Robotic versus open mini‐incision living donor nephrectomy: Single centre experience

• Published in: The international journal of medical robotics + computer assisted surgery Vol. 20; no. 4; pp. e2658 - n/a
• Main Authors: Lee, Seung Duk, Savsani, Kush, Wang, Sarah Ziqi, Bhati, Chandra, Sambommatsu, Yuzuru, Imai, Daisuke, Khan, Aamir, Saeed, Irfan, Sharma, Amit, Kumaran, Vinay, Cotterell, Adrian, Levy, Marlon, Bruno, David A.
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01-08-2024
• Subjects: Adult; Blood; Blood Loss, Surgical; clinical outcomes; donor nephrectomy; Female; Hospitals; Humans; Kidney Transplantation - methods; Length of Stay; Living Donors; Male; Middle Aged; Nephrectomy - methods; Operative Time; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Postoperative Complications - prevention & control; Retrospective Studies; Robotic surgery; Robotic Surgical Procedures - methods; robotic versus open surgery; Robotics; Tissue and Organ Harvesting - methods; transplant; Treatment Outcome; transplant; clinical outcomes; donor nephrectomy; robotic versus open surgery; robotic surgery
• ISSN: 1478-5951; 1478-596X; 1478-596X
• DOI: 10.1002/rcs.2658

Background
Robotic surgery is associated with less tissue manipulation and earlier recovery with minimal incision. The aim of this study was to compare the short‐term clinical outcomes between robotic‐assisted donor nephrectomy (RDN) and open mini‐incision donor nephrectomy (ODN).
Methods
From 2016 to 2019, 141 cases involving RDN were analysed. Patient outcomes were compared with those of 191 patients who underwent ODN from 2010 to 2015. Demographics, operation factors, perioperative outcomes, and complications were retrospectively reviewed.
Results
The RDN group presented with less blood loss than the ODN group (p = 0.023). The length of hospital stay was significantly shorter in the RDN group than in the ODN group (p < 0.005). The overall rate of complications was low and there was no significant difference in complication rates between the groups.
Conclusion
The robotic approach has benefits over the traditional open approach, including shorter length of hospital stay and reduced intraoperative blood loss.