Skip to main content
SpringerLink
Log in

Robotic assisted kidney transplantation in grafts with multiple vessels: single center experience

  • Urology - Original Paper
  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Introduction

The aim of this study was to assess the feasibility of robotic assisted kidney transplantation in graft with multiple vessels.

Materials and methods

Eighteen patients underwent RAKT with grafts with multiple vessels (GMVs) from living donor performed by a single surgeon in single institution. The retrospective data obtained were compared to patients who underwent robotic assisted kidney transplant (RAKT) with single vessel and also open kidney transplant with GMVs.

Results

There were no significant differences in graft function outcome and perioperative parameters in all three groups. In comparison with OKT in GMVs we found that RAKT with GMVs had less pain score on post op 4th day. There was also a significant difference in mean analgesic requirement and incision length.

Conclusion

With increasing experience, grafts with challenging vascular anatomy can be taken up for RAKT and GMVs should not be considered as a contraindication for RAKT.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Meyer F, Nichele SA, Adamy A et al (2012) Early outcomes of laparoscopic donor nephrectomy with multiple renal arteries. Int Braz J Urol 38:496–503

    Article  Google Scholar 

  2. Sezer TO, Solak I, Toz H et al (2012) Long-term outcomes of kidney transplants with multiple renal arteries: a retrospective study. Transplant Proc 44:1697–1699

    Article  CAS  Google Scholar 

  3. Yildirim M, Kucuk HF (2011) Outcomes of renal transplantations with multiple vessels. Transplant Proc 43:816–818

    Article  CAS  Google Scholar 

  4. Giulianotti P, Gorodner V, Sbrana F et al (2010) Robotic transabdominal kidney transplantation in a morbidly obese patient. Am J Transplant 10:1478–1482

    Article  CAS  Google Scholar 

  5. Siena G, Campi R, Decaestecker K, Tuğcu V et al (2018) Robot-assisted kidney transplantation with regional hypothermia using grafts with multiple vessels after extracorporeal vascular reconstruction: results from the European Association of Urology Robotic Urology Section Working Group. Eur Urol Focus 4:175–184

    Article  Google Scholar 

  6. Adiyat KT, Vinod KK, Vishnu R, Ramaprasad MK, Unni VN, John RP (2018) Robotic-assisted renal transplantation with total extraperitonealization of the graft: experience of 34 cases. J Robot Surg 12:535–540

    Article  Google Scholar 

  7. Karam G, Kälble T, Alcaraz A, et al. (2014) European Association of Urology (EAU) Guidelines on kidney transplantation. Version 2014. Available at http://uroweb.org/guideline/renal-transplantation/. Accessed 4 July 2019

  8. Benedetti E, Troppmann C, Gillingham K, Sutherland DE, Payne WD, Dunn DL et al (1995) Short-and long-term outcomes of kidney transplants with multiple renal arteries Ann Surg. 221:406

    CAS  PubMed  Google Scholar 

  9. Kumar A, Gupta RS, Srivastava A, Bansal P (2001) Sequential anastomosis of accessory renal artery to inferior epigastric artery in the management of multiple arteries in live related renal transplantation: a critical appraisal. Clin Transplant 15:131

    Article  CAS  Google Scholar 

  10. El-Sherbiny M, Abou-Elela A, Morsy A et al (2008) The use of the inferior epigastric artery for accessory lower polar artery revascularization in live donor renal transplantation. Int Urol Nephrol 40:283

    Article  CAS  Google Scholar 

  11. Chin JL, Stiller CR (1986) Microvascular surgery as an ad- junctive tool in renal transplantation. Can J Surg 29:263

    CAS  PubMed  Google Scholar 

  12. Novick AC (1984) Microvascular reconstruction of complex branch renal artery disease. Urol Clin N Am 11:465

    CAS  Google Scholar 

  13. Oberholzer J, Giulianotti P, Danielson KK et al (2013) Minimally invasive robotic kidney transplantation for obese patients previously denied access to transplantation. Am J Transplant 13:721–728

    Article  CAS  Google Scholar 

  14. Spaggiari M, Lendacki FR, Di Bella C, Giulianotti PC, Benedetti E, Oberholzer J, Tzvetanov I (2018) Minimally invasive, robot-assisted procedure for kidney transplantation among morbidly obese: positive outcomes at 5 years post-transplant. Clin Transplant 32:e13404

    Article  Google Scholar 

  15. Wagenaar S, Nederhoed JH, Hoksbergen AWJ et al (2017) Minimally invasive, laparoscopic, and robotic-assisted techniques versus open techniques for kidney transplant recipients: a systematic review. Eur Urol 72:205–217

    Article  Google Scholar 

  16. Menon M, Abaza R, Sood A et al (2014) Robotic kidney transplantation with regional hypothermia: evolution of a novel procedure utilizing the IDEAL guidelines (IDEAL phase 0 and 1). Eur Urol 65:1001–1009

    Article  Google Scholar 

  17. Menon M, Sood A, Bhandari M et al (2014) Robotic kidney transplantation with regional hypothermia: a step-by-step description of the Vtikuti Urology Institute-Medanta technique (IDEAL phase 2a). Eur Urol 65:991–1000

    Article  Google Scholar 

  18. Sood A, Ghosh P, Jeong W et al (2015) Minimally invasive kidney transplantation: perioperative considerations and key 6-month outcomes. Transplantation 99:316–323

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology and Nephrology, Aster Medcity, Ernakulam, Cheranallore, 682027, India

    Thekke Adiyat Kishore, Milka James Kuriakose, Gregory Pathrose, Vishn Raveendran, K. Vinod Kumar & V. Narayanan Unni

Authors
  1. Thekke Adiyat Kishore
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Milka James Kuriakose
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Gregory Pathrose
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Vishn Raveendran
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. K. Vinod Kumar
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. V. Narayanan Unni
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Thekke Adiyat Kishore.

Ethics declarations

Conflict of interest

None of the authors have any conflict of interests.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kishore, T.A., Kuriakose, M.J., Pathrose, G. et al. Robotic assisted kidney transplantation in grafts with multiple vessels: single center experience. Int Urol Nephrol 52, 247–252 (2020). https://doi.org/10.1007/s11255-019-02305-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11255-019-02305-z

Keywords

Search

Navigation