Robotic versus open mini‐incision living donor nephrectomy: Single centre experience
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...
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| Published in: | The international journal of medical robotics + computer assisted surgery Vol. 20; no. 4; pp. e2658 - n/a |
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| Main Authors: | , , , , , , , , , , , , |
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| Language: | English |
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01-08-2024
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| Abstract | 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. |
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| AbstractList | BackgroundRobotic 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).MethodsFrom 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.ResultsThe 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.ConclusionThe robotic approach has benefits over the traditional open approach, including shorter length of hospital stay and reduced intraoperative blood loss. 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). 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. 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. The robotic approach has benefits over the traditional open approach, including shorter length of hospital stay and reduced intraoperative blood loss. 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. 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).BACKGROUNDRobotic 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).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.METHODSFrom 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.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.RESULTSThe 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.The robotic approach has benefits over the traditional open approach, including shorter length of hospital stay and reduced intraoperative blood loss.CONCLUSIONThe robotic approach has benefits over the traditional open approach, including shorter length of hospital stay and reduced intraoperative blood loss. |
| Author | Sharma, Amit Savsani, Kush Sambommatsu, Yuzuru Levy, Marlon Khan, Aamir Wang, Sarah Ziqi Imai, Daisuke Bruno, David A. Saeed, Irfan Bhati, Chandra Cotterell, Adrian Lee, Seung Duk Kumaran, Vinay |
| Author_xml | – sequence: 1 givenname: Seung Duk surname: Lee fullname: Lee, Seung Duk organization: Virginia Commonwealth University – sequence: 2 givenname: Kush orcidid: 0000-0003-4413-5065 surname: Savsani fullname: Savsani, Kush organization: Virginia Commonwealth University – sequence: 3 givenname: Sarah Ziqi orcidid: 0000-0003-3080-6665 surname: Wang fullname: Wang, Sarah Ziqi organization: Cleveland Clinic Foundation – sequence: 4 givenname: Chandra surname: Bhati fullname: Bhati, Chandra organization: University of Maryland School of Medicine – sequence: 5 givenname: Yuzuru orcidid: 0000-0001-7057-1544 surname: Sambommatsu fullname: Sambommatsu, Yuzuru organization: Virginia Commonwealth University – sequence: 6 givenname: Daisuke surname: Imai fullname: Imai, Daisuke organization: Virginia Commonwealth University – sequence: 7 givenname: Aamir surname: Khan fullname: Khan, Aamir organization: Virginia Commonwealth University – sequence: 8 givenname: Irfan surname: Saeed fullname: Saeed, Irfan organization: Virginia Commonwealth University – sequence: 9 givenname: Amit surname: Sharma fullname: Sharma, Amit organization: Virginia Commonwealth University – sequence: 10 givenname: Vinay surname: Kumaran fullname: Kumaran, Vinay organization: Virginia Commonwealth University – sequence: 11 givenname: Adrian surname: Cotterell fullname: Cotterell, Adrian organization: Virginia Commonwealth University – sequence: 12 givenname: Marlon surname: Levy fullname: Levy, Marlon organization: Virginia Commonwealth University – sequence: 13 givenname: David A. surname: Bruno fullname: Bruno, David A. email: David.Bruno@vcuhealth.org organization: Virginia Commonwealth University |
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| Cites_doi | 10.1111/ctr.13451 10.1111/bju.13675 10.1007/s11701‐018‐0801‐x 10.1097/sla.0000000000004247 10.1016/j.ijsu.2017.01.105 10.1016/j.juro.2017.12.086 10.1177/2054358119857718 10.1097/00007890‐200205150‐00018 10.1016/j.transproceed.2016.01.075 10.1016/j.ejogrb.2018.10.006 10.1097/tp.0000000000001769 10.1007/s11701‐017‐0741‐x 10.1155/2019/1729138 10.1007/s00423‐018‐1700‐3 10.1002/jso.25103 10.1001/jama.2017.14586 10.1007/s00268‐016‐3543‐9 10.1016/j.urolonc.2018.06.012 10.23736/s0393‐2249.16.02856‐3 10.1016/j.purol.2019.08.263 10.5812/numonthly.12182 10.1089/end.2015.0213 10.1097/pts.0000000000000610 10.1097/tp.0000000000001251 |
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Robotic surgery is associated with less tissue manipulation and earlier recovery with minimal incision. The aim of this study was to compare the... 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... BackgroundRobotic surgery is associated with less tissue manipulation and earlier recovery with minimal incision. The aim of this study was to compare the... |
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| SubjectTerms | 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 |
| Title | Robotic versus open mini‐incision living donor nephrectomy: Single centre experience |
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