Robotic-assisted laparoscopic donor nephrectomy for kidney transplantation.
BACKGROUND
Minimally invasive laparoscopic nephrectomy is a well-established alternative to open surgery in living donors for kidney transplantation. Donor mortality and morbidity rates as well as recipient outcome are comparable to the open approach. Furthermore, the procedure is associated with reduced donor discomfort, faster recovery, and improved cosmetic results. Recently, an advanced robotic system for laparoscopic surgery was approved for use in the United States. This system allows a greater freedom of movement and recreates the hand-eye coordination and three-dimensional vision that is lost in standard laparoscopic procedures.


METHODS
We report the first 12 successful cases of robotic-assisted laparoscopic living donor nephrectomy performed using the da Vinci Surgical System (Intuitive Surgical, Mountain View, CA).


RESULTS
Our initial experience has shown that the system allows the performance of donor nephrectomy in a safe and accurate fashion.


CONCLUSIONS
As technology continues to evolve, robotic-assisted surgery has the potential to become a widely used attractive alternative to standard laparoscopic donor nephrectomy.
Horgan
Santiago
S
Minimally Invasive Surgery Center and Division of Transplantation, University of Illinois at Chicago Medical Center, Chicago, Illinois 60612, USA.
Vanuno
Daniel
D
Sileri
Pierpaolo
P
Cicalese
Luca
L
Benedetti
Enrico
E
D000328:Adult; D004867:Equipment Design; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D010535:Laparoscopy; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000295:instrumentation / Q000379:methods*; D012371:Robotics; D012449:Safety; D013523:Surgical Equipment