Robot-Assisted Versus Laparoscopic Donor Nephrectomy: A Comparison of 250 Cases

Overview

Journal J Clin Med

Specialty General Medicine

Date 2020 May 30

PMID 32466503

Citations 4

Authors

Philip Zeuschner

Linda Hennig

Robert Peters

Matthias Saar

Johannes Linxweiler

Stefan Siemer

Ahmed Magheli

Jurgen Kramer

Lutz Liefeldt

Klemens Budde

Thorsten Schlomm

Michael Stockle

Frank Friedersdorff

Affiliations

Soon will be listed here.

Abstract

Living kidney donation is the best treatment for end-stage renal disease, however, the best surgical approach for minimally-invasive donor nephrectomy (DN) is still a matter of debate. This bi-centric study aimed to retrospectively compare perioperative outcomes and postoperative kidney function after 257 transperitoneal DNs including 52 robot-assisted (RDN) and 205 laparoscopic DNs (LDN). As primary outcomes, the intraoperative (operating time, warm ischemia time (WIT), major complications) and postoperative (length of stay, complications) results were compared. As secondary outcomes, postoperative kidney and graft function were analyzed including delayed graft function (DGF) rates, and the impact of the surgical approach was assessed. Overall, the type of minimally-invasive donor nephrectomy (RDN vs. LDN) did not affect primary outcomes, especially not operating time and WIT; and major complication and DGF rates were low in both groups. A history of smoking and preoperative kidney function, but not the surgical approach, were predictive for postoperative serum creatinine of the donor and recipient. To conclude, RDN and LDN have equivalent perioperative results in experienced centers. For this reason, not the surgical approach, but rather the graft- (preoperative kidney function) and patient-specific (history of smoking) aspects impacted postoperative kidney function.

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