Robotic-assisted laparoscopic donor nephrectomy: decreasing length of stay

The number of robotic operations performed with the da Vinci Surgical System has increased during the past decade. This system allows for greater maneuverability and control than hand-assisted laparoscopic procedures, resulting in less tissue manipulation and irritation. We retrospectively analyzed...

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Bibliographic Details
Published in:The Ochsner journal 2015, Vol.15 (1), p.19-24
Main Authors: Cohen, Ari J, Williams, Darin S, Bohorquez, Humberto, Bruce, David S, Carmody, Ian C, Reichman, Trevor, Loss, Jr, George E
Format: Article
Language:English
Subjects:
Dissection
FDA approval
Hospitals
Kidney transplants
Kidneys
Laparoscopy
Original Research
Patients
Robotics
Robots
Surgeons
Surgery
Transplants & implants
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Summary:The number of robotic operations performed with the da Vinci Surgical System has increased during the past decade. This system allows for greater maneuverability and control than hand-assisted laparoscopic procedures, resulting in less tissue manipulation and irritation. We retrospectively analyzed the results of 100 consecutive robotic-assisted laparoscopic donor nephrectomies and compared them to our most recent 20 hand-assisted laparoscopic donor nephrectomies. Between May 2008 and June 2012, 120 laparoscopic donor nephrectomies were performed at Ochsner Clinic Foundation. Of those, 100 live kidney donors underwent robotic-assisted laparoscopic donor nephrectomies. Surgical time and hospital length of stay improved after the first 20 patients receiving robotic-assisted laparoscopic nephrectomies, which was considered the learning curve. Sixty percent of patients who underwent robotic-assisted laparoscopic donor nephrectomies were released on postoperative day 1 compared to 45% of patients who underwent hand-assisted laparoscopic techniques. In our experience, robotic-assisted laparoscopic donor nephrectomy resulted in decreased postoperative length of stay that decreased the global cost of the procedure and allowed our institution to admit more patients.
ISSN:1524-5012