Robotic versus hand-assisted laparoscopic living donor nephrectomy: comparison of two minimally invasive techniques in kidney transplantation
| Autor: | Olivier Laurent Windisch, Maurice Matter, Manuel Pascual, Pamela Sun, Daniel Benamran, Leo Bühler, Christophe Emmanuel Iselin |
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| Rok vydání: | 2021 |
| Předmět: |
Humans
Kidney Transplantation/methods Living Donors Robotics Robotic Surgical Procedures/methods Retrospective Studies Creatinine Hand-Assisted Laparoscopy Nephrectomy/methods Laparoscopy/methods Kidney/surgery Kidney/physiology Hand-assisted laparoscopic nephrectomy Living donor nephrectomy Minimally invasive surgery Robotic donor nephrectomy Robotic surgery Warm ischemia time Health Informatics Kidney Kidney Transplantation Nephrectomy Robotic Surgical Procedures Surgery Laparoscopy |
| Zdroj: | Journal of robotic surgery, vol. 16, no. 6, pp. 1471-1481 |
| ISSN: | 1863-2491 |
| Popis: | 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 p p = 0.446). The hospital stay was shorter in RDN (3.9 vs 5.7 days, p p |
| Databáze: | OpenAIRE |
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