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The first robotic kidney transplantation in Korea: a case report

Minimally invasive surgery reduces perioperative pain and morbidity, facilitating rapid recovery. However, the field of kidney transplantation has lagged in this regard, its customary open surgical techniques going nearly unchanged until recently. Robotic kidney transplantation (RKT) is a novel and...

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Autores principales: Kim, Hyun Jeong, Yang, Seok Jeong, Jeong, Wooju, Lee, Juhan, Na, Joon Chae, Han, Woong Kyu, Huh, Kyu Ha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society for Transplantation 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9235531/
https://www.ncbi.nlm.nih.gov/pubmed/35769429
http://dx.doi.org/10.4285/kjt.21.0023
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author Kim, Hyun Jeong
Yang, Seok Jeong
Jeong, Wooju
Lee, Juhan
Na, Joon Chae
Han, Woong Kyu
Huh, Kyu Ha
author_facet Kim, Hyun Jeong
Yang, Seok Jeong
Jeong, Wooju
Lee, Juhan
Na, Joon Chae
Han, Woong Kyu
Huh, Kyu Ha
author_sort Kim, Hyun Jeong
collection PubMed
description Minimally invasive surgery reduces perioperative pain and morbidity, facilitating rapid recovery. However, the field of kidney transplantation has lagged in this regard, its customary open surgical techniques going nearly unchanged until recently. Robotic kidney transplantation (RKT) is a novel and welcomed innovation yielding good surgical outcomes. In Korea, the first RKT performed (November 2019) involved a 30-year-old man (body mass index, 22 kg/m(2)) with end-stage hypertensive nephrosclerosis. A left donor kidney from his 28-year-old sister was successfully transplanted using the daVinci Robotic Surgical System. Transperitoneal regional hypothermia (Vattikuti Urology Institute-Medanta technique) was also implemented across the main periumbilical incision (up to 6 cm). Total operative time was 260 minutes (cold ischemia, 34 minutes; rewarming, 54 minutes), with 50 mL of blood loss. There was immediate graft function, unencumbered by surgical complications (e.g., postoperative bleeding, leakage, or lymphocele). The patient was discharged on postoperative day 8, with serum creatinine at 1.27 mg/dL. RKT with regional hypothermia may be a viable, minimally invasive intervention that is safe and effective in select patients, showing good surgical results.
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spelling pubmed-92355312022-06-28 The first robotic kidney transplantation in Korea: a case report Kim, Hyun Jeong Yang, Seok Jeong Jeong, Wooju Lee, Juhan Na, Joon Chae Han, Woong Kyu Huh, Kyu Ha Korean J Transplant Case Report Minimally invasive surgery reduces perioperative pain and morbidity, facilitating rapid recovery. However, the field of kidney transplantation has lagged in this regard, its customary open surgical techniques going nearly unchanged until recently. Robotic kidney transplantation (RKT) is a novel and welcomed innovation yielding good surgical outcomes. In Korea, the first RKT performed (November 2019) involved a 30-year-old man (body mass index, 22 kg/m(2)) with end-stage hypertensive nephrosclerosis. A left donor kidney from his 28-year-old sister was successfully transplanted using the daVinci Robotic Surgical System. Transperitoneal regional hypothermia (Vattikuti Urology Institute-Medanta technique) was also implemented across the main periumbilical incision (up to 6 cm). Total operative time was 260 minutes (cold ischemia, 34 minutes; rewarming, 54 minutes), with 50 mL of blood loss. There was immediate graft function, unencumbered by surgical complications (e.g., postoperative bleeding, leakage, or lymphocele). The patient was discharged on postoperative day 8, with serum creatinine at 1.27 mg/dL. RKT with regional hypothermia may be a viable, minimally invasive intervention that is safe and effective in select patients, showing good surgical results. The Korean Society for Transplantation 2022-03-31 2022-03-31 /pmc/articles/PMC9235531/ /pubmed/35769429 http://dx.doi.org/10.4285/kjt.21.0023 Text en Copyright © 2022 The Korean Society for Transplantation https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kim, Hyun Jeong
Yang, Seok Jeong
Jeong, Wooju
Lee, Juhan
Na, Joon Chae
Han, Woong Kyu
Huh, Kyu Ha
The first robotic kidney transplantation in Korea: a case report
title The first robotic kidney transplantation in Korea: a case report
title_full The first robotic kidney transplantation in Korea: a case report
title_fullStr The first robotic kidney transplantation in Korea: a case report
title_full_unstemmed The first robotic kidney transplantation in Korea: a case report
title_short The first robotic kidney transplantation in Korea: a case report
title_sort first robotic kidney transplantation in korea: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9235531/
https://www.ncbi.nlm.nih.gov/pubmed/35769429
http://dx.doi.org/10.4285/kjt.21.0023
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