Session Time: 3:15pm-4:45pm
Presentation Time: 4:27pm-4:39pm
*Purpose: To review outcomes after laparoscopic, robotic-assisted living donor nephrectomy (RLDN) in the first, and largest series reported to date.
*Methods: Retrospective chart review of 1084 consecutive RLDNs performed between 2000 and 2017. Patient demographics, surgical data, and complications were collected.
*Results: Five patients underwent conversion to open procedures between 2002 and 2005, while the remainder were successfully completed robotically. Median donor age was 35.7 (17.4) years, with a median BMI of 28.6 (7.7) kg/m2. Nephrectomies were preferentially performed on the left side (95.2%). Multiple renal arteries were present in 24.1%.. Median operative time (ORT) was 159 (54) minutes, warm ischemia time (WIT) 180 (90) seconds, estimated blood loss (EBL) 50 (32) mL and length of stay 3 (1) days. Complications were reported in 216 patients (19.9%), of which 176 patients (81.5%) were minor (Clavien-Dindo class I and II). Duration of surgery, warm ischemia time, operative blood loss, conversion and complication rates were not associated with increase in BMI.
*Conclusions: RLDN is a safe technique and offers a reasonable alternative to conventional laparoscopic surgery, in particular in donors with higher BMI and multiple arteries. It offers transplant surgeons a platform to develop skills in robotic-assisted surgery needed in the more advanced setting of minimal invasive recipient operations.
To cite this abstract in AMA style:Spaggiari M, Garcia-Roca R, Oberholzer J, Tulla K, Okoye O, Bella CDi, Jeon H, Tzvetanov IG, Benedetti E. Robotic Assisted Living Donor Nephrectomies: A Safe Alternative to Laparoscopic Technique for Kidney Transplant Donation [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/robotic-assisted-living-donor-nephrectomies-a-safe-alternative-to-laparoscopic-technique-for-kidney-transplant-donation/. Accessed April 15, 2021.
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