Comparison of Robot-assisted Donornephrectomy vs Hand-assisted Laparoscopic Donornephrectomy

Study Overview
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Brief Summary
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The aim of this retrospective study was to analyze donor and recipient outcomes after robotic-assisted donor nephrectomy and hand-assisted laparoscopic donornephrectomy.

Detailed Description
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Living donor kidney transplantation is superior to cadaveric kidney transplantation because of the better patient and graft survival rates, better cost-effectiveness and improved quality of life of the recipient. According to the current guidelines, the laparoscopic technique of donor nephrectomy is now recommended as the preferential technique. The advantages of the hand-assisted laparoscopic donor nephrectomy (HALDN) as compared with the conventional laparoscopy include tactile feedback, less kidney traction, rapid kidney removal and a shorter warm ischemic period. HALDN is nowadays the most frequently used technique in the U.S. for living donor nephrectomy. The laparoscopic techniques may have helped to increase the expansion of the donor pool. However, laparoscopic surgery have some disadvantages especially ergonomic inconveniences for the surgeon, which may result in decreased surgeons' performance and musculoskeletal disorders. Surgical robotics can play a role in extending surgical careers, by allowing surgeons to perform high volume laparoscopic surgery in a more ergonomic way. Robotic assistance in living donor nephrectomy can offer improved safety by enhanced control, accuracy, stability, and vision. The aim of this retrospective study was to compare the robotic assisted donor nephrectomy (RADN) with the HALDN technique with respect to donor and recipient outcomes.

Official Title
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Robot-assisted Donornephrectomy: Initial Results and Comparison With the Hand-assisted Laparoscopic Technique: A Retrospective Study

Conditions
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Kidney Donation, Robotic Surgery

Intervention / Treatment
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* Procedure: Robotic surgery


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult, healthy condition Exclusion Criteria: Children, not suitable for kidney donation

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Robotic-assisted group<br>Group of patients that underwent a robotic-assisted donornephrectomy | Procedure: Robotic surgery<br>* Robotic-assisted donornephrectomy<br>|
| Hand-assisted laparoscopic group<br>Group of patients that underwent a hand-assisted laparoscopic donornephrectomy. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Post-operative pain score | Visual Analogue Scale was used to measure the postoperative pain. From the operation date till discharge from the hospital | 0-3 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Operating time | Operating time in minutes | 30-300 min | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Donornephrectomy, Robotic-asisted donornephrectomy, hand-assisted laparoscopic donornephrectomy