Robotic kidney transplantation with intraoperative regional hypothermia. (April 2014)

• Record Type: Journal Article
• Authors: Abaza, Ronney; Ghani, Khurshid R.; Sood, Akshay; Ahlawat, Rajesh; Kumar, Ramesh K.; Jeong, Wooju; Bhandari, Mahendra; Kher, Vijay; Menon, Mani
• Is Part Of: BJU international. Volume 113:Number 4(2014:Apr.)
• Page Start: 679
• Page End: 681
• Publication Date: 2014-04
• Subjects: minimally invasive surgery -- robotics -- kidney transplantation -- hypothermia; Genitourinary organs -- Diseases -- Periodicals; Genitourinary organs -- Surgery -- Periodicals; Urology -- Periodicals; 616.6
• DOI: 10.1111/bju.12572
• Languages: English
• ISSNs: 1464-4096

Abstract

Abstract : Objective: To describe a novel and reproducible technique of robotic kidney transplantation (RKT) that requires no repositioning, and permits intraoperative regional hypothermia. Patients and Methods: A GelPOINT™ (Applied Medical, Santa Ranchero, CA, USA) access port was used for delivery of ice‐slush and introduction of the graft kidney. The new RKT technique using ice‐slush has been performed in 39 patients. Results: At a mean follow‐up of 3 months all of the grafts functioned. There was a marked reduction in pain and analgesic requirement compared with patients undergoing open KT, with a propensity towards quicker graft recovery and lower complication rate. Conclusion: RKT has been shown to be safe and feasible in patients undergoing living‐donor related KT. A prospective trial is underway to assess outcomes definitively.