Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2022 Mar:99:106264.
doi: 10.1016/j.ijsu.2022.106264. Epub 2022 Feb 17.

Robot-assisted kidney transplantation as a minimally invasive approach for kidney transplant recipients: A systematic review and meta-analyses

Julia S Slagter  1 , Loubna Outmani, Khe T C K Tran, Jan N M Ijzermans, Robert C Minnee
Affiliations
Free article
Meta-Analysis

Robot-assisted kidney transplantation as a minimally invasive approach for kidney transplant recipients: A systematic review and meta-analyses

Julia S Slagter et al. Int J Surg. 2022 Mar.
Free article

Abstract

Background: Robot-assisted kidney transplantation (RAKT) has emerged as an alternative for kidney transplant recipients with the potential benefits of minimally invasive surgery. The aim of this systematic review and meta-analysis is to compare the clinical outcomes of RAKT with open kidney transplantation (OKT).

Methods: MEDLINE, Embase, Web of Science and Cochrane databases were systematically searched. Baseline characteristics, intraoperative and postoperative outcomes were collected, as well as long-term renal function and data on graft and patient survival.

Results: Eleven studies were included, which compared 482 RAKT procedures with 1316 OKT procedures. RAKT was associated with lower a risk of surgical site infection (Risk ratio (RR) = 0.15, p < 0.001), symptomatic lymphocele (RR = 0.20, p = 0.03), less postoperative pain (Mean difference (MD) = -1.38 points, p < 0.001), smaller incision length (MD = -8.51 cm, p < 0.001), and shorter length of hospital stay (MD = -1.69 days, p = 0.03) compared with OKT. No difference was found in renal function, graft, and patient survival.

Conclusions: RAKT is a safe and feasible alternative to OKT with less surgical complications without compromising renal function, graft and patient survival.

Keywords: Graft survival; Kidney transplantation; Postoperative complications; Robotic surgical procedures; Surgical wound infection; Systematic review.

PubMed Disclaimer

Comment in

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Merrill JP, Murray JE, Harrison JH, Guild WR. Successful homotransplantation of the human kidney between identical twins. J. Am. Med. Assoc . 1956;160(4):277-282.
    1. Nanni G, Tondolo V, Citterio F, Romagnoli J, Borgetti M, Boldrini G, et al. Comparison of oblique versus hockey-stick surgical incision for kidney transplantation. Transplant. Proc . 2005;37(6):2479-2481.
    1. Harris AD, Fleming B, Bromberg JS, Rock P, Nkonge G, Emerick M, et al. Surgical site infection after renal transplantation. Infect. Control Hosp. Epidemiol . 2015;36(4):417-423.
    1. Lynch RJ, Ranney DN, Shijie C, Lee DS, Samala N, Englesbe MJ. Obesity, surgical site infection, and outcome following renal transplantation. Ann. Surg . 2009;250(6):1014-1020.
    1. Humar A, Ramcharan T, Denny R, Gillingham KJ, Payne WD, Matas AJ. Are wound complications after a kidney transplant more common with modern immunosuppression? Transplantation . 2001;72(12):1920-1923.

MeSH terms