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Current status and future perspectives on robot-assisted kidney autotransplantation: A literature review.

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Affiliations

  • 1. Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, Okayama, Japan.
      Authors
    • Sekito T 1
    • Yamanoi T 1
    • Sadahira T 1
    • Yoshinaga K 1
    • Maruyama Y 1
    • Tominaga Y 1
    • Katayama S 1
    • Iwata T 1
    • Nishimura S 1
    • Bekku K 1
    • Edamura K 1
    • Kobayashi T 1
    • Kobayashi Y 1
    • Araki M 1
    (14 authors)

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International Journal of Urology : Official Journal of the Japanese Urological Association, 17 Feb 2024, 31(6):599-606
https://doi.org/10.1111/iju.15426 PMID: 38366752 

Review

Abstract 

This review presents the latest insights on robot-assisted kidney autotransplantation (RAKAT). RAKAT is a minimally invasive surgical procedure and represents a promising alternative to conventional laparoscopic nephrectomy followed by open kidney transplantation for the treatment of various complex urological and vascular conditions. RAKAT can be performed either extracorporeally or intracorporeally. Additionally, a single-port approach can be performed through one small incision without the need to reposition the patient. Of 86 patients undergoing RAKAT, 8 (9.3%) developed postoperative > Grade 2 Clavien-Dindo (CD) complications. Although the feasibility of RAKAT was established in 2014, the long-term efficacy and safety along with outcomes of this surgical approach are still being evaluated, and additional studies are needed. With improvements in the technology of RAKAT and as surgeons gain more experience, RAKAT should become increasingly used and further refined, thereby leading to improved surgical outcomes and improved patients' quality of life.

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Read article at publisher's site: https://doi.org/10.1111/iju.15426

Read article for free, from open access legal sources, via Unpaywall: https://onlinelibrary.wiley.com/doi/pdfdirect/10.1111/iju.15426Unpaywall

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