performed, 21 (6.7%) of which were from cadaveric donors. Recipient’s characteristics were: male (65%), mean age 45.2 (SD 13.35) years, mean BMI of 27.13 (SD 19.28) kg/m2, and preemptive in 53% of cases. In 5 cases the graft was introduced through the vagina. Graft characteristics were: right kidneys (15.4%), multiple arteries (15.4%), double vein in 4 cases. In living donors mean warm ischemia time was 2.9 minutes (SD 2.2). Mean total surgical time was 244 min (SD 70.5), rewarming time 53.16 min (SD 15.27). Early complications were noticed: 5.7% have postoperative bleeding which was managed either conservatively (3 cases), transfusion (6), surgically (6) or by embolization (2) . Seven (2.4%) kidneys were lost and eventually explanted due to thrombosis (6 cases) and one acute rejection. 5 patients had delayed graft function. As for late complications, two patients had arterial stenosis, three incisional hernia and 6 ureteral stenosis treated either conservatively, endoscopically or repair. Nine lymphoceles were detected: 2 were managed conservatively, 2 by percutaneous drainage and 5 surgically. Neither surgical time nor rewarming time showed any correlation with post-operative creatining at 7th, 30th days and 1 year follow up (p>0,05). We compared the surgical data between the first 120 cases published in prior papers and the new ones; almost all surgical times were lower in the new cases group but only the total surgical time was significantly shorter. CONCLUSIONS: This is the largest European multicentric study on RAKT with good surgical and functional results competitive to the open technique, with a relatively short learning curve when it is done in centers with high experience in open kidney transplantation and robotic surgery. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e461-e461 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Mireia Musquera* More articles by this author Tarek Ajami More articles by this author Lluis Peri More articles by this author Alberto Breda More articles by this author Angelo Territo More articles by this author Riccardo Campi More articles by this author Sergio Serni More articles by this author Volkan Tugcu More articles by this author Selcuk Sahin More articles by this author Karel Decaestecker More articles by this author Philip Zeuschner More articles by this author Micheal Stockle More articles by this author Paolo Fornara More articles by this author Nicolas Doumerc More articles by this author Francesc Vigues More articles by this author Ravi Barod More articles by this author Antonio Alcaraz More articles by this author Expand All Advertisement PDF downloadLoading ...