Robotic Renal Autotransplantation: First Case Outside of North America.

Journal: Acta medica Okayama
Published Date:

Abstract

A 38-year-old woman with a 2.7-cm left ureteral stenosis requiring chronic ureteral stent exchange elected to undergo robotic renal autotransplantation. Left ureteropelvic junction obstruction (UPJO) was also suspected. Robotic donor nephrectomy contributed to the fine dissection for desmoplastic changes. The kidney was removed through a Gelport and examined on ice. UPJO was not seen. An end-to-side robotic anastomosis was created between the renal and external iliac vessels. The console time was 507 min, and the warm ischemia time was 4 min 5 sec. She became stent-free. Robotic renal autotransplantation is a new, minimally invasive approach to renal preservation.

Authors

  • Motoo Araki
    Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.motoosh@md.okayama-u.ac.jp.
  • Koichiro Wada
  • Yosuke Mitsui
  • Takuya Sadahira
  • Risa Kubota
  • Shingo Nishimura
  • Takashi Yoshioka
  • Yuichi Ariyoshi
  • Kei Fujio
  • Atsushi Takamoto
  • Morito Sugimoto
  • Katsumi Sasaki
  • Yasuyuki Kobayashi
  • Shin Ebara
  • Hideki Taninishi
  • Hiroyuki Amano
  • Masashi Inui
  • Masami Watanabe
  • Toyohiko Watanabe
  • Yasutomo Nasu