Robotic surgery rapidly and successfully implemented in a high volume laparoscopic center on living kidney donation
Robotic surgery rapidly and successfully implemented in a high volume laparoscopic center on living kidney donation
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DOI：
10.1002/rcs.1743
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发表时间：
2017-06-01
影响因子：
2.5
通讯作者：
Ijzermans, J. N. M.
中科院分区：
文献类型：
--
作者：
Janki, S.;Klop, K. W. J.;Ijzermans, J. N. M.
背景将活体供肾切除的风险降至最低是很重要的。在这项研究中，我们评估了左侧机器人辅助的供体肾切除术的结果，并与标准技术进行了比较。方法收集围术期结果、肾功能、受体和移植物存活率的数据。结果59例机器人辅助手术由2名外科医生完成。与两个对照组相比，机器人辅助组的手术时间明显延长。中位数172.5(114.0~242.0)m in，40~59 m in较20~39 m in显著降低(P=0.014)。机器人组中有一例因肾动脉残端出血而转为开放入路。结论左侧机器人辅助供体肾切除术是可行的，随着时间的推移，手术时间明显缩短，供体和受者均获得良好的效果。版权所有(C)2016 John Wiley&Sons，Ltd.
BackgroundIt is important to minimize risks associated with live donor nephrectomy. In this study we evaluated the results of left-sided robot-assisted donor nephrectomies in comparison with standard techniques.MethodsData on perioperative results, kidney function, and recipient and graft survival were collected. All left-sided laparoscopic and hand-assisted procedures were selected as control groups.ResultsFifty-nine robot-assisted procedures were performed by two surgeons. Operative time was significantly longer in the robot-assisted group compared with both control groups. However, it decreased significantly during procedures 40-59 compared with procedures 20-39 (P=0.014) to median 172.5 (114.0-242.0) min. One conversion to the open approach occurred in the robot group due to a bleeding of the renal artery stump. No difference was found between all techniques at 3months post-donation.ConclusionLeft-sided robot-assisted donor nephrectomy is feasible with over time a significant decrease in operative time with good outcomes for donor and recipient. Copyright (c) 2016 John Wiley & Sons, Ltd.