Robotic versus open mini‐incision living donor nephrectomy: Single centre experience

Author:

Lee Seung Duk1,Savsani Kush2ORCID,Wang Sarah Ziqi3ORCID,Bhati Chandra4,Sambommatsu Yuzuru1ORCID,Imai Daisuke1,Khan Aamir1,Saeed Irfan1,Sharma Amit1,Kumaran Vinay1,Cotterell Adrian1,Levy Marlon1,Bruno David A.1

Affiliation:

1. Division of Transplant Surgery Department of Surgery Virginia Commonwealth University Richmond Virginia USA

2. Department of Surgery Virginia Commonwealth University Richmond Virginia USA

3. Department of Surgery Cleveland Clinic Foundation Cleveland Ohio USA

4. Division of Transplant Surgery Department of Surgery University of Maryland School of Medicine Baltimore Maryland USA

Abstract

AbstractBackgroundRobotic surgery is associated with less tissue manipulation and earlier recovery with minimal incision. The aim of this study was to compare the short‐term clinical outcomes between robotic‐assisted donor nephrectomy (RDN) and open mini‐incision donor nephrectomy (ODN).MethodsFrom 2016 to 2019, 141 cases involving RDN were analysed. Patient outcomes were compared with those of 191 patients who underwent ODN from 2010 to 2015. Demographics, operation factors, perioperative outcomes, and complications were retrospectively reviewed.ResultsThe RDN group presented with less blood loss than the ODN group (p = 0.023). The length of hospital stay was significantly shorter in the RDN group than in the ODN group (p < 0.005). The overall rate of complications was low and there was no significant difference in complication rates between the groups.ConclusionThe robotic approach has benefits over the traditional open approach, including shorter length of hospital stay and reduced intraoperative blood loss.

Publisher

Wiley

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