机器人辅助肾移植术单中心初步经验

Preliminary experience of robotic-assisted kidney transplantation in a single center

    摘要
  • 摘要:
      目的  探索机器人辅助肾移植（RAKT）的安全性、有效性及可行性。
      方法  收集行肾移植术的16例患者资料，其中8例采用RAKT（RAKT组），接受同一供者对侧肾脏的8例患者采用开放肾移植术（OKT组）。对比两组受者围手术期结果及移植肾功能恢复情况。
      结果  所有患者均成功完成手术，RAKT组无患者在术中转开放手术。RAKT组手术时间长于OKT组（P=0.015）。两组受者术前血清肌酐及出院时血清肌酐差异无统计学意义（均为P>0.05）。OKT组1例受者出现移植物功能延迟恢复（DGF），其余患者均未出现围手术期并发症。两组术后短期肾功能恢复差异无统计学意义（P>0.05）。
      结论   RAKT术后恢复与OKT相当，对于肾移植手术经验丰富的团队而言，RAKT是一种安全有效的手术方式，可以尝试开展。

     

    Abstract:
      Objective  To evaluate the safety, effectiveness and feasibility of robotic-assisted kidney transplantation (RAKT).
      Methods  Clinical data of 16 patients who underwent kidney transplantation were collected. Among them, 8 recipients received RAKT (RAKT group) and 8 cases underwent open kidney transplantation (OKT) with the contralateral kidney from the same donor (OKT group). Perioperative status and the recovery of renal allograft function were compared between two groups.
      Results  All patients successfully completed the surgery. In the RAKT group, no patient was converted to open surgery. The operation time in the RAKT group was longer than that in the OKT group (P=0.015). No significant differences were observed in the serum creatinine levels before surgery and upon discharge between two groups (both P>0.05). In the OKT group, one recipient developed delayed graft function (DGF), and the remaining recipients did not experience perioperative complications. No significant difference was noted in the short-term recovery of renal allograft function between two groups (P>0.05).
      Conclusions  Postoperative recovery of the recipients in the RAKT group is equivalent to that of their counterparts in the OKT group. RAKT is a safe and effective procedure for the team expertise in kidney transplantation.

     

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