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

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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, symptomatic lymphocele, less postoperative pain, smaller incision length, and shorter length of hospital stay 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.

Original languageEnglish
Article number106264
JournalInternational Journal of Surgery
Volume99
DOIs
Publication statusPublished - Mar 2022

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Copyright © 2022 The Author(s). Published by Elsevier Ltd. All rights reserved.

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