MP52-14 ROBOT-ASSISTED KIDNEY TRANSPLANTATION IN THE OBESE: UPDATE OF A MONOCENTRIC STUDY WITH 28 PATIENTS

You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation & Vascular Surgery II (MP52)1 Apr 2020MP52-14 ROBOT-ASSISTED KIDNEY TRANSPLANTATION IN THE OBESE: UPDATE OF A MONOCENTRIC STUDY WITH 28 PATIENTS Lesourd Marine*, Mathieu Roumiguié, Federico Sallusto, Pascal Rischmann, Michel Soulié, Xavier Gamé, Jean Baptiste Beauval, Nassim Kamar, and Nicolas Doumerc Lesourd Marine*Lesourd Marine* More articles by this author , Mathieu RoumiguiéMathieu Roumiguié More articles by this author , Federico SallustoFederico Sallusto More articles by this author , Pascal RischmannPascal Rischmann More articles by this author , Michel SouliéMichel Soulié More articles by this author , Xavier GaméXavier Gamé More articles by this author , Jean Baptiste BeauvalJean Baptiste Beauval More articles by this author , Nassim KamarNassim Kamar More articles by this author , and Nicolas DoumercNicolas Doumerc More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000914.014AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Kidney transplantation (KT) is the gold standard treatment for patients with end-stage renal disease. The last decade we observed an achievement of Robot-assisted kidney transplantation (RAKT) that allowed available KT to obese patients.We present the updated results of RAKT in obese conditions at 2 years follow-up. METHODS: A prospective, monocentric study started in December 2015 evaluating peri-operative and post-operative results of robot-assisted RT in obese patients. At the beginning of the study, all the patients were concerned by this technique. Since September 2016, only obese and patients with abdominal perimeter > 105cm contraindicated to laparotomy TR have been concerned by this technique. RESULTS: 28 patients were included, 8 women and 20 men with a mean age of 54.05 years (32-75), mean BMI of 32.08 kg/m2 (30-40), an average creatinine pre-transplantation at 533 micromol/L (269 -919), eGFR 10.96 ml/min/1.73m2 (4-24), an average ASA score of 2. The mean operating time was 158 min (110-300) with a mean duration for vascular anastomoses of 31 min (17-43) and average blood loss <150 ml. The warm ischemia time was 44 min (28-55). 1 patient had 2 renal arteries. 3 patients had a vaginal approach. 1 patient had conversion to laparotomy for poor graft position. 7 days after the graft, the creatinemia was 149 micromol/l (105-850). The average length of stay was 6 days (4-8). CONCLUSIONS: Main advantages of this technique seem to be the quality of vascular anastomotis and the fast post-operative recovery. It opens up new opportunities for morbidly obese patients usually contraindicated in renal transplantation. Source of Funding: none © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e777-e778 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Lesourd Marine* More articles by this author Mathieu Roumiguié More articles by this author Federico Sallusto More articles by this author Pascal Rischmann More articles by this author Michel Soulié More articles by this author Xavier Gamé More articles by this author Jean Baptiste Beauval More articles by this author Nassim Kamar More articles by this author Nicolas Doumerc More articles by this author Expand All Advertisement PDF downloadLoading ...