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Single Port Robotic Kidney Transplantation: Comparison of Outcomes with Standard Open Kidney Transplantation

M. Eltemamy, A. Kaviani, Y. Lin, M. Abou Zeinab, V. Krishnamurthi, D. Goldfarb, J. Kaouk, A. Wee

Glickman Urological & Kidney Institute, Cleveland Clinic, Cleveland, OH

Meeting: 2022 American Transplant Congress

Abstract number: 288

Keywords: Kidney transplantation, Renal function, Safety, Surgery

Topic: Clinical Science » Kidney » 41 - Kidney Technical

Session Information

Session Name: Kidney Technical

Session Type: Rapid Fire Oral Abstract

Date: Monday, June 6, 2022

Session Time: 5:30pm-7:00pm

 Presentation Time: 5:30pm-5:40pm

Location: Hynes Room 312

*Purpose: To compare outcomes of the initial series of patients who underwent single port (SP) robotic kidney transplantation (KTP) with the standard open KTP.

*Methods: Using our institutional review board (IRB) approved databases, we compared a prospective cohort of 12 consecutive patients who underwent SP robotic KTP from Oct 2019 to Oct 2021 with a retrospective cohort of 12 matched patients who had open KTP. Patients were matched for donor type, the kidney donor profile index (KDPI) in deceased donors, recipient age, and history of diabetes. The comparison of normal data and percentages was performed using the T-test and the “N-1” Chi-squared test respectively.

*Results: Baseline and perioperative data of both groups are presented in the table 1. No patients in SP arm were converted to open surgery. There were no intra- or postoperative complications ≥ Clavien grade 2 in either group. The mean (SD) inpatient morphine milligram equivalents (MME) score was 44.91 (40.15) and 149.16 (119.70) in SP and open groups respectively (P = 0.0091). 6-, and 12-month graft and patient survival were 100% in both arms. There was no significant difference in mean creatinine level at 1, 6, and 12 months between groups.

*Conclusions: Single port robotic kidney transplantation is associated with similar safety and allograft function compared to open kidney transplantation with the added benefit of less postoperative narcotics requirement. Larger series are required in this setting.

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To cite this abstract in AMA style:

Eltemamy M, Kaviani A, Lin Y, Zeinab MAbou, Krishnamurthi V, Goldfarb D, Kaouk J, Wee A. Single Port Robotic Kidney Transplantation: Comparison of Outcomes with Standard Open Kidney Transplantation [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/single-port-robotic-kidney-transplantation-comparison-of-outcomes-with-standard-open-kidney-transplantation/. Accessed May 9, 2025.

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