Total extraperitoneal robot assisted laparoscopic renal transplant recipient surgery

Area of Science:

• Minimally Invasive Surgery
• Urology
• Transplant Surgery

Background:

• Conventional renal transplant recipient surgery uses an open, total extraperitoneal approach.
• Robot-assisted renal transplant recipient surgery typically employs a transperitoneal approach.
• This case report details the first instance of total extraperitoneal robot-assisted renal transplant recipient surgery (TERT).

Observation:

• A 30-year-old male with IgA nephropathy and diffuse glomerulosclerosis underwent TERT.
• The renal allograft was introduced via a Pfannensteil incision.
• An Alexis wound retractor was utilized to minimize tissue trauma during allograft placement.

Findings:

• The procedure demonstrated good urine output upon vascular clamp release.
• The patient achieved their nadir creatinine level within three days post-surgery.
• The patient was discharged on postoperative day six with favorable outcomes.

Implications:

• TERT is a technically challenging procedure.
• This technique merges the benefits of minimally invasive surgery with the principles of the open extraperitoneal approach.
• TERT presents a viable alternative for renal transplant recipient surgery, potentially enhancing patient recovery.