Pd06-12 Single Port Robotic Renal Transplantation–early Functional Results and Learning Curve

You have accessJournal of UrologyTransplantation & Vascular Surgery I (PD06)1 May 2024PD06-12 SINGLE PORT ROBOTIC RENAL TRANSPLANTATION–EARLY FUNCTIONAL RESULTS AND LEARNING CURVE Hafiz Umair Siddiqui, Jason M. Scovell, Khaled Refaai, Venkatesh Krishnamurthi, Yi-Chia Lin, Alvin Wee, and Mohamed Eltemamy Hafiz Umair SiddiquiHafiz Umair Siddiqui , Jason M. ScovellJason M. Scovell , Khaled RefaaiKhaled Refaai , Venkatesh KrishnamurthiVenkatesh Krishnamurthi , Yi-Chia LinYi-Chia Lin , Alvin WeeAlvin Wee , and Mohamed EltemamyMohamed Eltemamy View All Author Informationhttps://doi.org/10.1097/01.JU.0001008592.06852.43.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The DaVinci Single Port robot has recently enabled a rapid exploration in surgical approaches. Renal allotransplantation has provided an additional opportunity to perform intervention using this surgical tool. However, the safety and efficacy of this approach for this high-risk procedure remains unknown. We sought to determine if renal allotransplantation utilizing a single port robotic approach is viable form a functional and learning curve standpoint. METHODS: We began single port robotic renal transplantation in 2019 at our center including both deceased and living donor kidney transplantation. We evaluated baseline patient characteristics for this cohort and report functional out. Operative time and re-vascularization time were abstracted and compared across sequential operative events as a measurement of learning curve. RESULTS: A total of 43 patients underwent single port robotic renal transplantation. Baseline, intraoperative, and functional outcome data are presented in Table 1. In summary, mean age was 54.2, a total of 24 patients were on dialysis, and 2 patients had prior renal transplantation. Within this cohort 28 patients received a living donor renal transplantation and 15 received a cadaveric kidney. Delayed graft function occurred in 11.6% of patients (n5/43) with the majority (n=4/5) occurring in deceased donor transplantations. There were 3 postoperative complications including GI bleed, bleeding requiring transfusion, and acute graft rejection. Based on manual inspection operative time and revascularization learning curve is approximately 10 cases. Mean operative time and revascularization time were improved between the first and last 10 cases (378m vs 238m, p<0.001; 73m vs 43m, p<0.001; Figure 1). CONCLUSIONS: Single port robotic renal allotransplantation is safe for patients receiving both living and deceased allografts. Operative learning curve at our center appears to be approximately 10 cases with operative and revascularization times comparable to an open approach. Download PPT Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e165 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Hafiz Umair Siddiqui More articles by this author Jason M. Scovell More articles by this author Khaled Refaai More articles by this author Venkatesh Krishnamurthi More articles by this author Yi-Chia Lin More articles by this author Alvin Wee More articles by this author Mohamed Eltemamy More articles by this author Expand All Advertisement PDF downloadLoading ...