Titre
Robotic versus hand-assisted laparoscopic living donor nephrectomy: comparison of two minimally invasive techniques in kidney transplantation.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Windisch, O.L.
Auteure/Auteur
Matter, M.
Auteure/Auteur
Pascual, M.
Auteure/Auteur
Sun, P.
Auteure/Auteur
Benamran, D.
Auteure/Auteur
Bühler, L.
Auteure/Auteur
Iselin, C.E.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1863-2491
Statut éditorial
Publié
Date de publication
2022-12
Volume
16
Numéro
6
Première page
1471
Dernière page/numéro d’article
1481
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Robot-assisted donor nephrectomy (RDN) is increasingly used due to its advantages such as its precision and reduced learning curve when compared to laparoscopic techniques. Concerns remain among surgeons regarding possible longer warm ischemia time. This study aimed to compare patients undergoing robotic living donor nephrectomy to the more frequently used hand-assisted laparoscopic nephrectomy (HLDN) technique, focusing on warm ischemia time, total operative time, learning curve, hospital length of stay, donor renal function and post-operative complications. Retrospective study comparing RDN to HLDN in a collaborative transplant network. 176 patients were included, 72 in RDN and 104 in HLDN. Left-sided nephrectomy was favored in RDN (82% vs 52%, p < 0.01). Operative time was longer in RDN (287 vs 160 min; p < 0.01), while warm ischemia time was similar (221 vs 213 secs, p = 0.446). The hospital stay was shorter in RDN (3.9 vs 5.7 days, p < 0.01).Concerning renal function, a slightpersistent increase of 7% of the creatinine ratio was observed in the RDN compared to the HLDN group (1.56 vs 1.44 at 1-month checkup, p < 0.01). The results show that RDN appears safe and efficient in comparison to the gold-standard HLDN technique. Warm ischemia time was similar for both techniques, whereas RDN operative time was longer. Patients undergoing RDN had a shorter hospital stay, this being possibly mitigated by differences in center release criteria. Donor renal function needs to be assessed on a longer-term basis for both techniques.
Sujets
PID Serval
serval:BIB_F673B943242C
PMID
Open Access
Oui
Date de création
2022-03-14T07:43:42.162Z
Date de création dans IRIS
2025-05-21T07:23:52Z
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Nom
2022.Windish.Comparaison néphrectomie DV scopie-robot.pdf
Version du manuscrit
published
Licence
https://creativecommons.org/licenses/by/4.0
Taille
734.91 KB
Format
Adobe PDF
PID Serval
serval:BIB_F673B943242C.P001
URN
urn:nbn:ch:serval-BIB_F673B943242C5
Somme de contrôle
(MD5):c81003cac620feb482c76e91713f7c6b