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Kidney Autotransplantation: Between the Past and the Future

  • Kidney Diseases (G Ciancio, Section Editor)
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Abstract

Purpose of Review

The practice of kidney autotransplantation (KAT) has become an increasingly favorable approach in the treatment of certain renovascular, ureteral, and malignant pathologies. Current KAT literature describes conventional open procedures, which are associated with substantial risks. We sought to compare previously reported outcomes, evaluate common surgical indications, and assess associated risks and benefits of current KAT methods. A thorough evaluation and review of the literature was performed with the keywords “autologous transplantation” and “kidney.”

Recent Findings

Early outcomes of robotic KAT are encouraging and have been associated with fewer complications and shorter hospital stay, but require robotic technique proficiency.

Summary

KAT is an important method to manage selected complex urological pathologies. Robotic KAT is promising. Nevertheless, future studies should utilize larger patient cohorts to better assess the risks and benefits of KAT and to further validate this approach.

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Correspondence to Mahmoud Alameddine.

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Mahmoud Alameddine, Zhobin Moghadamyeghaneh, Ali Yusufali, Alexa Marie Collazo, Joshua S Jue, Ian Zheng, Mahmoud Morsi, Nachiketh Soodana Prakash, and Javier Gonzalez each declare no potential conflicts of interest.

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Alameddine, M., Moghadamyeghaneh, Z., Yusufali, A. et al. Kidney Autotransplantation: Between the Past and the Future. Curr Urol Rep 19, 7 (2018). https://doi.org/10.1007/s11934-018-0749-4

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