Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review

Aims. 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. Methods. A systematic review of PubMed/Medline, ISI Web of Knowledge, and Scopu...

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Main Authors: Massimiliano Creta, Armando Calogero, Caterina Sagnelli, Gaia Peluso, Paola Incollingo, Maria Candida, Gianluca Minieri, Nicola Longo, Ferdinando Fusco, Vincenzo Tammaro, Concetta Anna Dodaro, Francesco Mangiapia, Nicola Carlomagno
Format: Article
Language:English
Published: Hindawi Limited 2019-01-01
Series:BioMed Research International
Online Access:http://dx.doi.org/10.1155/2019/1729138
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spelling doaj-8dec28ded89940ada4fafb48c108d8c12020-11-25T02:34:10ZengHindawi LimitedBioMed Research International2314-61332314-61412019-01-01201910.1155/2019/17291381729138Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic ReviewMassimiliano Creta0Armando Calogero1Caterina Sagnelli2Gaia Peluso3Paola Incollingo4Maria Candida5Gianluca Minieri6Nicola Longo7Ferdinando Fusco8Vincenzo Tammaro9Concetta Anna Dodaro10Francesco Mangiapia11Nicola Carlomagno12Department of Neurosciences, Human Reproduction and Odontostomatology, University Federico II, Naples, ItalyDepartment of Advanced Biomedical Sciences, University Federico II, Naples, ItalyDepartment of Mental Health and Public Medicine, University of Campania Luigi Vanvitelli, ItalyDepartment of Advanced Biomedical Sciences, University Federico II, Naples, ItalyDepartment of Advanced Biomedical Sciences, University Federico II, Naples, ItalyDepartment of Advanced Biomedical Sciences, University Federico II, Naples, ItalyDepartment of Advanced Biomedical Sciences, University Federico II, Naples, ItalyDepartment of Neurosciences, Human Reproduction and Odontostomatology, University Federico II, Naples, ItalyDepartment of Neurosciences, Human Reproduction and Odontostomatology, University Federico II, Naples, ItalyDepartment of Advanced Biomedical Sciences, University Federico II, Naples, ItalyDepartment of Advanced Biomedical Sciences, University Federico II, Naples, ItalyDepartment of Neurosciences, Human Reproduction and Odontostomatology, University Federico II, Naples, ItalyDepartment of Advanced Biomedical Sciences, University Federico II, Naples, ItalyAims. 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. Methods. 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. Results. 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. Conclusions. Based on preliminary data, RALDN appears as a safe and effective procedure.http://dx.doi.org/10.1155/2019/1729138
collection DOAJ
language English
format Article
sources DOAJ
author Massimiliano Creta
Armando Calogero
Caterina Sagnelli
Gaia Peluso
Paola Incollingo
Maria Candida
Gianluca Minieri
Nicola Longo
Ferdinando Fusco
Vincenzo Tammaro
Concetta Anna Dodaro
Francesco Mangiapia
Nicola Carlomagno
spellingShingle Massimiliano Creta
Armando Calogero
Caterina Sagnelli
Gaia Peluso
Paola Incollingo
Maria Candida
Gianluca Minieri
Nicola Longo
Ferdinando Fusco
Vincenzo Tammaro
Concetta Anna Dodaro
Francesco Mangiapia
Nicola Carlomagno
Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review
BioMed Research International
author_facet Massimiliano Creta
Armando Calogero
Caterina Sagnelli
Gaia Peluso
Paola Incollingo
Maria Candida
Gianluca Minieri
Nicola Longo
Ferdinando Fusco
Vincenzo Tammaro
Concetta Anna Dodaro
Francesco Mangiapia
Nicola Carlomagno
author_sort Massimiliano Creta
title Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review
title_short Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review
title_full Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review
title_fullStr Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review
title_full_unstemmed Donor and Recipient Outcomes following Robotic-Assisted Laparoscopic Living Donor Nephrectomy: A Systematic Review
title_sort donor and recipient outcomes following robotic-assisted laparoscopic living donor nephrectomy: a systematic review
publisher Hindawi Limited
series BioMed Research International
issn 2314-6133
2314-6141
publishDate 2019-01-01
description Aims. 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. Methods. 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. Results. 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. Conclusions. Based on preliminary data, RALDN appears as a safe and effective procedure.
url http://dx.doi.org/10.1155/2019/1729138
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