title: [Robotic assisted laparoscopic living donor nephrectomy: preoperative assessment and results of 100 cases].
abstract: OBJECTIVE
  To assess short term morbidity and renal function after robotic laparoscopic living donor nephrectomy.
  
  
  METHODS
  We performed a retrospective analysis of 100 consecutives patients undergoing a robotic laparoscopic living donors nephrectomy. We analyzed isotopic measure of the renal function before and 4 months after surgery, the side, the number of arteries, the blood loss, the operative time and warm ischemia time. In the outcomes, we collected the complications, the length of stay, and for the receiver, the renal function recovery time, dialysis, survival and renal function at one year.
  
  
  RESULTS
  Left kidney nephrectomy was performed in 85 patients and we observed 25 multiples renal arteries. Mean estimated blood loss was 0,8 g/dL. Mean operative time and warm ischemia time were respectively 174 ± 30 and 4.8 ± 1.7 minutes. Seven complications occured, with 2 major (Clavien-Dindo System). Mean length of stay was 5.1 ± 1.9 days. Mean glomerular filtration decrease was 26% and remains stable at one year after surgery. Grafts had an immediate renal function recovery for 99%, and were all functional after one year, with mean MDRD clearance of 57 ± 14mL/min.
  
  
  CONCLUSIONS
  Robotic procedure in laparoscopic living donor nephrectomy seems to guarantee low morbidity and the stability of the renal function decrease of 26%.
authors.affiliation: Service d'urologie, CHU de Nancy-Brabois, allée du Morvan, 54511 Vandœuvre-les-Nancy cedex, France. Electronic address: blaplacefr@yahoo.fr.
authors.forename: B
authors.initials: B
authors.lastname: Laplace
authors.affiliation: Service de néphrologie, CHU de Nancy-Brabois, allée du Morvan, 54511 Vandœuvre-les-Nancy cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Ladrière
authors.affiliation: Département de radiologie, CHU de Nancy-Brabois, allée du Morvan, 54511 Vandœuvre-les-Nancy cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Claudon
authors.affiliation: Service d'urologie, CHU de Nancy-Brabois, allée du Morvan, 54511 Vandœuvre-les-Nancy cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Eschwege
authors.affiliation: Service de néphrologie, CHU de Nancy-Brabois, allée du Morvan, 54511 Vandœuvre-les-Nancy cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Kessler
authors.affiliation: Service d'urologie, CHU de Nancy-Brabois, allée du Morvan, 54511 Vandœuvre-les-Nancy cedex, France; IADI Inserm, U 947, université de Lorraine, CHU de Nancy-Brabois, allée du Morvan, 54511 Vandœuvre-lès-Nancy cedex, France.
authors.forename: J
authors.initials: J
authors.lastname: Hubert
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D005260:Female; D006085:Graft Survival; D006801:Humans; D007668:Kidney / Q000098:blood supply; D016030:Kidney Transplantation; D010535:Laparoscopy / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D061646:Operative Time; D011300:Preoperative Care; D012189:Retrospective Studies; D065287:Robotic Surgical Procedures
keywords: Chirurgie laparoscopique; Chiururgie robotique; Donneur vivant; Kidney transplantation; Laparoscopic surgery; Living donor; Nephrectomy; Néphrectomie; Robotic surgery; Transplantation rénale