Background Robot-assisted surgery provide endowrist instruments and 3-dimensional visualization of the operative field that are improvements over traditional laparoscopy. The few research studies published so far have demonstrated that living-donor nephrectomy using the robot-assisted technique is safe and feasible, providing advantages for patients. Methods Since November 2009, we performed 20 robot-assisted living-donor nephrectomies. Eight patients underwent hand-assisted robotic nephrectomy, whereas 20, totally robotic nephrectomy. Results Median intraoperative bleeding was 174 mL (range, 10-750) but no patient needed intraoperative transfusion with blood cells. The median warm ischemia time was 3.16 minutes (range, 0.30-6.5). There was no case of conversion to an open procedure. The median operative time was 311 minutes (range, 85-530); the median console time was 160 minutes (range, 135-220). Conclusion Robot-assisted living-donor kidney recovery was a safe and effective procedure. The totally robotic recovery is an evolving technique. The prospect of robotic staplers, endowrist ligature, and robotic single port may further increase these advantages. © 2013 by Elsevier Inc. All rights reserved

Giacomoni, A., Di Sandro, S., Lauterio, A., Mangoni, I., Mihaylov, P., Concone, G., et al. (2013). Initial experience with robot-assisted nephrectomy for living-donor kidney transplantation: Feasibility and technical notes. TRANSPLANTATION PROCEEDINGS, 45(7), 2627-2631 [10.1016/j.transproceed.2013.07.038].

Initial experience with robot-assisted nephrectomy for living-donor kidney transplantation: Feasibility and technical notes

Lauterio, A;DE CARLIS, LUCIANO GREGORIO
Ultimo
2013

Abstract

Background Robot-assisted surgery provide endowrist instruments and 3-dimensional visualization of the operative field that are improvements over traditional laparoscopy. The few research studies published so far have demonstrated that living-donor nephrectomy using the robot-assisted technique is safe and feasible, providing advantages for patients. Methods Since November 2009, we performed 20 robot-assisted living-donor nephrectomies. Eight patients underwent hand-assisted robotic nephrectomy, whereas 20, totally robotic nephrectomy. Results Median intraoperative bleeding was 174 mL (range, 10-750) but no patient needed intraoperative transfusion with blood cells. The median warm ischemia time was 3.16 minutes (range, 0.30-6.5). There was no case of conversion to an open procedure. The median operative time was 311 minutes (range, 85-530); the median console time was 160 minutes (range, 135-220). Conclusion Robot-assisted living-donor kidney recovery was a safe and effective procedure. The totally robotic recovery is an evolving technique. The prospect of robotic staplers, endowrist ligature, and robotic single port may further increase these advantages. © 2013 by Elsevier Inc. All rights reserved
Articolo in rivista - Articolo scientifico
Adult; Aged; Feasibility Studies; Female; Humans; Male; Middle Aged; Nephrectomy; Kidney Transplantation; Living Donors; Robotics; Surgery; Transplantation
English
2627
2631
5
Giacomoni, A., Di Sandro, S., Lauterio, A., Mangoni, I., Mihaylov, P., Concone, G., et al. (2013). Initial experience with robot-assisted nephrectomy for living-donor kidney transplantation: Feasibility and technical notes. TRANSPLANTATION PROCEEDINGS, 45(7), 2627-2631 [10.1016/j.transproceed.2013.07.038].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/101049
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