Robot-assisted Kidney Transplantation: The 8-yea r European Experience
Por:
Territo, A, Afferi, L, Musquera, M, Sopena, JMG, Pecoraro, A, Campi, R, Gallioli, A, Etcheverry, B, Prudhomme, T, Vangeneugden, J, Ortved, M, Roder, A, Zeuschner, P, Volpe, A, Garcia-Baquero, R, Kocak, B, Mirza, I, Stockle, M, Canda, E, Fornara, P, Rohrsted, M, Doumerc, N, Decaestecker, K, Serni, S, Vigues, F, Alcaraz, A, Breda, A
Publicada:
1 abr 2025
Ahead of Print:
1 mar 2025
Resumen:
Background and objective: Evidence regarding perioperative results and long-term functional outcomes of robotic-assisted kidney transplantation (RAKT) is limited. We evaluated perioperative surgical results and long-term functional outcomes of RAKT in patients receiving kidney transplants from living donors. Methods: This retrospective analysis is based on a prospective multicenter cohort study conducted from July 2015 to October 2023 across ten European centers. A total of 624 patients who underwent heterotopic RAKT from living donors were included, excluding those who received orthotopic RAKT. The primary outcomes measured were long-term renal function, perioperative complications, and survival rates. Renal function was assessed with the estimated glomerular filtration rate (eGFR). The Clavien-Dindo classification (CDC) was used to describe early (within 30 d) and late (from 31 to 90 d) postoperative complications. The probabilities of dialysis, graft nephrectomies, and any-cause mortality during follow-up were reported in terms of the 5-yr cumulative incidence.
Filiaciones:
Territo, A:
Univ Autonoma Barcelona, Dept Urol, Fundacio Puigvert, Barcelona, Spain
Afferi, L:
Univ Autonoma Barcelona, Dept Urol, Fundacio Puigvert, Barcelona, Spain
Musquera, M:
Univ Barcelona, Hosp Clin, Dept Urol, IDIBAPS, Barcelona, Spain
Sopena, JMG:
Univ Autonoma Barcelona, Dept Urol, Fundacio Puigvert, Barcelona, Spain
Pecoraro, A:
Univ Florence, Dept Expt & Clin Med, Florence, Italy
Univ Florence, Careggi Hosp, Unit Urol Minimally Invas Robot Surg & Kidney Tran, Florence, Italy
Campi, R:
Univ Florence, Dept Expt & Clin Med, Florence, Italy
Univ Florence, Careggi Hosp, Unit Urol Minimally Invas Robot Surg & Kidney Tran, Florence, Italy
Gallioli, A:
Univ Autonoma Barcelona, Dept Urol, Fundacio Puigvert, Barcelona, Spain
Etcheverry, B:
Hosp Univ Bellvitge, Hospitalet Llobregat, Dept Urol, Barcelona, Spain
Prudhomme, T:
Univ Hosp Rangueil, Dept Urol & Renal Transplantat, Toulouse, France
Vangeneugden, J:
Univ Hosp Ghent, ERN eUROGEN accredited Ctr, Dept Urol, Ghent, Belgium
Ortved, M:
Copenhagen Univ Hosp, Rigshospitalet, Dept Urol, Ctr Canc & Organ Dis, Copenhagen, Denmark
Roder, A:
Copenhagen Univ Hosp, Rigshospitalet, Dept Urol, Ctr Canc & Organ Dis, Copenhagen, Denmark
Zeuschner, P:
Martin Luther Univ Halle Wittenberg, Fac Med, D-06120 Halle, Saale, Germany
Volpe, A:
Univ Piemonte Orientale, Maggiore Carita Hosp, Dept Translat Med, Neurol Unit, Novara, Italy
Garcia-Baquero, R:
Hosp Univ Puerta Mar, Urol Dept, Kidney Transplant Unit, Cadiz, Spain
Kocak, B:
Koc Univ Hosp, Organ Transplant Ctr, Istanbul, Turkiye
Koc Univ, Sch Med, Dept Urol, Istanbul, Turkiye
Mirza, I:
Acad Med Ctr Amsterdam, Dept Surg, Amsterdam, Netherlands
Stockle, M:
Saarland Univ, Dept Urol & Pediat Urol, Homburg, Germany
Doumerc, N:
Univ Hosp Rangueil, Dept Urol & Renal Transplantat, Toulouse, France
Decaestecker, K:
Univ Hosp Ghent, ERN eUROGEN accredited Ctr, Dept Urol, Ghent, Belgium
Serni, S:
Univ Florence, Dept Expt & Clin Med, Florence, Italy
Univ Florence, Careggi Hosp, Unit Urol Minimally Invas Robot Surg & Kidney Tran, Florence, Italy
Vigues, F:
Hosp Univ Bellvitge, Hospitalet Llobregat, Dept Urol, Barcelona, Spain
Alcaraz, A:
Univ Barcelona, Hosp Clin, Dept Urol, IDIBAPS, Barcelona, Spain
Breda, A:
Univ Autonoma Barcelona, Dept Urol, Fundacio Puigvert, Barcelona, Spain
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