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Updated: May 22, 2026

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Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
Renal artery aneurysm in robotic donor nephrectomy: a case report.
Ivo Tzvetanov1, Mario Spaggiari, Hoonbae Jeon
1Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA.
Summary
A potential kidney donor with an incidental renal artery aneurysm underwent successful robotic nephrectomy. The aneurysm was repaired, allowing the kidney donation to proceed, benefiting the recipient.
Area of Science:
- Nephrology
- Transplantation Surgery
- Vascular Surgery
Background:
- The critical shortage of donor organs necessitates innovative strategies for organ utilization.
- Routine donor workups are essential for identifying potential risks to both donor and recipient.
Observation:
- A potential kidney donor was found to have an asymptomatic saccular aneurysm of the renal artery during pre-donation evaluation.
- The donor exhibited normal renal function and blood pressure.
Findings:
- A laparoscopic robotic donor nephrectomy was performed.
- The renal artery aneurysm was successfully repaired ex vivo on the back table.
- The repaired kidney was transplanted into the recipient, demonstrating excellent initial function.
Implications:
- This case highlights the importance of thorough donor screening for unexpected vascular anomalies.
- Creative surgical repair of renal artery aneurysms can enable successful kidney transplantation.
- Robotic surgery offers a minimally invasive approach for complex donor nephrectomies with concurrent aneurysm repair.