Abstract
Results of the 50 First Cases of Robotic assisted Kidney Transplantation compared with Matched-pair Open Cases- A Retrospective Cohort Study
Highlights
Nowadays minimally invasive surgical techniques are the standard of care for many procedures due to experience in laparoscopy and robotics
The ability to perform intracorporeal vascular anastomosis assisted by DaVinci® robotic surgical system (Intuitive Surgical, Inc) has paved the way to start and propagate the robotic assisted kidney transplant (RAKT) program in many centers
Doubts regarding RAKT emerged mainly focusing on costs, effect of the pneumoperitoneum on the graft and hypothermia control
Summary
Nowadays minimally invasive surgical techniques are the standard of care for many procedures due to experience in laparoscopy and robotics. Kidney transplantation surgical technique has not changed significantly over the last decades. Despite the increase knowledge in laparoscopic techniques this has not been spread in kidney transplantation due to the difficulty and low reproducibility rate. RAKT offers a minimally invasive technique in a special population with elevated risks of surgical complications due to uremia condition and immunosuppressive treatments. Doubts regarding RAKT emerged mainly focusing on costs, effect of the pneumoperitoneum on the graft and hypothermia control. Progressive and subtle changes in the robotic approach technique have resulted in the minimization of the detrimental effect of pneumoperitoneum and improvement of thermal control [4]
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