Robotic-assisted living donor nephrectomy (two cases of reports)
Liu Shengzhen1, Dong Jun1, Luo Guangda2, Sun Bo1, Lu Jinshan1, Zu Qiang1, Zhang Xu1
1.Department of Urology, Chinese People's Liberation Army General Hospital, Beijing 100853, China; 2Chinese People's Liberation Army Sanitary Corps Unit No.69241
Abstract：Objective: To investigate the safety and feasibility of robotic-assisted living donor (RALD) nephrectomy. Methods: With the use of Da Vinci robotic surgical system, 2 donors underwent RALD nephrectomies in our institution. Results: The operation was performed successfully in the 2 patients without conversion to open surgery. The operative mean time was 80 min (not including preoperative set-up time of Da Vinci surgical system about 28 min). The blood loss was about 50 mL. The warm ischemia time was 3 min. The urine output was prompt in the 2 cases within 1 min. Recipient creatinine was normal within 1 week, without any syndrome or renal dysfunction. Donor hospital stay was 5-6 days after operation, without any syndrome or renal dysfunction. Conclusions: The RALD nephrectomy is safe and feasible, with dissecting meticulously and preventing problematic bleeding more easily.
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