Department of Urology and Nephrology, Aster Medcity, Ernakulam, Cheranallore, 682027, India.
Int Urol Nephrol. 2020 Feb;52(2):247-252. doi: 10.1007/s11255-019-02305-z. Epub 2019 Oct 4.
The aim of this study was to assess the feasibility of robotic assisted kidney transplantation in graft with multiple vessels.
Eighteen patients underwent RAKT with grafts with multiple vessels (GMVs) from living donor performed by a single surgeon in single institution. The retrospective data obtained were compared to patients who underwent robotic assisted kidney transplant (RAKT) with single vessel and also open kidney transplant with GMVs.
There were no significant differences in graft function outcome and perioperative parameters in all three groups. In comparison with OKT in GMVs we found that RAKT with GMVs had less pain score on post op 4th day. There was also a significant difference in mean analgesic requirement and incision length.
With increasing experience, grafts with challenging vascular anatomy can be taken up for RAKT and GMVs should not be considered as a contraindication for RAKT.
本研究旨在评估机器人辅助肾移植在多血管移植物中的可行性。
18 名患者由同一位外科医生在单机构中进行活体供体多血管(GMV)的机器人辅助肾移植(RAKT)。获得的回顾性数据与接受机器人辅助肾移植(RAKT)的单血管患者和 GMV 的开放性肾移植患者进行比较。
三组患者的移植物功能和围手术期参数均无显著差异。与 GMV 中的 OKT 相比,我们发现 GMV 中的 RAKT 在术后第 4 天的疼痛评分较低。在平均镇痛需求和切口长度方面也有显著差异。
随着经验的增加,具有挑战性的血管解剖的移植物可以进行 RAKT,并且 GMV 不应被视为 RAKT 的禁忌症。