TY - JOUR
T1 - Robot-assisted kidney transplantation as a minimally invasive approach for kidney transplant recipients
T2 - A systematic review and meta-analyses
AU - Slagter, Julia S
AU - Outmani, Loubna
AU - Tran, Khe T C K
AU - Ijzermans, Jan N M
AU - Minnee, Robert C
N1 - Copyright © 2022 The Author(s). Published by Elsevier Ltd.. All rights reserved.
PY - 2022/3
Y1 - 2022/3
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85124849720&partnerID=8YFLogxK
U2 - 10.1016/j.ijsu.2022.106264
DO - 10.1016/j.ijsu.2022.106264
M3 - Review article
C2 - 35183735
SN - 1743-9191
VL - 99
JO - International Journal of Surgery
JF - International Journal of Surgery
M1 - 106264
ER -