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The first robotic kidney transplantation in Korea: a case report

Authors
 Hyun Jeong Kim  ;  Seok Jeong Yang  ;  Wooju Jeong  ;  Juhan Lee  ;  Joon Chae Na  ;  Woong Kyu Han  ;  Kyu Ha Huh 
Citation
 Korean Journal of Transplantation, Vol.36(1) : 61-66, 2022-03 
Journal Title
Korean Journal of Transplantation
ISSN
 2671-8790 
Issue Date
2022-03
Keywords
Case report ; Kidney transplantation ; Regional hypothermia ; Robotic
Abstract
Minimally invasive surgery reduces perioperative pain and morbidity, facilitating rapid recovery. However, the field of kidney transplantation has lagged in this regard, its customary open surgical techniques going nearly unchanged until recently. Robotic kidney transplantation (RKT) is a novel and welcomed innovation yielding good surgical outcomes. In Korea, the first RKT performed (November 2019) involved a 30-year-old man (body mass index, 22 kg/m2) with end-stage hypertensive nephrosclerosis. A left donor kidney from his 28-year-old sister was successfully transplanted using the daVinci Robotic Surgical System. Transperitoneal regional hypothermia (Vattikuti Urology Institute-Medanta technique) was also implemented across the main periumbilical incision (up to 6 cm). Total operative time was 260 minutes (cold ischemia, 34 minutes; rewarming, 54 minutes), with 50 mL of blood loss. There was immediate graft function, unencumbered by surgical complications (e.g., postoperative bleeding, leakage, or lymphocele). The patient was discharged on postoperative day 8, with serum creatinine at 1.27 mg/dL. RKT with regional hypothermia may be a viable, minimally invasive intervention that is safe and effective in select patients, showing good surgical results.
Files in This Item:
T202204446.pdf Download
DOI
10.4285/kjt.21.0023
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Jeong(김현정)
Na, Joon Chae(나준채) ORCID logo https://orcid.org/0000-0003-4449-8472
Lee, Ju Han(이주한)
Han, Woong Kyu(한웅규) ORCID logo https://orcid.org/0000-0002-2527-4046
Huh, Kyu Ha(허규하) ORCID logo https://orcid.org/0000-0003-1364-6989
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/191256
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