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Kidney Transplantation

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Urologic Surgery in the Digital Era

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Abstract

Kidney transplantation (KT) represents the most effective treatment in patients with end-stage renal disease (ESRD). The open approach is still the gold standard treatment but the use of minimally invasive techniques has steadily increased over the years. Robot-assisted kidney transplantation (RAKT) represents a valid alternative to the traditional approach, especially in the presence of a deep and narrow operative field and when fine dissection and micro-suturing are required. In 2016 the EAU Robotic Urology Section (ERUS) was created in order to prospectively evaluate the outcomes of RAKT. However, if the robotic approach has undoubted advantages in terms of precision and invasiveness, it has some limitations, including the lack of haptic feedback for the localization of atherosclerotic plaques, the need to keep the graft at low temperatures during the procedure, the presence of difficulties, especially logistical, in managing the KT from the deceased donor, and higher costs. For these reasons RAKT is still not suitable for all patients and the open approach continues to represent the reference worldwide, with a technique that has remained unchanged during the last few decades.

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Abbreviations

BD:

brain-dead

BMI:

body mass index

CT:

computed tomography

DCD:

donation after cardiac death

ERUS:

EAU Robotic Urology Section

ESRD:

end-stage renal disease

GMV:

grafts with multiple vessels

KT:

kidney transplantation

OKT:

open kidney transplantation

RAKT:

robot-assisted kidney transplantation

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Authors and Affiliations

  1. Department of Urology, Fundació Puigvert, Autonomous University of Barcelona, Barcelona, Spain

    Angelo Territo, Iacopo Meneghetti, Julio Francisco Calderón Cortez & Alberto Breda

  2. Department of Urology, Aix-Marseille University, APHM, La Conception Academic Hospital, Marseille, France

    Romain Boissier

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  1. Angelo Territo
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Editors and Affiliations

  1. Grande Ospedale Metropolitano, Reggio Calabria, Italy

    Domenico Veneziano

  2. Department of Urology, Hacettepe University, Ankara, Turkey

    Emre Huri

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Territo, A., Meneghetti, I., Cortez, J.F.C., Boissier, R., Breda, A. (2021). Kidney Transplantation. In: Veneziano, D., Huri, E. (eds) Urologic Surgery in the Digital Era. Springer, Cham. https://doi.org/10.1007/978-3-030-63948-8_5

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  • DOI: https://doi.org/10.1007/978-3-030-63948-8_5

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