Please use this identifier to cite or link to this item: doi:10.22028/D291-37758
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Title: Robotic-assisted kidney transplantation in obese recipients compared to non-obese recipients : the European experience
Author(s): Prudhomme, Thomas
Beauval, Jean Baptiste
Lesourd, Marine
Roumiguié, Mathieu
Decaestecker, Karel
Vignolini, Graziano
Campi, Riccardo
Serni, Sergio
Territo, Angelo
Gausa, Luis
Tugcu, Volkan
Sahin, Selcuk
Alcaraz, Antonio
Musquera, Mireia
Stöckle, Michael
Janssen, Martin
Fornara, Paolo
Mohammed, Nasreldin
Del Bello, Arnaud
Kamar, Nassim
Sallusto, Federico
Breda, Alberto
Doumerc, Nicolas
Language: English
Title: World Journal of Urology
Volume: 39 (2021)
Issue: 4
Pages: 1287–1298
Publisher/Platform: Springer Nature
Year of Publication: 2020
Free key words: Obese patients
Kidney transplantation
Robot-assisted kidney transplantation
Robotic surgery
Vascular anastomosis
DDC notations: 610 Medicine and health
Publikation type: Journal Article
Abstract: Purpose The main objective was to compare minor (Clavien I–II) and major (Clavien≥III) intra- and postoperative complications of living donor robotic assisted kidney transplantation (RAKT) in obese (≥30 kg/m2 BMI), overweight (<30/≥25 kg/ m2 BMI) and non-overweight recipients (<25 kg/m2 BMI). Methods For the present retrospective study, we reviewed the multi-institutional ERUS-RAKT database to select consecutive living donor RAKT recipients. Functional outcomes, intra- and postoperative complications were compared between obese, overweight and non-overweight recipients. Results 169 living donor RAKTs were performed, by 10 surgeons, from July 2015 to September 2018 in the 8 European centers. 32 (18.9%) recipients were obese, 66 (39.1%) were overweight and 71 (42.0%) were non-overweight. Mean follow-up was 1.2 years. There were no major intra-operative complications in either study group. Conversion to open surgery occurred in 1 obese recipient, in 2 overweight recipients and no conversion occurred in non-overweight recipients (p=0.3). Minor and major postoperative complications rates were similar in the 3 groups. At one-year of follow-up, median eGFR was similar in all groups [54 (45–60) versus 57 (46–70) versus 63 (49–78) ml/min/1.73 m2 in obese, overweight and non-overweight recipient groups, respectively, p=0.5]. Delayed graft function rate was similar in the 3 groups. Only the number of arteries was an independent predictive factor of suboptimal renal function at post-operative day 30 in the multivariate analysis. Conclusion RAKT in obese recipients is safe, compared to non-overweight recipients and yields very good function, when it performed at high-volume referral centers by highly trained transplant teams.
DOI of the first publication: 10.1007/s00345-020-03309-6
URL of the first publication:
Link to this record: urn:nbn:de:bsz:291--ds-377582
ISSN: 1433-8726
Date of registration: 28-Oct-2022
Description of the related object: Electronic supplementary material
Related object:
Faculty: M - Medizinische Fakultät
Department: M - Urologie und Kinderurologie
Professorship: M - Prof. Dr. Michael Stöckle
Collections:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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