Himanshu Sharma, Ramaprasad M K, Vishnu R, Kishore T A
Department of Urology, Aster Medcity, Kochi, Kerala, India.
Urol Ann. 2018 Jul-Sep;10(3):330-332. doi: 10.4103/UA.UA_14_18.
The aim of this study was to report the feasibility of robotic-assisted dual kidney transplantation (DKT) in a marginal donor.
The case was a 53-year-old male, who with IgA nephropathy underwent a robotic-assisted robotic DKT.
The total operating time was 265 min, total console time was 215 min, and anastomotic time was 39 min for both the kidneys, and blood loss was 220 ml. The total drain output was 150 ml on the 1 day. The drain was removed after 48 h and Foley catheter was removed after 5 days. Nadir creatinine was 1.1 mg/dl and time to nadir creatinine was 7 days. The patient received one unit of blood transfusion. Total postoperative hospital stay was 7 days and bilateral ureteric stents were removed after 14 days. At the end of 3 months, creatinine was 1.0 mg% and epidermal growth factor receptor was 82 ml/min/1.73 m.
Robotic DKT offers solutions to the challenges faced in open DKT.
本研究旨在报告在边缘供体中进行机器人辅助双肾移植(DKT)的可行性。
该病例为一名53岁男性,患有IgA肾病,接受了机器人辅助的机器人DKT。
总手术时间为265分钟,总控制台时间为215分钟,双肾吻合时间为39分钟,失血量为220毫升。术后第1天总引流量为150毫升。48小时后拔除引流管,5天后拔除导尿管。最低肌酐水平为1.1毫克/分升,达到最低肌酐水平的时间为7天。患者接受了1单位输血。术后总住院时间为7天,14天后拔除双侧输尿管支架。在3个月末,肌酐水平为1.0毫克%,表皮生长因子受体为82毫升/分钟/1.73平方米。
机器人辅助DKT为开放性DKT面临的挑战提供了解决方案。