Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review.
Adult
Humans
Intraoperative Care
Kidney Transplantation
/ adverse effects
Laparoscopy
/ adverse effects
Length of Stay
Living Donors
Middle Aged
Nephrectomy
/ adverse effects
Operative Time
Pain, Postoperative
/ etiology
Robotic Surgical Procedures
/ adverse effects
Treatment Outcome
Warm Ischemia
Young Adult
Journal
BioMed research international
ISSN: 2314-6141
Titre abrégé: Biomed Res Int
Pays: United States
ID NLM: 101600173
Informations de publication
Date de publication:
2019
2019
Historique:
received:
20
06
2018
accepted:
14
04
2019
entrez:
31
5
2019
pubmed:
31
5
2019
medline:
21
11
2019
Statut:
epublish
Résumé
We aimed to summarize available lines of evidence about intraoperative and postoperative donor outcomes following robotic-assisted laparoscopic donor nephrectomy (RALDN) as well as outcomes of graft and recipients. A systematic review of PubMed/Medline, ISI Web of Knowledge, and Scopus databases was performed in May 2018. The following search terms were combined: nephrectomy, robotic, and living donor. We included full papers that met the following criteria: original research; English language; human studies; enrolling patients undergoing RALDN. Eighteen studies involving 910 patients were included in the final analysis. Mean overall operative and warm ischemia times ranged from 139 to 306 minutes and from 1.5 to 5.8 minutes, respectively. Mean estimated blood loss varied from 30 to 146 mL and the incidence of intraoperative complications ranged from 0% to 6.7%. Conversion rate varied from 0% to 5%. The mean hospital length of stay varied from 1 to 5.8 days and incidence of early postoperative complications varied from 0% to 15.7%. No donor mortality was observed. The incidence of delayed graft function was reported in 7 cases. The one- and 10-year graft loss rates were 1% and 22%, respectively. Based on preliminary data, RALDN appears as a safe and effective procedure.
Identifiants
pubmed: 31143770
doi: 10.1155/2019/1729138
pmc: PMC6501265
doi:
Types de publication
Journal Article
Meta-Analysis
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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