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2024, Number 4

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Rev Mex Traspl 2024; 13 (4)

Renal transplantation in Mexico: trajectory from conventional to minimally invasive surgery and its advantages

Vizcarra-Mata G, Zapata-González JA, Sánchez-Rendón MA, Robles-Torres JI, Juárez-de CFJ, Montelongo-Rodríguez FA, García-Saucedo J, Gutiérrez-González A

Language: Spanish
References: 26
Page: 169-177
PDF size: 466.19 Kb.


ABSTRACT

Kidney transplant is currently considered the best treatment for patients with end-stage chronic kidney disease. For many decades, the open approach has been considered the standard treatment for receptor surgery. With the advent of robotic systems, new therapeutic options have been developed with the advantage of providing the benefits of minimally invasive surgery, not only in living donor nephrectomy, but also in recipient surgery. Robot-assisted kidney transplantation is a procedure that has emerged as a new therapeutic alternative with the intention of generating less morbidity for the patient and providing the advantages of robotic technology in complex scenarios, such as in patients with obesity, pediatric patients, and complex anatomies. In our country there are still important limitations to adopting this approach in kidney transplantation. The long learning curves, the limited availability of robotic systems, and the high costs of the procedure are barriers that hinder the adoption of the robotic approach in Mexico. Current evidence has shown that robot-assisted kidney transplantation offers functional results similar to the open approach, with the advantage of reducing perioperative morbidity.


REFERENCES

  1. Peña JC. Historia del trasplante renal en el ICMNSZ. Rev Invest Clin. 2005;57 (2): 120-123.

  2. Argüero-Sánchez R, Sánchez-Ramírez O, Olivares-Durán EM. Donación de órganos y trasplantes en México, ¿todo está resuelto? Gac Med Mex [Internet]. 2020; 156 (3). Disponible en: http://dx.doi.org/10.24875/gmm.20000070

  3. Branchereau J. Redefining the urologist's role in kidney transplantation. World J Urol [Internet]. 2022; 40 (1): 301-302. Available in: http://dx.doi.org/10.1007/s00345-020-03520-5

  4. Centro Nacional de Trasplantes (CENATRA). Informe anual de actividades de trasplantes en México. México: Secretaría de Salud; 2020.

  5. Dib-Kuri A, Aburto-Morales S, Espinosa-Álvarez A, Sánchez-Ramírez O. Trasplantes de órganos y tejidos en México. Rev Invest Clin [Internet]. 2005; 57 (2): 163-169. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0034-83762005000200009

  6. Montoya-Martínez G. Evolución de la cirugía laparoscópica en México. Bol Coleg Mex Urol. 2017; 32 (3): 85-86.

  7. Carbajal A. Estado del arte en cirugía robótica. Rev Mex Cir Endoscop. 2001; 2: 109-112.

  8. Corona Montes VE. Cirugía urológica robótica, estado actual y perspectivas. Rev Mex Urol [Internet]. 2020; 80 (4): 1-2. Disponible en: http://dx.doi.org/10.48193/revistamexicanadeurologa.v80i4.698

  9. Hernández RMA. Cirugía robótica. Rev Mex Cir Endoscop. 2018; 19 (3): 96-102.

  10. Ostergard DR. Reply. Urology [Internet]. 2012; 79 (1): 15. Available in: http://dx.doi.org/10.1016/j.urology.2011.09.027

  11. Slagter JS, Outmani L, Tran KTCK, Ijzermans JNM, Minnee RC. Robot-assisted kidney transplantation as a minimally invasive approach for kidney transplant recipients: a systematic review and meta-analyses. Int J Surg [Internet]. 2022; 99 (106264): 106264. Available in: http://dx.doi.org/10.1016/j.ijsu.2022.106264

  12. Hoznek A, Zaki SK, Samadi DB, Salomon L, Lobontiu A, Lang P et al. Robotic assisted kidney transplantation: an initial experience. J Urol [Internet]. 2002; 167 (4): 1604-1606. Available in: http://dx.doi.org/10.1016/s0022-5347(05)65162-2

  13. Giulianotti P, Gorodner V, Sbrana F, Tzvetanov I, Jeon H, Bianco F et al. Robotic transabdominal kidney transplantation in a morbidly obese patient: robotic kidney transplantation. Am J Transplant [Internet]. 2010; 10 (6): 1478-1482. Available in: http://dx.doi.org/10.1111/j.1600-6143.2010.03116.x

  14. Horgan S, Galvani C, Gorodner MV, Jacobsen GR, Moser F, Manzelli A et al. Effect of robotic assistance on the "learning curve" for laparoscopic hand-assisted donor nephrectomy. Surg Endosc. 2007; 21 (9): 1512-1517.

  15. Renoult E, Hubert J, Ladriere M, Billaut N, Mourey E, Feuillu B et al. Robot-assisted laparoscopic and open live-donor nephrectomy: a comparison of donor morbidity and early renal allograft outcomes. Nephrol Dial Transplant [Internet]. 2006; 21 (2): 472-477. Available in: http://dx.doi.org/10.1093/ndt/gfi150

  16. Janki S, Klop KWJ, Hagen SM, Terkivatan T, Betjes MGH, Tran TCK et al. Robotic surgery rapidly and successfully implemented in a high volume laparoscopic center on living kidney donation. Int J Med Robot [Internet]. 2017; 13 (2). Available in: http://dx.doi.org/10.1002/rcs.1743

  17. Galvani CA, Garza U, Leeds M, Kaul A, Echeverria A, Desai CS et al. Single-incision robotic-assisted living donor nephrectomy: case report and description of surgical technique: Single-incision robotic-assisted living donor nephrectomy. Transpl Int [Internet]. 2012; 25 (8): e89-e892. Available in: http://dx.doi.org/10.1111/j.1432-2277.2012.01493.x

  18. Bhattu AS, Ganpule A, Sabnis RB, Murali V, Mishra S, Desai M. Robot-assisted laparoscopic donor nephrectomy vs standard laparoscopic donor nephrectomy: A prospective randomized comparative study. J Endourol [Internet]. 2015; 29 (12): 1334-1340. Available in: http://dx.doi.org/10.1089/end.2015.0213

  19. Decaestecker K. FEBU Department of Urology Ghent University Hospital Ghent, Belgium. (2022). Robotic-Assisted Kidney Transplantation. 2022.

  20. Basile G, Pecoraro A, Gallioli A et al. Robotic kidney transplantation. Nat Rev Urol. 2024; 21: 521-533.

  21. Piana A, Gallioli A, Amparore D, Diana P, Territo A, Campi R et al. Three-dimensional augmented reality-guided robotic-assisted kidney transplantation: breaking the limit of atheromatic plaques. Eur Urol. 2022; 82 (4): 419-426.

  22. Vignolini G, Greco I, Sessa F, Gemma L, Pecoraro A, Barzaghi P et al. The University of Florence technique for robot-assisted kidney transplantation: 3-year experience. Front Surg. 2020; 7: 583798.

  23. Spinoit AF, Moreels N, Raes A, Prytula A, De Groote R, Ploumidis A et al. Single-setting robot-assisted kidney transplantation consecutive to single-port laparoscopic nephrectomy in a child and robot-assisted living-related donor nephrectomy: initial Ghent experience. J Pediatr Urol. 2019; 15 (5): 578-579.

  24. Ahlawat R, Sood A, Jeong W, Ghosh P, Keeley J, Abdollah F et al. Robotic kidney transplantation with regional hypothermia versus open kidney transplantation for patients with end stage renal disease: an ideal stage 2B study. J Urol. 2021; 205 (2): 595-602.

  25. Veneziano D, Basile G, Cignoli D, Cozzupoli P, Sgro E, Gomez Rivas J et al. Preliminary evaluation of infrared imaging for real-time graft reperfusion assessment during kidney transplant: an ESUT-YAUWP project. Minerva Urol Nephrol. 2023; 75 (1): 126-129.

  26. Alberts VP, Idu MM, Legemate DA, Laguna Pes MP, Minnee RC. Ureterovesical anastomotic techniques for kidney transplantation: a systematic review and meta-analysis. Transpl Int. 2014; 27 (6): 593-605.




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