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Robotic Kidney Transplantation—an Update

Urosurgery (P Sooriakumaran, Section Editor)
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  1. Topical Collection on Urosurgery

Abstract

Purpose of Review

Over the last decade, there have been advances in kidney transplantation with introduction of minimally invasive surgery. Robotic surgery is becoming increasingly common across the specialities. There is now increasing experience in robotic kidney transplantation, though it remains a niche procedure. Initial reports suggest that this is a safe, feasible operation when performed by teams familiar with robotic surgery. There have been a few modifications to the initially described procedure, as a result of increasing experience.

Recent Findings

There is no significant difference in graft and patient survival when compared with open surgery and laparoscopic kidney transplantation. It is a safe procedure and therefore represents a viable alternative to open surgery in selected patients particularly the obese. The advantages include less postoperative pain and fewer wound complications such as surgical site infections and hernia, which could be particularly advantageous in the obese.

Summary

Robotic kidney transplantation is procedure that has been developed over the last decade and could have applicability in kidney transplantation in the obese. Its main benefit is in enabling surgery in less accessible spaces due to body habitus, combined with those of using a smaller incision with less associated morbidity, with no inferiority in the reported primary outcomes of graft and patient survival. There are capital costs associated with this procedure, but further studies on the cost-effectiveness of robotic kidney transplantation are needed before it can be adopted widely.

Keywords

Kidney transplantation Robotic surgery Robotic kidney transplant Obesity surgery 

Abbreviations

BMI

Body mass index

LKT

Laparoscopic kidney transplant

MIS

Minimally invasive surgery

OKT

Open kidney transplant

RKT

Robotic kidney transplant

SSI

Surgical site infection

Notes

Acknowledgements

The authors would like to thank Professor Pranjal Modi of the Institute of Kidney Diseases and Research Centre in Ahmedabad, India, and Mr. P Sooriakumaran, consultant urologist at the Oxford University Hospitals NHS Trust for their insight and advice during the planning and preparation of this review.

Compliance with Ethical Standards

Conflict of Interest

Visesh Sankaran and Sanjay Sinha each declare no potential conflicts of interest.

Human and Animal Rights and Informed Consent

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

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2017

Authors and Affiliations

  1. 1.Oxford Transplant CentreChurchill HospitalOxfordUK

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