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Updated: Jun 8, 2025

Robot-Assisted Kidney Transplantation
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Robot-Assisted Partial Nephrectomy for Multiple Allograft Renal Cell Carcinomas: A Case Report.

Ayane Tachiki1, Kazuhiko Yoshida1, Yuki Kobari1

  • 1Department of Urology, Tokyo Women's Medical University Hospital, Shinjuku, Tokyo, 8-1, Shinjuku, Tokyo 162-8666, Japan.

Transplantation Proceedings
|November 3, 2024
PubMed
Summary

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Robot-assisted partial nephrectomy (RAPN) offers a feasible solution for multifocal allograft renal cell carcinoma (RCC). This nephron-sparing approach successfully preserved kidney function in a transplant recipient with multiple tumors.

Area of Science:

  • Urology
  • Transplant Surgery
  • Oncology

Background:

  • Partial nephrectomy (PN) is the standard for T1 renal tumors.
  • Robot-assisted PN (RAPN) is reported for solitary allograft tumors, but rarely for multifocal disease.
  • This case explores RAPN for multifocal allograft renal cell carcinoma (RCC).

Observation:

  • A 77-year-old male presented with two renal allograft tumors (24mm and 15mm).
  • RAPN was performed via transperitoneal approach 22 years post-transplant.
  • Tumor resection achieved negative surgical margins for clear-cell RCC.

Findings:

  • Robot-assisted partial nephrectomy (RAPN) proved feasible and effective for multifocal allograft RCC.
  • The procedure resulted in no significant change in kidney function.

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  • No perioperative complications were observed.

    • Implications:

    • RAPN is a viable nephron-sparing option for multiple allograft RCCs.
    • This approach may enhance quality of life and reduce dialysis dependency in transplant recipients.
    • Successful RAPN in this high-risk case suggests broader applicability.