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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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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