MP37-01 SINGLE-PORT ROBOTIC KIDNEY TRANSPLANTATION: TRANSITIONING TO THE EXTRAPERITONEAL APPROACH (2021)

You have accessJournal of UrologyRenal Transplantation & Vascular Surgery I (MP37)1 Sep 2021MP37-01 SINGLE-PORT ROBOTIC KIDNEY TRANSPLANTATION: TRANSITIONING TO THE EXTRAPERITONEAL APPROACH Jihad Kaouk, Mahmoud Abou Zeinab, Alp T. Beksac, Yi-Chia Lin, Alireza Aminsharifi, Zeyad Schwen, Alvin Wee, and Mohamed Eltemamy Jihad KaoukJihad Kaouk More articles by this author , Mahmoud Abou ZeinabMahmoud Abou Zeinab More articles by this author , Alp T. BeksacAlp T. Beksac More articles by this author , Yi-Chia LinYi-Chia Lin More articles by this author , Alireza AminsharifiAlireza Aminsharifi More articles by this author , Zeyad SchwenZeyad Schwen More articles by this author , Alvin WeeAlvin Wee More articles by this author , and Mohamed EltemamyMohamed Eltemamy More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002046.01AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Robotic kidney transplantation (RKT) is a new minimally invasive alternative to the standard open approach. The single port robotic approach has the potential to decrease surgical morbidity and allows for an extraperitoneal approach compared to the current robotic practice that is limited to the transperitoneal space. We present the perioperative and postoperative outcomes of our initial 7 patients who underwent SP RKT. METHODS: Seven patients with end stage renal disease (ESRD) due to different causes underwent SP RKT. Both transperitoneal (cases 1-3) and extraperitoneal (cases 4-7) approaches were used. All robotic transplant cases were completed successfully through a single periumbilical incision without the need of any additional ports. Intracorporeal ice was implemented in the last 3 cases. We prospectively collected the perioperative data and postoperative kidney function by frequent serum creatinine measurement, and protocol biopsies at 3-6 months and 1 year after transplantation. RESULTS: The mean age at transplantation was 55 years, mean BMI was 30 kg/m2 and four patients were males. Three patients had preemptive RKT, three were previously on intermittent hemodialysis and one patient was on peritoneal dialysis. Median (IQR) total operative and vascular anastomosis times were 372 (365,444) and 53 minutes (46, 56) respectively. All patients had good urine output during the first 24 hours and progressive improvement of graft function. None of them had delayed graft function requiring dialysis. Median (IQR) hospital stay was 2 days (2, 3) and median pain score at discharge was 2. Median creatinine level at 2 weeks, 1 month and 1 year were 1.5, 1.3, and 1.1 mg/dL respectively. All patients up to 1 year follow up had no acute rejection on protocol biopsies. CONCLUSIONS: RKT using the new single-port platform is feasible and can be safely performed through the extraperitoneal approach. This approach provides patients with less surgical morbidity and successful graft functional outcomes. Source of Funding: None © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e645-e645 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Jihad Kaouk More articles by this author Mahmoud Abou Zeinab More articles by this author Alp T. Beksac More articles by this author Yi-Chia Lin More articles by this author Alireza Aminsharifi More articles by this author Zeyad Schwen More articles by this author Alvin Wee More articles by this author Mohamed Eltemamy More articles by this author Expand All Advertisement PDF downloadLoading ...