Mireia Musquera1, Lluis Peri1, Tarek Ajami1, Riccardo Campi2, Volkan Tugcu3, Karel Decaestecker4, Michael Stockle5, Paolo Fornara6, Nicolas Doumerc7, Frances Vigues8, Ravi Barod9, Liesbeth Desender10, Angelo Territo11, Sergio Serni2, Graziano Vignolini2, Selçuk Sahin3, Philipe Zeuschner5, Neal Banga9, Alberto Breda11, Antonio Alcaraz1. 1. Department of Urology, Hospital Clinic de Barcelona Instituto Clínic de Nefrología y Urología, Barcelona, Spain. 2. Department of Urology, Careggi Hospital, University of Florence, Florence, Italy. 3. Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey. 4. Department of Urology, Ghent University Hospital, Ghent, Belgium. 5. Department of Urology, University Saarland, Homburg/Saar, Germany. 6. Department of Urology, University Hospital Halle (Saale), Halle, Germany. 7. Department of Urology and Renal Transplantation, University Hospital of Rangueil, Toulouse, France. 8. Department of Urology, Hospital Universitari de Bellvitge, Hospitalet del Llobregat, Spain. 9. Department of Urology, Royal Free London NHS Foundation Trust, London, UK. 10. Department of Thoracic and Vascular Surgery, Ghent University Hospital, Ghent, Belgium. 11. Department of Urology, Fundació Puigvert, Autonoma University of Barcelona, Barcelona, Spain.
Abstract
OBJECTIVE: To report the results of the robot-assisted kidney transplantation (RAKT) experience performed in 10 European centres by members of the European Robotic Urology Section (ERUS)-RAKT group. PATIENTS AND METHODS: This is a multicentre prospective observational study of RAKT. Descriptive analysis of recipients and donor characteristics, surgical data, intraoperative outcomes, complications rate and functional results were collected and analysed. RESULTS: Between July 2015 and September 2019, 291 living-donor RAKTs were performed. Recipients were mostly male (189 [65%]), the mean Standard deviation (sd) age was 45.2 (13.35) years, the mean (sd) body mass index was 27.13 (19.28) kg/m2 , and RAKT was pre-emptive in 155 (53.8%) cases. Right and multiple arteries kidneys were used in 15.4%. The mean (sd) total surgical and re-warming time was 244 (70.5) min and 53.16 (15.27) min, respectively. In all, 17 patients presented with postoperative bleeding (5.7%). Five kidneys had delayed graft function; five (2%) were lost due to thrombosis and one due to acute rejection. Two patients had arterial stenosis, three had incisional hernias, six had ureteric stenosis, and nine had lymphoceles. Neither surgical nor re-warming times were correlated with postoperative serum creatinine levels (P > 0.05). Comparison of surgical data between the first 120 cases and the following 171 cases showed a significantly shorter total surgical time in the second group (265 vs 230 min, P = 0.005). CONCLUSIONS: This is the largest European multicentre study of RAKT with good surgical and functional results competitive with open kidney transplant series, with a relatively short learning curve when performed in centres with a wide experience in open kidney transplantation and robotic surgery.
OBJECTIVE: To report the results of the robot-assisted kidney transplantation (RAKT) experience performed in 10 European centres by members of the European Robotic Urology Section (ERUS)-RAKT group. PATIENTS AND METHODS: This is a multicentre prospective observational study of RAKT. Descriptive analysis of recipients and donor characteristics, surgical data, intraoperative outcomes, complications rate and functional results were collected and analysed. RESULTS: Between July 2015 and September 2019, 291 living-donor RAKTs were performed. Recipients were mostly male (189 [65%]), the mean Standard deviation (sd) age was 45.2 (13.35) years, the mean (sd) body mass index was 27.13 (19.28) kg/m2 , and RAKT was pre-emptive in 155 (53.8%) cases. Right and multiple arteries kidneys were used in 15.4%. The mean (sd) total surgical and re-warming time was 244 (70.5) min and 53.16 (15.27) min, respectively. In all, 17 patients presented with postoperative bleeding (5.7%). Five kidneys had delayed graft function; five (2%) were lost due to thrombosis and one due to acute rejection. Two patients had arterial stenosis, three had incisional hernias, six had ureteric stenosis, and nine had lymphoceles. Neither surgical nor re-warming times were correlated with postoperative serum creatinine levels (P > 0.05). Comparison of surgical data between the first 120 cases and the following 171 cases showed a significantly shorter total surgical time in the second group (265 vs 230 min, P = 0.005). CONCLUSIONS: This is the largest European multicentre study of RAKT with good surgical and functional results competitive with open kidney transplant series, with a relatively short learning curve when performed in centres with a wide experience in open kidney transplantation and robotic surgery.
Authors: Julien Grammens; Michal Yaela Schechter; Liesbeth Desender; Tom Claeys; Céline Sinatti; Johan VandeWalle; Frank Vermassen; Ann Raes; Caroline Vanpeteghem; Agnieszka Prytula; Mesrur Selçuk Silay; Alberto Breda; Karel Decaestecker; Anne-Françoise Spinoit Journal: Front Surg Date: 2021-03-25
Authors: Ellen L K Dobrijevic; Eric H K Au; Natasha M Rogers; Philip A Clayton; Germaine Wong; Richard D M Allen Journal: Transpl Int Date: 2022-04-04 Impact factor: 3.842
Authors: Alberto Piana; Iulia Andras; Pietro Diana; Paolo Verri; Andrea Gallioli; Riccardo Campi; Thomas Prudhomme; Vital Hevia; Romain Boissier; Alberto Breda; Angelo Territo Journal: Asian J Urol Date: 2022-06-10