Robotic kidney transplantation.
CONCLUSIONS: Robotic renal transplantation is a feasible surgical technique with interesting functional results. As a minimally invasive route, it is a promising option to reduce the surgical morbidity inherent to the renal transplant. PMID: 28530626 [PubMed - in process]
We report a case of this elusive diagnosis and describe kidney salvage by using laparoscopic fixation.
CONCLUSION: The retroperitoneal approach for RART permits the kidney to be cooled and a direct access to the iliac vessels and bladder. This initial series with more than a year of post-monitoring RART shows promising results despite some initial technical difficulties. The procedure can still be improved and hoped to see an improvement in the results. A comparison to the results of the conventional route is necessary before diffusing the robot-assisted technique. LEVEL OF PROOF: 3. PMID: 29158031 [PubMed - as supplied by publisher]
ConclusionsKAT is an effective treatment for complex ureteral lesions and kidney vascular abnormalities, with good results in the long term. Surgical complications are frequent, but usually minor. As a challenging surgery, it should be performed by experienced kidney transplant surgeons. Complex and proximal ureteral injuries are nowadays the main indication of this procedure.
Background: Laparoscopic hysterectomy (LH) is a frequent modality of treatment of abnormal uterine bleeding and uterine fibroid. Attention to anatomy is critical in patients with renal transplant.
Morbid obesity among kidney transplant recipients (KTR) has been linked to excess morbidity and mortality. Laparoscopic bariatric surgery is considered to be a relatively safe management option for morbidly obese patients. Given that KT recipients have greater morbidity and length of stay after general surgery procedures, we sought to investigate the differences in postoperative outcomes between KTR and non-KTR after bariatric surgery.
Morbid obesity has been shown to increase risk of perioperative complications, delayed graft function, and mortality in kidney, liver, and lung/heart transplants. Both laparoscopic gastric bypass(LGBP) and laparoscopic sleeve gastrectomy(LSG) have been proven to be safe and efficacious in patients with end-stage kidney and liver disease of various etiologies, and are utilized to improve transplant candidacy by treating morbid obesity and associated co-morbidities, however the optimal bariatric operation for each transplant is not clear.
Conclusion MIS general surgeons using a standardized technique can learn and perform a new, unfamiliar procedure with excellent results. Women are easier to perform organ harvest than men. Organ harvest from obese patients can be safely performed.
CONCLUSION: Laparoscopic resection for advanced CRC in organ transplant recipients is technically feasible and therapeutically safe, and seems to have the advantages of few postoperative complications, short recovery time, and acceptable oncological outcomes. PMID: 28925783 [PubMed - as supplied by publisher]
This article originally appeared on Health.com
Morbid obesity is a barrier to kidney transplantation due to inferior outcomes, including higher rates of new‐onset diabetes after transplantation (NODAT), delayed graft function (DGF), and graft failure. Laparoscopic sleeve gastrectomy (LSG) increases transplant eligibility by reducing BMI in kidney transplant candidates, but the effect of surgical weight loss on posttransplantation outcomes is unknown. Reviewing single‐center medical records, we identified all patients who underwent LSG before kidney transplantation from 2011‐2016 (n = 20). Post‐LSG kidney recipients were compared with similar‐BMI rec...