Abstract
Purpose
Minimally invasive kidney autotransplantation (KAT) have demonstrated reduced morbidity,
however multiport robotic approach required patient repositioning and multiple sets
of incisions. We present our initial series of single-port (SP) robotic KAT, ideal
for multi-quadrant surgeries, and aim to evaluate feasibility and safety of the novel
approach.
Methods
Between 2018- 2022, eight consecutive patients underwent SP KAT using the DaVinci
SP platform. Patient clinicopathologic variables and perioperative outcomes were recorded.
Indications for KAT include complex or recurrent ureteral stricture, ureteral avulsion,
and chronic visceral pain due to multiple etiologies.
Results
All SP KATs were successfully performed without repositioning or conversion to open.
Operative times ranged from 366 to 701 mins, warm and cold ischemia times between
4 to 10 mins and 86 to 209 mins, respectively. Median hospital length of stay was
3 days. At a median of 13 months follow-up, latest postoperative GFRs were stable,
ranging from +23% to -10%. There were no complications.
Conclusions
We demonstrate our single-port, multiquadrant robotic kidney autotransplantation technique
performed though a single incision further reducing surgical morbidity. All cases
were completed successfully without conversion or loss of graft function. All patients
reported resolution of flank pain and no radiological evidence of urinary obstruction
on follow up.
Keywords
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Article info
Publication history
Accepted:
February 19,
2023
Received:
December 2,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
