Abstract:
Objective To evaluate the safety and efficacy of robot-assisted laparoscopic living donor nephrectomy.
Methods Clinical data of 31 donors and recipients undergoing robot-assisted laparoscopic living donor nephrectomy in Xijing Hospital of the Fourth Military Medical University from November 2013 to August 2015 were retrospectively analyzed.
Results Donor nephrectomy was successfully performed in 31 cases. The operation time ranged from 110 to 190 min. Intraoperative hemorrhage volume was measured as 20-100 ml. The warm ischemia time of the donor kidney was 100 to 160 s. The retained length of renal vein was between 1.8 and 3.0 cm and the length of renal artery was 1.4 to 2.3 cm. In 2 cases, spleen injury occurred during the kidney extraction and was treated with splenorrhaphy. One donor had postoperative hemorrhage, which was treated with hemostasis and anemia correction. Thirty one donors received postoperative follow-up for over 6 months. No long-term complications were observed. Among 31 recipients, one patient had delayed recovery of renal graft function and the serum creatinine level returned to normal range after treatment at postoperative 1 month. The survival rate of kidney grafts was up to 100%.
Conclusion Robot-assisted laparoscopic living donor nephrectomy is a safe and efficacious surgical procedure for kidney resection, which possesses the advantages of small trauma, rapid recovery and no influence upon renal function.
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