Volkan Tuğcu1, Nevzat Can Şener2, Selçuk Şahin1, Abdullah Hızır Yavuzsan1, Fatih Gökhan Akbay3, Süheyla Apaydın3. 1. Clinic of Urology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey. 2. Clinic of Urology, Numune Teaching and Research Hospital, Adana, Turkey. 3. Clinic of Nephrology, Bakırköy Dr. Sadi Konuk Training and Research Hospital, İstanbul, Turkey.
Abstract
OBJECTIVE: Robotic kidney transplantation, first described by Hoznek and colleagues, and has been improved by investigators like Oberholzer and Menon. We realized the first robotic kidney transplant (RKT) in our clinic in December 2015. In this study, we aimed to present the first 15 cases we performed within 3 months. MATERİAL AND METHODS: Starting from January 2016, we performed 15 RKTs in our hospital. Before surgery, the whole robotic procedure was thoroughly explained to the patients and their informed consents were taken. RESULTS: We performed RKT in 7 male and 8 female patients. Mean patient age was 37.4±10.8 years. Mean body mass index of the patients was 22.6±3.35 kg/m2. Mean preoperative creatinine and hemoglobin levels were 6.14±2.12 mg/dL and 10.04±1.64 g/dL, respectively. Mean operative time was 300.3±104.2 minutes. Mean warm ischemia and re-warming times were 1.9±0.54 minutes and 73.3±30.7 minutes, respectively. We did not need any necessity to switch to open surgery, and any intraoperative complication did not develop in any patient. Lymphocele which is one of the most frequently encountered complications was not observed in our series. CONCLUSION: We think that using a minimally invasive approach greater number of patients will be able to benefit from this treatment modality, and this important health issue may decrease significantly.
OBJECTIVE: Robotic kidney transplantation, first described by Hoznek and colleagues, and has been improved by investigators like Oberholzer and Menon. We realized the first robotic kidney transplant (RKT) in our clinic in December 2015. In this study, we aimed to present the first 15 cases we performed within 3 months. MATERİAL AND METHODS: Starting from January 2016, we performed 15 RKTs in our hospital. Before surgery, the whole robotic procedure was thoroughly explained to the patients and their informed consents were taken. RESULTS: We performed RKT in 7 male and 8 female patients. Mean patient age was 37.4±10.8 years. Mean body mass index of the patients was 22.6±3.35 kg/m2. Mean preoperative creatinine and hemoglobin levels were 6.14±2.12 mg/dL and 10.04±1.64 g/dL, respectively. Mean operative time was 300.3±104.2 minutes. Mean warm ischemia and re-warming times were 1.9±0.54 minutes and 73.3±30.7 minutes, respectively. We did not need any necessity to switch to open surgery, and any intraoperative complication did not develop in any patient. Lymphocele which is one of the most frequently encountered complications was not observed in our series. CONCLUSION: We think that using a minimally invasive approach greater number of patients will be able to benefit from this treatment modality, and this important health issue may decrease significantly.
Authors: P Giulianotti; V Gorodner; F Sbrana; I Tzvetanov; H Jeon; F Bianco; K Kinzer; J Oberholzer; E Benedetti Journal: Am J Transplant Date: 2010-05-10 Impact factor: 8.086
Authors: Andrá Hoznek; Safwit K Zaki; David B Samadi; Laurent Salomon; Adrian Lobontiu; Philippe Lang; Clément-Claude Abbou Journal: J Urol Date: 2002-04 Impact factor: 7.450
Authors: Kishore Thekke Adiyat; Kumar K Vinod; Raveendran Vishnu; M K Ramaprasad; Vavullipathy N Unni; Roy P John Journal: J Robot Surg Date: 2018-02-01