Right versus left fully robotic live donor nephrectomy and open kidney transplantation:Does the laterality of the donor kidney really matter?  

作　　者：Brianna Ruch Deki Tsering Chandra Bhati Dhiren Kumar Muhammad Saeed Seung Duk Lee Aamir Khan Daisuke Imai David Bruno Marlon Levy Adrian Cotterell Amit Sharma 

机构地区：[1]Hume-Lee Transplant Center,Virginia Commonwealth University,Richmond,VA,USA [2]Division of Transplant Surgery,University of Maryland,Baltimore,MD,USA

出　　处：《Asian Journal of Urology》2023年第4期453-460,共8页亚洲泌尿外科杂志（英文）

摘　　要：Objective Robotic-assisted live donor nephrectomy(LDN)is being gradually adopted across transplant centers.The left donor kidney is preferred over right due to anatomical factors and ease of procurement.We aimed to study donor and recipient outcomes after robotic procurement and subsequent open implantation of right and left kidneys.Methods All fully robotic LDNs and their corresponding open kidney transplants performed at our center between February 2016 and December 2021 were retrospectively analyzed.Results Out of 196 robotic LDN(49[right]vs.147[left]),10(5.1%)donors had intra-operative events(6.1%[right]vs.4.8%[left],p=0.71).None of the LDN required conversion to open surgery.The operative times were comparable for the two groups.Nausea(13.3%)was the most common post-operative complication.There was no mortality in either LDN group.Herein,we report our outcomes on 156 recipients(39 right and 117 left allografts)excluding robotic implants,exports,and pediatric recipients.There were no significant differences between right and left kidney recipients with respect to 1-year post-transplant patient survival(100.0%vs.98.1%,p=0.45)or graft survival(93.9%vs.97.1%,p=0.11),or delayed graft function(7.7%vs.5.1%,p=0.55).Conclusion Non-hand-assisted robotic live donor nephrectomies can be safely performed with excellent outcomes.Right LDN was not associated with higher incidence of complications compared to left LDN.Open implantation of robotically procured right renal allografts was not associated with higher risk of recipient complications.

关 键 词：Robotics LAPAROSCOPY Donor nephrectomy COMPLICATION Renal transplant Outcome 

分 类 号：R699.2[医药卫生—泌尿科学]