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Kidney Transplant II: Surgical Procedure

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...

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Related Experiment Video

Updated: Mar 20, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Retzius-Sparing Robot-Assisted Radical Prostatectomy

Published on: May 19, 2022

Robot-Assisted Radical Prostatectomy for Localized Prostate Cancer in Asian Renal Transplant Recipients.

J Iizuka¹, Y Hashimoto¹, T Kondo¹

¹Department of Urology, Prostate Cancer Center, Tokyo Women's Medical University, Tokyo, Japan.

Transplantation Proceedings

|May 29, 2016

Summary

Robot-assisted radical prostatectomy (RARP) is a feasible and effective minimally invasive option for localized prostate cancer in renal transplant recipients (RTRs). This study shows successful outcomes with stable graft function and negative surgical margins in three RTR patients.

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Published on: November 7, 2025

Area of Science:

Urology
Transplant Surgery
Oncology

Background:

Robot-assisted radical prostatectomy (RARP) is a minimally invasive surgical approach.
Renal transplant recipients (RTRs) with localized prostate cancer require effective treatment options.

Observation:

Three RTRs underwent RARP for localized prostate cancer between 2011 and 2015.
All procedures were completed successfully without major complications.

Findings:

Mean operation time was 162 minutes with minimal blood loss (mean 52 mL), avoiding transfusions.
Serum creatinine levels remained stable, indicating preserved kidney graft function post-surgery.
Pathological analysis confirmed negative surgical margins and organ-confined disease in all patients.

Implications:

RARP demonstrates feasibility and efficacy in carefully selected RTRs with localized prostate cancer.
Minimally invasive surgery can be safely performed in RTRs without compromising graft function.
This approach offers a potentially effective treatment for prostate cancer in an immunocompromised population.