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Robot-assisted kidney transplantation. First experience

https://doi.org/10.15825/1995-1191-2020-2-125-131

Abstract

Kidney transplantation is the preferred renal replacement therapy for patients with end-stage renal disease. Traditional surgical approaches consisting of vascular and urinary outflow reconstruction during kidney transplant have been sufficiently studied and standardized. However, surgical techniques are still evolving. The objective of this clinical report is to focus the attention of kidney transplant surgeons and specialists on the currently trending robot-assisted kidney transplantation (RAKT) as a minimally invasive procedure for surgical treatment of patients with end-stage renal disease. In our first experience, good primary graft function was achieved. This shows that RAKT is a surgical option. With considerable number of surgeries and experience, RAKT outcomes would be improved significantly.

About the Authors

S. V. Shchekaturov
Petrovsky National Research Centre of Surgery
Russian Federation

Stanislav Shchekaturov

Address: 2, Aprikosovsky Pereulok, Moscow, 119991. Теl. (977) 339-97-01, fax (499) 766-46-85



I. V. Semeniakin
Shumakov National Medical Research Center of Transplantology and Artificial Organs
Russian Federation


A. K. Zokoev
Petrovsky National Research Centre of Surgery
Russian Federation


T. B. Makhmudov
Petrovsky National Research Centre of Surgery
Russian Federation


R. R. Poghosyan
Petrovsky National Research Centre of Surgery
Russian Federation


References

1. Martin GL, Guise AI, Bernie JE, Bargman V, Goggins W, Sundaram CP. Laparoscopic Donor Nephrectomy: Effects of Learning Curve on Surgical Outcomes. Transplant Proc. 2007 Jan-Feb; 39 (1): 27–29. PMID: 17275468. doi: 10.1016/j.transproceed.2006.10.006.

2. Ahmed A Shokeir. Open Versus Laparoscopic Live Donor Nephrectomy: A Focus on the Safety of Donors and the Need for a Donor Registry. J Urol. 2007 Nov; 178 (5): 1860–1866. PMID: 17868736. doi: 10.1016/j. juro.2007.07.008.

3. Horgan S, Galvani C, Gorodner MV, Jacobsen GR, Moser F, Manzelli A et al. Effect of Robotic Assistance on the «Learning Curve» for Laparoscopic Hand-Assisted Donor Nephrectomy. Surg Endosc. 2007 Sep; 21 (9): 1512–1517. PMID: 17287916. doi: 10.1007/s00464- 006-9140-5.

4. Janki S, Klop KWJ, Hagen SM, Terkivatan T, Betjes MGH, Tran TCK et al. Robotic surgery rapidly and successfully implemented in a high volume laparoscopic center on living kidney donation. Int J Med Robot. 2017 Jun; 13 (2). PMID: 26987773. doi: 10.1002/rcs.1743.

5. Hoznek A, Zaki SK, Samadi DB, Salomon L, Lobontiu A, Lang P et al. Robotic assisted kidney transplantation: an initial experience. J Urol. 2002 Apr; 167 (4): 1604–1606. PMID: 11912372.

6. Stiegler P, Schemmera P. Robot-Assisted Transplant Surgery – Vision or Reality? A Comprehensive Review. Visc Med. 2018 Feb; 34 (1): 24–30. PMID: 29594166. doi: 10.1159/000485686.

7. Medvedev VL, Volkov SN, Palaguta GA, Chernov KE. Pervyy opyt allotransplantatsii trupnoy pochki s ispol’zovaniem robotizirovannoy sistemy «Da Vinci». Daydzhest urologii. 2016; 2: 2–6.

8. Medvedev VL, Volkov SN, Palaguta GA, Chernov KE. Allotransplantacija trupnoj pochki s ispol’zovaniem robotizirovannoj sistemy «Da Vinci» s transvaginal’nym zavedeniem transplantata (Pervonachal’nyj otechestvennyj opyt). XVI Kongress Rossijskogo obshhestva urologov. 2016; 296–297.

9. Medvedev VL, Volkov SN, Palaguta GA, Chernov KE. Allotransplantacii trupnoj pochki s ispol’zovaniem robotizirovannoj sistemy «Da Vinci». Vestnik Bashkirskogo gosudarstvennogo universiteta. 2019; 5: 173–176.

10. Tzvetanov I, Bejarano-Pineda L, Giulianotti PC, Jeon H, Garcia-Roca R, Bianco F et al. State of the art of robotic surgery in organ transplantation. World J Surg. 2013; 37: 2791–2799. PMID: 24101021. doi: 10.1007/s00268- 013-2244-x.

11. Giulianotti P, Gorodner V, Sbrana F, Tzvetanov I, Jeon H, Bianco F et al. Robotic transabdominal kidney transplantation in a morbidly obese patient. Am J Transplant. 2010; 10: 1478–1482. PMID: 20486912. doi: 10.1111/j.1600-6143.2010.03116.x.

12. Oberholzer J, Giulianotti P, Danielson KK, Spaggiari M, Bejarano-Pineda L, Bianco F et al. Minimally invasive robotic kidney transplantation for obese patients previously denied access to transplantation. Am J Transplant. 2013; 13: 721–728. PMID: 23437881. doi: 10.1111/ ajt.12078.

13. Territo A, Mottrie A, Abaza R, Rogers C, Menon M, Bhandari M et al. Robotic kidney transplantation: current status and future perspectives. Minerva Urol Nefrol. 2017; 69: 5–13. PMID: 28009142. doi: 10.23736/S0393- 2249.16.02856-3.

14. Weissenbacher A, Oberhuber R, Cardini B, Weiss S, Ulmer H, Bosmuller C et al. The faster the better: anastomosis time influences patient survival after deceased donor kidney transplantation. Transpl Int. 2015; 28: 535–543. PMID: 25557890. doi: 10.1111/tri.12516.

15. Sood A et al. Ontogeny of a surgical technique: Robotic kidney transplantation withregional hypothermia. International Journal of Surgery. 2016; 25: 158–161. doi: 10.1016/j.ijsu.2015.12.061.

16. Boggi U, Vistoli F, Signori S, D’Imporzano S, Amorese G, Consani G et al. Robotic renal transplantation: first European case. Transplant International. 2011; 24: 213–218. PMID: 21091963. doi: 10.1111/j.1432- 2277.2010.01191.x.

17. Siena G, Campi R, Decaestecker K, Tuğcu V, Sahin S, Alcaraz A et al. Robot-assisted Kidney Transplantation with Regional Hypothermia Using Grafts with Multiple Vessels After Extracorporeal Vascular Reconstruction: Results from the European Association of Urology Robotic Urology Section Working Group. Eur Urol Focus. 2018 Mar; 4 (2): 175–184. PMID: 30049659. doi: 10.1016/j.euf.2018.07.022.

18. Sood A, Ghani KR, Ahlawat R, Modi P, Abaza R, Jeong W et al. Application of the statistical process control method for prospective patient safety monitoring during the learning phase: robotic kidney transplantation with regional hypothermia (IDEAL phase 2a-b). Eur Urol. 2014 Aug; 66 (2): 371–378. PMID: 24631408. doi: 10.1016/j.eururo.2014.02.055.

19. Breda A, Territo A, Gausa L, Tuğcu V, Alcaraz A, Musquera M et al. Robot-assisted Kidney Transplantation: The European Experience. Eur Urol. 2018 Feb; 73 (2): 273–281. PMID: 28916408. doi: 10.1016/j.eururo.2017.08.028.


Review

For citations:


Shchekaturov S.V., Semeniakin I.V., Zokoev A.K., Makhmudov T.B., Poghosyan R.R. Robot-assisted kidney transplantation. First experience. Russian Journal of Transplantology and Artificial Organs. 2020;22(2):125-131. https://doi.org/10.15825/1995-1191-2020-2-125-131

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ISSN 1995-1191 (Print)