A Retrospective Cohort Analysis of Robotic Stapler Use in Robotic-Assisted Donor Nephrectomy
DOI:
https://doi.org/10.46570/utjms.vol8-2020-421Keywords:
Donor nephrectomy, robotic surgery, Robotic staplingAbstract
Main Problem: Robotic-assisted techniques are common for living-donor nephrectomy. While robotic stapling offers increased surgeon control, there is limited comparative data versus laparoscopic linear stapler use for ligation of renal vessels.
Methods: We retrospectively reviewed 32 consecutive robotic-assisted donor nephrectomies by a single surgeon for perioperative outcomes.
Results: Patients in the robotic stapler (RS; N=20) and laparoscopic stapler (LS; N=12) groups were comparable in terms of age and BMI. Estimated blood loss (p = 0.62), warm ischemia time (p=0.50), and console time (p=0.56) were similar between the RS and LS groups. There were no stapler misfires or major intraoperative complications in either group and no cases required conversion to open.
Conclusions: Robotic stapler use is safe and effective in robotic-assisted donor nephrectomy. Further research on prevalence of robotic stapler use is needed to quantity the associated complication rate.
References
Kasiske BL, Snyder JJ, Matas AJ, Ellison MD, Gill JS, Kausz AT (2002) Preemptive kidney transplantation: the advantage and the advantaged. Journal of the American Society of Nephrology 13 (5):1358-1364
Baid-Agrawal S, Frei UA (2007) Living donor renal transplantation: recent developments and perspectives. Nature clinical practice nephrology 3 (1):31-41
Giessing M Living donor nephrectomy—quantifying the risk for the donor. In: Transplantation proceedings, 2012. vol 6. Elsevier, pp 1786-1789
Greco F, Hoda MR, Alcaraz A, Bachmann A, Hakenberg OW, Fornara P (2010) Laparoscopic living-donor nephrectomy: analysis of the existing literature. European urology 58 (4):498-509
Lentine KL, Patel A (2012) Risks and outcomes of living donation. Advances in chronic kidney disease 19 (4):220-228
Creta M, Calogero A, Sagnelli C, Peluso G, Incollingo P, Candida M, Minieri G, Longo N, Fusco F, Tammaro V (2019) Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review. BioMed research international 2019
Perkins SQ, Giffen ZC, Buck BJ, Ortiz J, Sindhwani P, Ekwenna O (2018) Initial Experience with the Use of a Robotic Stapler for Robot-Assisted Donor Nephrectomy. Journal of endourology 32 (11):1054-1057
McGregor TB, Patel P, Sener A, Chan G (2017) Vascular control during laparoscopic kidney donation. Canadian Journal of Surgery 60 (3):150
CHAN D, BISHOFF JT, RATNER L, KAVOUSSI LR, JARRETT TW (2000) Endovascular gastrointestinal stapler devi=ce malfunction during laparoscopic nephrectomy: early recognition and management. The Journal of urology 164 (2):319-321
Yang A, Barman N, Chin E, Herron D, Arvelakis A, Rudow DL, Florman SS, Palese MA (2018) Robotic-assisted vs. laparoscopic donor nephrectomy: a retrospective comparison of perioperative course and postoperative outcome after 1 year. Journal of robotic surgery 12 (2):343-350
Giacomoni A, Di Sandro S, Lauterio A, Concone G, Buscemi V, Rossetti O, De Carlis L (2016) Robotic nephrectomy for living donation: surgical technique and literature systematic review. The American Journal of Surgery 211 (6):1135-1142
Hagen ME, Jung MK, Fakhro J, Buchs NC, Buehler L, Mendoza JM, Morel P (2018) Robotic versus laparoscopic stapling during robotic Roux-en-Y gastric bypass surgery: a case-matched analysis of costs and clinical outcomes. Surgical endoscopy 32 (1):472-477
Holzmacher JL, Luka S, Aziz M, Amdur RL, Agarwal S, Obias V (2017) The use of robotic and laparoscopic surgical stapling devices during minimally invasive colon and rectal surgery: a comparison. Journal of Laparoendoscopic & Advanced Surgical Techniques 27 (2):151-155
Gutierrez M, Ditto R, Roy S (2019) Systematic review of operative outcomes of robotic surgical procedures performed with endoscopic linear staplers or robotic staplers. Journal of robotic surgery 13 (1):9-21
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