You have accessJournal of UrologyMisc. GU Oncology and Transplant1 Apr 2017V6-10 ROBOTIC KIDNEY TRANSPLANT – OUR INITIAL EXPERIENCE AND TECHNIQUE Anant Kumar, Anil Gulia, Samit Chaturvedi, Manoj Kumar, Ruchir Maheshwari, and Karamveer Singh Sabharwal Anant KumarAnant Kumar More articles by this author , Anil GuliaAnil Gulia More articles by this author , Samit ChaturvediSamit Chaturvedi More articles by this author , Manoj KumarManoj Kumar More articles by this author , Ruchir MaheshwariRuchir Maheshwari More articles by this author , and Karamveer Singh SabharwalKaramveer Singh Sabharwal More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1585AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Kidney transplant is the treatment of choice for CKD stage 5. Though open surgery is the gold standard, it has disadvantages like pain, wound related morbidity and inferior cosmesis. Therefore, minimally invasive surgical techniques are being established. Our objective is to present our initial experience and technique of robotic kidney transplant. METHODS We retrospectively studied twelve procedures conducted from April 2016 to October 2016. The demographic, operative, complication, and outcome data were analysed. Kidney was wrapped in an ice slush jacket and then inserted into the abdomen of the recipient through a midline umbilical (9 patients) or Pfannenstiel incision (three patients). A Gel-point port was used to seal the mid-line incision. The gel point was used to introduce kidney, ice-slush and a vascular punch for arteriotomy. Renal arterial anastomosis was done end to side to external iliac artery and renal venous anastomosis end to side to external iliac vein. RESULTS Age of patients ranged from 9 to 50 years. The combined arterial and venous anastomosis time ranged from 35 to 50 minutes. Mean operative blood loss 120± 20 ml. Mean hospital stay of 8 days. There were no surgical complications and no conversions to open. Mean serum creatinine at discharge, at one & 3 month were 2.6 mg/dl; 1.2 mg/dl & 1.3 mg/dl respectively. CONCLUSIONS Robotic approach confers advantages of decreased wound morbidity, better cosmesis and no lymphocele. However, long term follow up of large number of patients is needed to establish its place. It is more expensive than open procedures. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e682 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Anant Kumar More articles by this author Anil Gulia More articles by this author Samit Chaturvedi More articles by this author Manoj Kumar More articles by this author Ruchir Maheshwari More articles by this author Karamveer Singh Sabharwal More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...