title: Robotic trans-abdominal transplant nephrectomy for a failed renal allograft.
abstract: Minimally invasive surgery for removal of a failed renal allograft has not previously been reported. Herein, we report the first robotic trans-abdominal transplant nephrectomy (TN). A 34-year-old male with Alport's syndrome lost function of his deceased donor allograft after 12 years and presented with fever, pain over his allograft and hematuria. The operation was performed intra-abdominally using the Da Vinci Robotic Surgical System with four trocars. The total operative time was 235 min and the estimated blood loss was less than 25 cm(3). There were no peri-operative complications observed and the patient was discharged to home less than 24 h postoperatively. The utilization of robotic technology facilitated the successful performance of a minimally invasive, trans-abdominal TN.
authors.affiliation: Piedmont Transplant Institute, Piedmont Atlanta Hospital, Atlanta, GA.
authors.forename: M R
authors.initials: MR
authors.lastname: Mulloy
authors.forename: M
authors.initials: M
authors.lastname: Tan
authors.forename: J H
authors.initials: JH
authors.lastname: Wolf
authors.forename: S H
authors.initials: SH
authors.lastname: D'Annunzio
authors.forename: H S
authors.initials: HS
authors.lastname: Pollinger
mesh_terms: D000328:Adult; D005919:Glomerular Filtration Rate; D006084:Graft Rejection / Q000209:etiology / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D007677:Kidney Function Tests; D016030:Kidney Transplantation / Q000009:adverse effects*; D010535:Laparoscopy; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D009392:Nephrectomy; D011183:Postoperative Complications; D011379:Prognosis; D012307:Risk Factors; D012371:Robotics
keywords: Clinical research/practice; graft survival; kidney (allograft) function/dysfunction; kidney transplantation/nephrology/organ transplantation in general; minimally invasive surgery; rejection: chronic; surgical technique