KLI

Robotic assisted kidney transplantation

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Alternative Title
Robotic assisted kidney transplantation
Abstract
This paper describes robot-assisted kidney transplantation (RAKT) from a living donor.
The robot is docked between the parted legs of the patient, placed in the supine
Trendelenburg position. Kidney allografts are provided by a living donor. Before
vascular anastomosis, the kidney allograft is prepared by inserting a double-J stent in
the ureter, and the temperature for the anastomosis is lowered by wrapping it in an
ice-packed gauze. A 12 mm or 8 mm port for the robotic camera and three 8 mm ports
for robotic arms are placed. A peritoneal pouch is created for the kidney allograft by
raising the peritoneal flaps on both sides over the psoas muscle before dissecting the
iliac vessels and bladder. A 6 cm Pfannenstiel incision is made to insert the kidney
into the peritoneal pouch, lateral to the right iliac vessels.
After clamping the external iliac vein with Bulldogs clamps, a venotomy is performed,
and the graft renal vein is anastomosed to the external iliac vein in an end-to-side
continuous manner with a 6/0 polytetrafluoroethylene suture. After clamping the graft
renal vein, the iliac vein is declamped. This is followed by clamping of the external
iliac artery, arteriotomy, arterial anastomosis with a 6/0 polytetrafluoroethylene suture,
clamping of the graft renal artery, and declamping of the external iliac artery.
Reperfusion is then carried out, and ureteroneocystostomy is performed using the
Lich-Gregoir technique. The peritoneum is closed at a few locations with polymer
locking clips, and a closed-suction drain is placed through one of the working ports.
After deflating the pneumoperitoneum, all incisions are closed
Author(s)
고영민권현욱김동현김영훈신성임성준정주희
Issued Date
2021
Type
Article
Keyword
Care and treatmentda Vinci surgical systemHealth aspectsInnovationsKidney diseaseskidney recipientKidneyslaparoscopyrobotic assistanceRobotic surgerySymposiumTransplantationUsage
DOI
10.4103/0970-1591.135669
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8097
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_doaj_primary_oai_doaj_org_article_aa5242fbc6004733ae52b84054241438&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Robotic%20assisted%20kidney%20transplantation&offset=0&pcAvailability=true
Publisher
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS
Location
미국
Language
한국어
ISSN
1940-087X
Citation Volume
173
Citation Number
00
Citation Start Page
e62220
Citation End Page
e62220
Appears in Collections:
Medicine > Medicine
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