To compare intraoperative, postoperative, and functional outcomes of obese recipients undergoing living donor robotic-assisted kidney transplantation (RAKT) versus open kidney transplantation (OKT).
Key Findings:
46 living donor RAKT were compared to 40 OKT, all recipients were obese.
Median operative time was significantly longer in the OKT group (215.5 vs. 140.0 min, p < 0.0001).
Intraoperative major complications were similar in both groups (2.5% vs. 2.2%, p = 0.9).
Two conversions to open surgery occurred during RAKT due to complications.
Interpretation:
RAKT may offer a shorter operative time compared to OKT in obese patients, with comparable complication rates, suggesting it could be a viable alternative.
Limitations:
Retrospective design may introduce selection bias.
Limited sample size may affect generalizability of results.
Data collected from a single center may not represent broader populations.
Conclusion:
RAKT appears to be a safe and effective option for kidney transplantation in obese patients, with potential advantages over traditional techniques.
by Alice Rondot, Stephan Levy, Jérémy Mercier, Anne Sophie Bajeot, Arnaud Del Bello, Nassim Kamar, Xavier Gamé, Nicolas Doumerc, Federico Sallusto, Thomas Prudhomme
