Mahmoud Alameddine1, Zhobin Moghadamyeghaneh2, Ali Yusufali3, Alexa Marie Collazo3, Joshua S Jue3, Ian Zheng3, Mahmoud Morsi3, Nachiketh Soodana Prakash4, Javier Gonzalez5. 1. Miami Transplant Institute, University of Miami Miller School of Medicine, 1801 NW 9th Avenue, Miami, FL, 33136, USA. dralameddine@hotmail.com. 2. Department of Surgery, University of California San Francisco, San Francisco, CA, 94143, USA. 3. Miami Transplant Institute, University of Miami Miller School of Medicine, 1801 NW 9th Avenue, Miami, FL, 33136, USA. 4. Department of Urology, University of Miami Miller School of Medicine, Miami, FL, 33136, USA. 5. Hospital Central de la Cruz Roja, Universidad Alfonso X El Sabio, Madrid, Spain.
Abstract
PURPOSE OF REVIEW: The practice of kidney autotransplantation (KAT) has become an increasingly favorable approach in the treatment of certain renovascular, ureteral, and malignant pathologies. Current KAT literature describes conventional open procedures, which are associated with substantial risks. We sought to compare previously reported outcomes, evaluate common surgical indications, and assess associated risks and benefits of current KAT methods. A thorough evaluation and review of the literature was performed with the keywords "autologous transplantation" and "kidney." RECENT FINDINGS: Early outcomes of robotic KAT are encouraging and have been associated with fewer complications and shorter hospital stay, but require robotic technique proficiency. KAT is an important method to manage selected complex urological pathologies. Robotic KAT is promising. Nevertheless, future studies should utilize larger patient cohorts to better assess the risks and benefits of KAT and to further validate this approach.
PURPOSE OF REVIEW: The practice of kidney autotransplantation (KAT) has become an increasingly favorable approach in the treatment of certain renovascular, ureteral, and malignant pathologies. Current KAT literature describes conventional open procedures, which are associated with substantial risks. We sought to compare previously reported outcomes, evaluate common surgical indications, and assess associated risks and benefits of current KAT methods. A thorough evaluation and review of the literature was performed with the keywords "autologous transplantation" and "kidney." RECENT FINDINGS: Early outcomes of robotic KAT are encouraging and have been associated with fewer complications and shorter hospital stay, but require robotic technique proficiency. KAT is an important method to manage selected complex urological pathologies. Robotic KAT is promising. Nevertheless, future studies should utilize larger patient cohorts to better assess the risks and benefits of KAT and to further validate this approach.
Entities:
Keywords:
Autotransplantation; Ex vivo repair; Kidney; Minimal invasive; Robotic surgery
Authors: Nick G Cowan; John S Banerji; Richard B Johnston; Brian D Duty; Bjørn Bakken; Jason C Hedges; Paul M Kozlowski; Thomas R Hefty; John M Barry Journal: J Urol Date: 2015-06-06 Impact factor: 7.450