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doi:10.22028/D291-37758
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: | https://link.springer.com/article/10.1007/s00345-020-03309-6 |
Link to this record: | urn:nbn:de:bsz:291--ds-377582 hdl:20.500.11880/34153 http://dx.doi.org/10.22028/D291-37758 |
ISSN: | 1433-8726 0724-4983 |
Date of registration: | 28-Oct-2022 |
Description of the related object: | Electronic supplementary material |
Related object: | https://static-content.springer.com/esm/art%3A10.1007%2Fs00345-020-03309-6/MediaObjects/345_2020_3309_MOESM1_ESM.docx |
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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