Related Experiment Video
Updated: Feb 6, 2026
07:17
Single Port Donor Nephrectomy
Published on: March 12, 2011
52.4K
Robotic Donor Nephrectomy: Against.
Felix Kawan1, Gerit Theil1, Paolo Fornara1
1Clinic of Urology and Transplantation, Medical Faculty of Martin Luther University Halle-Wittenberg, Halle/Saale, Germany.
European Urology Focus
|August 8, 2018
Summary
Robotic donor nephrectomy may prolong ischemia time and increase costs. Combining laparoscopic donor nephrectomy with parallel robotic preparation offers a safe, cost-effective approach for kidney transplantation.
Area of Science:
- Urology
- Transplant Surgery
- Minimally Invasive Surgery
Background:
- Current robotic techniques in laparoscopic donor nephrectomy often lead to extended ischemia times.
- Robotic surgery for donor nephrectomy presents significantly higher costs compared to traditional methods.
- Limited availability of surgical robots can cause delays, increasing cold ischemia time due to instrument exchange between donor and recipient procedures.
Purpose of the Study:
- To evaluate the current use of robotic techniques in laparoscopic donor nephrectomy.
- To identify a safe and cost-effective approach for donor nephrectomy and subsequent kidney transplantation.
- To optimize surgical workflow and minimize ischemia time in the context of robotic assistance.
Main Methods:
- Comparative analysis of robotic versus traditional laparoscopic donor nephrectomy outcomes.
- Assessment of ischemia time and associated costs.
- Evaluation of a combined approach involving laparoscopic donor nephrectomy and parallel robot-assisted recipient preparation.
Main Results:
- Robotic donor nephrectomy is associated with longer ischemia times and higher costs.
- Sequential docking/undocking of a single robot for donor and recipient procedures prolongs cold ischemia time.
- A parallel approach integrating laparoscopic donor nephrectomy with robot-assisted recipient preparation appears feasible.
Conclusions:
- The current application of robotic techniques in donor nephrectomy offers no clear advantages and increases costs.
- Parallel initiation of laparoscopic donor nephrectomy and robot-assisted recipient preparation is the most effective strategy.
- This combined method ensures safe, cost-effective donor nephrectomy and timely robot-assisted kidney transplantation.
Related Concept Videos
02:51Metal-Ligand Bonds
24.4K
The hemoglobin in the blood, the chlorophyll in green plants, vitamin B-12, and the catalyst used in the manufacture of polyethylene all contain coordination compounds. Ions of the metals, especially the transition metals, are likely to form complexes.
In these complexes, transition metals form coordinate covalent bonds, a kind of Lewis acid-base interaction in which both of the electrons in the bond are contributed by a donor (Lewis base) to an electron acceptor (Lewis acid). The Lewis acid in...
In these complexes, transition metals form coordinate covalent bonds, a kind of Lewis acid-base interaction in which both of the electrons in the bond are contributed by a donor (Lewis base) to an electron acceptor (Lewis acid). The Lewis acid in...
24.4K
02:08Gene Conversion
10.7K
Other than maintaining genome stability via DNA repair, homologous recombination plays an important role in diversifying the genome. In fact, the recombination of sequences forms the molecular basis of genomic evolution. Random and non-random permutations of genomic sequences create a library of new amalgamated sequences. These newly formed genomes can determine the fitness and survival of cells. In bacteria, homologous and non-homologous types of recombination lead to the evolution of new...
10.7K
02:34Structural Isomerism
21.7K
Isomerism in Complexes
Isomers are different chemical species that have the same chemical formula. Structural isomerism of coordination compounds can be divided into two subcategories, the linkage isomers and coordination-sphere isomers.
Linkage isomers occur when the coordination compound contains a ligand that can bind to the transition metal center through two different atoms. For example, the CN− ligand can bind through the carbon atom or through the nitrogen atom. Similarly, SCN− can...
Isomers are different chemical species that have the same chemical formula. Structural isomerism of coordination compounds can be divided into two subcategories, the linkage isomers and coordination-sphere isomers.
Linkage isomers occur when the coordination compound contains a ligand that can bind to the transition metal center through two different atoms. For example, the CN− ligand can bind through the carbon atom or through the nitrogen atom. Similarly, SCN− can...
21.7K
01:09Recombinant DNA
103.3K
Overview
103.3K
02:13Overview of Transposition and Recombination
19.3K
Transposons make up a significant part of genomes of various organisms. Therefore, it is believed that transposition played a major evolutionary role in speciation by changing genome sizes and modifying gene expression patterns. For example, in bacteria, transposition can lead to conferring antibiotic resistance. Movement of transposable elements within the genetic pool of pathogenic bacteria can aid in transfer of antibiotic-resistant genetic elements. In eukaryotes, transposons can carry out...
19.3K
02:33Lewis Acids and Bases
48.4K
In 1923, G. N. Lewis proposed a generalized definition of acid-base behavior in which acids and bases are identified by their ability to accept or to donate a pair of electrons and form a coordinate covalent bond.
A coordinate covalent bond (or dative bond) occurs when one of the atoms in the bond provides both bonding electrons. For example, a coordinate covalent bond occurs when a water molecule combines with a hydrogen ion to form a hydronium ion. A coordinate covalent bond also results when...
A coordinate covalent bond (or dative bond) occurs when one of the atoms in the bond provides both bonding electrons. For example, a coordinate covalent bond occurs when a water molecule combines with a hydrogen ion to form a hydronium ion. A coordinate covalent bond also results when...
48.4K