Robotic-assistance does not enhance standard laparoscopic technique for right-sided donor nephrectomy

JSLS. Apr-Jun 2012;16(2):202-7. doi: 10.4293/108680812x13427982376068.

Abstract

Objective: To examine donor and recipient outcomes after right-sided robotic-assisted laparoscopic donor nephrectomy (RALDN) compared with standard laparoscopic donor nephrectomy (LDN) and to determine whether robotic-assistance enhances LDN.

Materials & methods: From December 2005 to January 2011, 25 patients underwent right-sided LDN or RALDN. An IRB-approved retrospective review was performed of both donor and recipient medical charts. Primary endpoints included both intraoperative and postoperative outcomes.

Results: Twenty right-sided LDNs and 5 RALDNs were performed during the study period. Neither estimated blood loss (76.4 mL vs. 30 mL, P = .07) nor operative time (231 min vs. 218 min, P = .61) were significantly different between either group (LDN vs. RALDN). Warm ischemia time for LDN was 2.6 min vs. 3.8 min for RALDN (P = .44). Donor postoperative serum estimated glomerular filtration rates (eGFR) were similar (53 vs. 59.6 mL/min/1.73 m2, LDN vs. RALDN, P = .26). For the recipient patients, posttransplant eGFR were similar at 6 months (53.4 vs. 59.8 mL/min/1.73 m2, LDN vs. RALDN, P = .53).

Conclusion: In this study, robotic-assistance did not improve outcomes associated with LDN. Larger prospective studies are needed to confirm any perceived benefit of RALDN.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Glomerular Filtration Rate
  • Humans
  • Kidney Transplantation
  • Laparoscopy / methods*
  • Living Donors
  • Middle Aged
  • Nephrectomy / methods*
  • Retrospective Studies
  • Robotics / methods*
  • Treatment Outcome
  • Warm Ischemia