Robotic-Assistance Does Not Enhance Standard Laparoscopic Technique for Right-Sided Donor Nephrectomy
| Autor: | Adam M. Frank, Hadley Narins, Xiaolong S. Liu, Costas D. Lallas, Warren R. Maley |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Laparoscopic donor nephrectomy medicine.medical_specialty medicine.medical_treatment Treatment outcome Renal function Nephrectomy Scientific Papers Living Donors Humans Medicine Warm Ischemia Kidney transplant Laparoscopy Kidney transplantation Retrospective Studies medicine.diagnostic_test business.industry technology industry and agriculture Retrospective cohort study Robotics Middle Aged Warm ischemia medicine.disease Kidney Transplantation Surgery body regions Treatment Outcome surgical procedures operative Robotic donor nephrectomy business human activities Glomerular Filtration Rate |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| ISSN: | 1938-3797 1086-8089 |
| DOI: | 10.4293/108680812x13427982376068 |
| Popis: | Robotic-assistance did not improve outcomes associated with laparoscopic donor nephrectomy in this study. Objective: To examine donor and recipient outcomes after right-sided robotic-assisted laparoscopic donor nephrectomy (RALDN) compared with standard laparoscopic donor nephrectomy (LDN) and to determine whether robotic-assistance enhances LDN. Materials & Methods: From December 2005 to January 2011, 25 patients underwent right-sided LDN or RALDN. An IRB-approved retrospective review was performed of both donor and recipient medical charts. Primary endpoints included both intraoperative and postoperative outcomes. Results: Twenty right-sided LDNs and 5 RALDNs were performed during the study period. Neither estimated blood loss (76.4mL vs. 30mL, P=.07) nor operative time (231 min vs. 218 min, P=.61) were significantly different between either group (LDN vs. RALDN). Warm ischemia time for LDN was 2.6 min vs. 3.8 min for RALDN (P=.44). Donor postoperative serum estimated glomerular filtration rates (eGFR) were similar (53 vs. 59.6mL/min/1.73m2, LDN vs. RALDN, P=.26). For the recipient patients, posttransplant eGFR were similar at 6 months (53.4 vs. 59.8mL/min/1.73m2, LDN vs. RALDN, P=.53). Conclusion: In this study, robotic-assistance did not improve outcomes associated with LDN. Larger prospective studies are needed to confirm any perceived benefit of RALDN. |
| Databáze: | OpenAIRE |
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