Robot‐assisted kidney transplantation is a safe alternative approach for morbidly obese patients with end‐stage renal disease
Background Many centres deny obese patients with a body mass index (BMI) >35 access to kidney transplantation due to increased intraoperative and postoperative complications. Methods From August 2017 to December 2019, 73 consecutive cases of kidney transplantation in morbidly obese patients were...
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| Veröffentlicht in: | The international journal of medical robotics + computer assisted surgery 2021-10, Vol.17 (5), p.e2293-n/a |
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| container_title | The international journal of medical robotics + computer assisted surgery |
| container_volume | 17 |
| creator | Lee, Seung Duk Rawashdeh, Badi McCracken, Emily K. E. Cantrell, Leigh A. Kharwat, Bassel Demirag, Alp Agarwal, Avinash Brayman, Kenneth L. Pelletier, Shawn J. Goldaracena, Nicolas Fox, Emily Oberholzer, José |
| description | Background
Many centres deny obese patients with a body mass index (BMI) >35 access to kidney transplantation due to increased intraoperative and postoperative complications.
Methods
From August 2017 to December 2019, 73 consecutive cases of kidney transplantation in morbidly obese patients were enrolled at a single university at the initiation of a robotic transplant surgery program. Outcomes of patients who underwent robotic assisted kidney transplant (RAKT) were compared to frequency‐matched patients undergoing open kidney transplant (OKT).
Results
A total of 24 morbidly obese patients successfully underwent RAKT, and 49 obese patients received an OKT. The RAKT group developed fewer surgical site infections (SSI) than the OKT group. Graft function, creatinine, and glomerular filtration rate (GFR) were similar between groups 1 year after surgery. Graft and patient survival were 100% for both groups.
Conclusions
RAKT offers a safe alternative for morbidly obese patients, who may otherwise be denied access to OKT. |
| doi_str_mv | 10.1002/rcs.2293 |
| format | Article |
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Many centres deny obese patients with a body mass index (BMI) >35 access to kidney transplantation due to increased intraoperative and postoperative complications.
Methods
From August 2017 to December 2019, 73 consecutive cases of kidney transplantation in morbidly obese patients were enrolled at a single university at the initiation of a robotic transplant surgery program. Outcomes of patients who underwent robotic assisted kidney transplant (RAKT) were compared to frequency‐matched patients undergoing open kidney transplant (OKT).
Results
A total of 24 morbidly obese patients successfully underwent RAKT, and 49 obese patients received an OKT. The RAKT group developed fewer surgical site infections (SSI) than the OKT group. Graft function, creatinine, and glomerular filtration rate (GFR) were similar between groups 1 year after surgery. Graft and patient survival were 100% for both groups.
Conclusions
RAKT offers a safe alternative for morbidly obese patients, who may otherwise be denied access to OKT.</description><identifier>ISSN: 1478-5951</identifier><identifier>EISSN: 1478-596X</identifier><identifier>DOI: 10.1002/rcs.2293</identifier><language>eng</language><publisher>Hamilton: Wiley Subscription Services, Inc</publisher><subject>Body size ; Creatinine ; Infectious diseases ; kidney ; Kidney diseases ; kidney transplant ; Kidney transplants ; morbid obesity ; Robotic surgery ; Surgical site infections ; surgical‐site infection</subject><ispartof>The international journal of medical robotics + computer assisted surgery, 2021-10, Vol.17 (5), p.e2293-n/a</ispartof><rights>2021 John Wiley & Sons Ltd.</rights><rights>2021 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3263-d3c241896d5f9dd1a6f69fe37cf799fc944816e9261d9b9cd4c5713afffd30b43</citedby><cites>FETCH-LOGICAL-c3263-d3c241896d5f9dd1a6f69fe37cf799fc944816e9261d9b9cd4c5713afffd30b43</cites><orcidid>0000-0002-1069-2501</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Frcs.2293$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Frcs.2293$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids></links><search><creatorcontrib>Lee, Seung Duk</creatorcontrib><creatorcontrib>Rawashdeh, Badi</creatorcontrib><creatorcontrib>McCracken, Emily K. E.</creatorcontrib><creatorcontrib>Cantrell, Leigh A.</creatorcontrib><creatorcontrib>Kharwat, Bassel</creatorcontrib><creatorcontrib>Demirag, Alp</creatorcontrib><creatorcontrib>Agarwal, Avinash</creatorcontrib><creatorcontrib>Brayman, Kenneth L.</creatorcontrib><creatorcontrib>Pelletier, Shawn J.</creatorcontrib><creatorcontrib>Goldaracena, Nicolas</creatorcontrib><creatorcontrib>Fox, Emily</creatorcontrib><creatorcontrib>Oberholzer, José</creatorcontrib><title>Robot‐assisted kidney transplantation is a safe alternative approach for morbidly obese patients with end‐stage renal disease</title><title>The international journal of medical robotics + computer assisted surgery</title><description>Background
Many centres deny obese patients with a body mass index (BMI) >35 access to kidney transplantation due to increased intraoperative and postoperative complications.
Methods
From August 2017 to December 2019, 73 consecutive cases of kidney transplantation in morbidly obese patients were enrolled at a single university at the initiation of a robotic transplant surgery program. Outcomes of patients who underwent robotic assisted kidney transplant (RAKT) were compared to frequency‐matched patients undergoing open kidney transplant (OKT).
Results
A total of 24 morbidly obese patients successfully underwent RAKT, and 49 obese patients received an OKT. The RAKT group developed fewer surgical site infections (SSI) than the OKT group. Graft function, creatinine, and glomerular filtration rate (GFR) were similar between groups 1 year after surgery. Graft and patient survival were 100% for both groups.
Conclusions
RAKT offers a safe alternative for morbidly obese patients, who may otherwise be denied access to OKT.</description><subject>Body size</subject><subject>Creatinine</subject><subject>Infectious diseases</subject><subject>kidney</subject><subject>Kidney diseases</subject><subject>kidney transplant</subject><subject>Kidney transplants</subject><subject>morbid obesity</subject><subject>Robotic surgery</subject><subject>Surgical site infections</subject><subject>surgical‐site infection</subject><issn>1478-5951</issn><issn>1478-596X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kd9qFDEUxgdRcF0LfYSAN95Mm0wymc2lLFqFQqFa6N2QSU662WYnY062Ze7qG_iMfZJmrSgIXp2Pw-_8-fiq6pjRE0Zpc5oMnjSN4i-qBRPdqm6VvH75R7fsdfUGcUupaIUUi-rHZRxifnz4qRE9ZrDk1tsRZpKTHnEKesw6-zgSj0QT1A6IDhnSWLp3RU9TitpsiIuJ7GIavA0ziQMgkKkgMGYk9z5vCIy2XMGsb4AkGHUg1iNohLfVK6cDwtHvuqyuPn38tv5cn1-cfVl_OK8NbySvLTeNYCslbeuUtUxLJ5UD3hnXKeWMEmLFJKhGMqsGZawwbce4ds5ZTgfBl9X7573l4-97wNzvPBoIxSLEPfZNy2Wnyowq6Lt_0G3cF8vhQMkVazlt6d-FJkXEBK6fkt_pNPeM9ocs-pJFf8iioPUzeu8DzP_l-sv111_8E2lVj04</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Lee, Seung Duk</creator><creator>Rawashdeh, Badi</creator><creator>McCracken, Emily K. E.</creator><creator>Cantrell, Leigh A.</creator><creator>Kharwat, Bassel</creator><creator>Demirag, Alp</creator><creator>Agarwal, Avinash</creator><creator>Brayman, Kenneth L.</creator><creator>Pelletier, Shawn J.</creator><creator>Goldaracena, Nicolas</creator><creator>Fox, Emily</creator><creator>Oberholzer, José</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7SC</scope><scope>7SP</scope><scope>7TB</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>JQ2</scope><scope>K9.</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1069-2501</orcidid></search><sort><creationdate>202110</creationdate><title>Robot‐assisted kidney transplantation is a safe alternative approach for morbidly obese patients with end‐stage renal disease</title><author>Lee, Seung Duk ; Rawashdeh, Badi ; McCracken, Emily K. E. ; Cantrell, Leigh A. ; Kharwat, Bassel ; Demirag, Alp ; Agarwal, Avinash ; Brayman, Kenneth L. ; Pelletier, Shawn J. ; Goldaracena, Nicolas ; Fox, Emily ; Oberholzer, José</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3263-d3c241896d5f9dd1a6f69fe37cf799fc944816e9261d9b9cd4c5713afffd30b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Body size</topic><topic>Creatinine</topic><topic>Infectious diseases</topic><topic>kidney</topic><topic>Kidney diseases</topic><topic>kidney transplant</topic><topic>Kidney transplants</topic><topic>morbid obesity</topic><topic>Robotic surgery</topic><topic>Surgical site infections</topic><topic>surgical‐site infection</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Seung Duk</creatorcontrib><creatorcontrib>Rawashdeh, Badi</creatorcontrib><creatorcontrib>McCracken, Emily K. E.</creatorcontrib><creatorcontrib>Cantrell, Leigh A.</creatorcontrib><creatorcontrib>Kharwat, Bassel</creatorcontrib><creatorcontrib>Demirag, Alp</creatorcontrib><creatorcontrib>Agarwal, Avinash</creatorcontrib><creatorcontrib>Brayman, Kenneth L.</creatorcontrib><creatorcontrib>Pelletier, Shawn J.</creatorcontrib><creatorcontrib>Goldaracena, Nicolas</creatorcontrib><creatorcontrib>Fox, Emily</creatorcontrib><creatorcontrib>Oberholzer, José</creatorcontrib><collection>CrossRef</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Seung Duk</au><au>Rawashdeh, Badi</au><au>McCracken, Emily K. E.</au><au>Cantrell, Leigh A.</au><au>Kharwat, Bassel</au><au>Demirag, Alp</au><au>Agarwal, Avinash</au><au>Brayman, Kenneth L.</au><au>Pelletier, Shawn J.</au><au>Goldaracena, Nicolas</au><au>Fox, Emily</au><au>Oberholzer, José</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robot‐assisted kidney transplantation is a safe alternative approach for morbidly obese patients with end‐stage renal disease</atitle><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle><date>2021-10</date><risdate>2021</risdate><volume>17</volume><issue>5</issue><spage>e2293</spage><epage>n/a</epage><pages>e2293-n/a</pages><issn>1478-5951</issn><eissn>1478-596X</eissn><abstract>Background
Many centres deny obese patients with a body mass index (BMI) >35 access to kidney transplantation due to increased intraoperative and postoperative complications.
Methods
From August 2017 to December 2019, 73 consecutive cases of kidney transplantation in morbidly obese patients were enrolled at a single university at the initiation of a robotic transplant surgery program. Outcomes of patients who underwent robotic assisted kidney transplant (RAKT) were compared to frequency‐matched patients undergoing open kidney transplant (OKT).
Results
A total of 24 morbidly obese patients successfully underwent RAKT, and 49 obese patients received an OKT. The RAKT group developed fewer surgical site infections (SSI) than the OKT group. Graft function, creatinine, and glomerular filtration rate (GFR) were similar between groups 1 year after surgery. Graft and patient survival were 100% for both groups.
Conclusions
RAKT offers a safe alternative for morbidly obese patients, who may otherwise be denied access to OKT.</abstract><cop>Hamilton</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1002/rcs.2293</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-1069-2501</orcidid></addata></record> |
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| source | Wiley Online Library All Journals |
| subjects | Body size Creatinine Infectious diseases kidney Kidney diseases kidney transplant Kidney transplants morbid obesity Robotic surgery Surgical site infections surgical‐site infection |
| title | Robot‐assisted kidney transplantation is a safe alternative approach for morbidly obese patients with end‐stage renal disease |
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