Objective
To evaluate the outcomes and perioperative complication rates following robot- assisted
transplant nephrectomy ((RATN).
Methods
All patients who underwent RATN at our institution were included. No exclusion criteria
were applied. Clinical records were retrospectively reviewed and reported. This included
preoperative, intraoperative, and postoperative outcomes. Complications were reported
utilizing the Clavien-Dindo classification system. Descriptive statistics were reported
using frequencies and percentages for categorical variables, means and standard deviation
for continuous variables.
Results
Between July 2014 and April 2018, 15 patients underwent RATN. Most patients had the
transplant in the right iliac fossa (13/15). Ten patients underwent a concomitant
procedure. The total operative time for the entire cohort was 336 (±102) minutes (including
cases who had concomitant procedures) and 259 (±46 minutes) when cases with concomitant
procedures were excluded. Mean estimated blood loss was 383 (±444) mL. Postoperatively,
3 patients required blood transfusion. Average hospital stay was 4 (±2.7) days. Most
patients had finding consistent with graft rejection on final pathology. There were
5 complications; 3 of which were minor (grade 2 = 2 and grade 3 = 1); one patient
had a wound infection requiring dressing (3A) and one patient died due to pulmonary
embolism following discharge. Limitations include small series and retrospective nature
of the study.
Conclusion
This case series demonstrate that RATN is technically feasible. With continued experience
and larger case series, the robotic approach may provide a minimally invasive alternative
to open allograft nephrectomy.
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Article info
Publication history
Published online: October 19, 2020
Accepted:
October 6,
2020
Received:
May 27,
2020
Footnotes
Funding: None.
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
