Retroperitoneal robot-assisted live-donor nephrectomy: A single-center study

BackgroundAs the demand for kidney transplants continues to increase globally, healthcare institutions face a challenge to bridge the gap between patients waitlisted for kidney transplants and the number of donors. A major factor influencing the donor's decision is the operative risk and potent...

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Main Authors: Rashed Rowaiee, Mandana Gholami, Waldo Concepcion, Hemant Vedayar, Farhad Janahi
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Transplantation
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/frtra.2023.1062240/full
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author Rashed Rowaiee
Mandana Gholami
Waldo Concepcion
Hemant Vedayar
Farhad Janahi
Farhad Janahi
author_facet Rashed Rowaiee
Mandana Gholami
Waldo Concepcion
Hemant Vedayar
Farhad Janahi
Farhad Janahi
author_sort Rashed Rowaiee
collection DOAJ
description BackgroundAs the demand for kidney transplants continues to increase globally, healthcare institutions face a challenge to bridge the gap between patients waitlisted for kidney transplants and the number of donors. A major factor influencing the donor's decision is the operative risk and potential complications of the surgery. Open surgical approaches have been vastly replaced with laparoscopic donor nephrectomies as the standard of practice. However, there is a growing body of evidence pointing towards its potential superiority over laparoscopic methods. In this study, we aim to present our experience on outcomes of Robotic-Assisted Live Donor Nephrectomies (RALDN), the first series of its kind in the United Arab Emirates (UAE).MethodsWe retrospectively collected data from patients who underwent RALDN at Mediclinc City Hospital. Demographic data, laboratory investigations, and operative details were collected and analyzed.ResultsSeven patients underwent RALDN between 2021 and April 2022 at our facility. Four donors were male while three were female. Median length of hospital stay was 4 days. In our study, one of the patients suffered from a Clavien-Dindo grade IV complication which necessitated prolonged admission.ConclusionWe conclude that RALDN is a safe method for donor kidney procurement, carrying a low risk of morbidity and mortality. This method could potentially evolve the number of kidney donors to address the issue of high kidney transplant demand.
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spelling doaj.art-94775addc7e34db2aace8c114712aa152023-04-26T06:12:57ZengFrontiers Media S.A.Frontiers in Transplantation2813-24402023-04-01210.3389/frtra.2023.10622401062240Retroperitoneal robot-assisted live-donor nephrectomy: A single-center studyRashed Rowaiee0Mandana Gholami1Waldo Concepcion2Hemant Vedayar3Farhad Janahi4Farhad Janahi5College of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Healthcare City, Dubai, United Arab EmiratesCollege of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Healthcare City, Dubai, United Arab EmiratesDepartment of General Surgery, Mediclinic City Hospital, Dubai Healthcare City, Dubai, United Arab EmiratesDepartment of General Surgery, Mediclinic City Hospital, Dubai Healthcare City, Dubai, United Arab EmiratesCollege of Medicine, Mohammed Bin Rashid University of Medicine and Health Sciences, Dubai Healthcare City, Dubai, United Arab EmiratesDepartment of Urology, Mediclinic City Hospital, Dubai Healthcare City, Dubai, United Arab EmiratesBackgroundAs the demand for kidney transplants continues to increase globally, healthcare institutions face a challenge to bridge the gap between patients waitlisted for kidney transplants and the number of donors. A major factor influencing the donor's decision is the operative risk and potential complications of the surgery. Open surgical approaches have been vastly replaced with laparoscopic donor nephrectomies as the standard of practice. However, there is a growing body of evidence pointing towards its potential superiority over laparoscopic methods. In this study, we aim to present our experience on outcomes of Robotic-Assisted Live Donor Nephrectomies (RALDN), the first series of its kind in the United Arab Emirates (UAE).MethodsWe retrospectively collected data from patients who underwent RALDN at Mediclinc City Hospital. Demographic data, laboratory investigations, and operative details were collected and analyzed.ResultsSeven patients underwent RALDN between 2021 and April 2022 at our facility. Four donors were male while three were female. Median length of hospital stay was 4 days. In our study, one of the patients suffered from a Clavien-Dindo grade IV complication which necessitated prolonged admission.ConclusionWe conclude that RALDN is a safe method for donor kidney procurement, carrying a low risk of morbidity and mortality. This method could potentially evolve the number of kidney donors to address the issue of high kidney transplant demand.https://www.frontiersin.org/articles/10.3389/frtra.2023.1062240/fullrobot assisted live donor nephrectomylive donor nephrectomykidney transplantbowel perforationminimally invasive technique
spellingShingle Rashed Rowaiee
Mandana Gholami
Waldo Concepcion
Hemant Vedayar
Farhad Janahi
Farhad Janahi
Retroperitoneal robot-assisted live-donor nephrectomy: A single-center study
Frontiers in Transplantation
robot assisted live donor nephrectomy
live donor nephrectomy
kidney transplant
bowel perforation
minimally invasive technique
title Retroperitoneal robot-assisted live-donor nephrectomy: A single-center study
title_full Retroperitoneal robot-assisted live-donor nephrectomy: A single-center study
title_fullStr Retroperitoneal robot-assisted live-donor nephrectomy: A single-center study
title_full_unstemmed Retroperitoneal robot-assisted live-donor nephrectomy: A single-center study
title_short Retroperitoneal robot-assisted live-donor nephrectomy: A single-center study
title_sort retroperitoneal robot assisted live donor nephrectomy a single center study
topic robot assisted live donor nephrectomy
live donor nephrectomy
kidney transplant
bowel perforation
minimally invasive technique
url https://www.frontiersin.org/articles/10.3389/frtra.2023.1062240/full
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AT mandanagholami retroperitonealrobotassistedlivedonornephrectomyasinglecenterstudy
AT waldoconcepcion retroperitonealrobotassistedlivedonornephrectomyasinglecenterstudy
AT hemantvedayar retroperitonealrobotassistedlivedonornephrectomyasinglecenterstudy
AT farhadjanahi retroperitonealrobotassistedlivedonornephrectomyasinglecenterstudy
AT farhadjanahi retroperitonealrobotassistedlivedonornephrectomyasinglecenterstudy