Total extraperitoneal robot assisted laparoscopic renal transplant recipient surgery

Introduction Renal transplant recipient surgery is conventionally performed using open technique which is total extra-peritoneal in approach whereas robot assisted renal transplant recipient surgery is performed through a transperitoneal approach. We present a case where a total extraperitoneal robo...

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Bibliographic Details
Published in:Journal of robotic surgery 2018-12, Vol.12 (4), p.749-751
Main Authors: Raveendran, Vishnu, Koduveli, Ramaprasad Manasseri, John, Roy, Varma, Deepak, Adiyat, Kishore Thekke
Format: Article
Language:English
Subjects:
Adult
Case Report
Clamps
Clinical Competence
Conflicts of interest
Creatinine
Ethics
Glomerulonephritis - surgery
Glomerulonephritis, IGA - surgery
Humans
Informed consent
Kidney Transplantation - methods
Kidney transplants
Laparoscopy
Laparoscopy - methods
Male
Medicine
Medicine & Public Health
Minimally Invasive Surgery
Robotic surgery
Robotic Surgical Procedures - methods
Robotics
Robots
Surgery
Surgical anastomosis
Surgical techniques
Transplantation, Homologous
Urine
Urology
Veins & arteries
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Summary:Introduction Renal transplant recipient surgery is conventionally performed using open technique which is total extra-peritoneal in approach whereas robot assisted renal transplant recipient surgery is performed through a transperitoneal approach. We present a case where a total extraperitoneal robot assisted renal transplant recipient surgery was performed. Materials and methods A 30 year old gentleman with Ig A nephropathy and diffuse glomerulosclerosis underwent total extra-peritoneal robot assisted renal transplant recipient surgery (TERT) with sister as donor. Renal allograft was introduced through Pfannensteil incision. Alexis wound retractor was used to minimize trauma while positioning the allograft. Results There was good urine output on release of vascular clamps. Nadir creatinine was attained in three days. Patient was discharged on post-operative day six. Conclusion TERT is a technically demanding procedure that closely resemble open technique while imparting the benefits of minimally invasive surgery to the patient.
ISSN:1863-2483
1863-2491
DOI:10.1007/s11701-018-0785-6