Related Experiment Video
Updated: Jun 30, 2026

Single Port Donor Nephrectomy
Published on: March 12, 2011
The Impact of Learning Curve on Robotic Living Donor Nephrectomy Outcomes: Retrospective Analysis
Sarah Papa1, Aleksandar Popovic2, Reut Hod Dvorai3
1Department of Surgery, Division of Transplantation, SUNY Upstate Medical University, Syracuse, New York, USA.
Background:
We aimed to investigate the outcome of patients after RDN at different time points.
Methods:
We studied the outcomes of 77 living robotic living donor nephrectomies (RDN). Donors were separated into three groups: learning curve period (LCP), stabilisation period (SP), and teaching period (TP).
Results:
There were significant differences in blood loss and hospitalisation times between the three groups. Operative time was significantly shorter in the LCP group compared with the SP and TP groups (282 ± 51.6 min vs. 308 ± 38.7 min vs. 314 ± 28.7, p = 0.02). However, warm ischaemia time was shorter in the TP group compared with the LCP and SP groups (5.0 ± 3.6 min vs. 3.4 ± 3.2 min vs. 1.5 ± 1.3 min, p < 0.01). Complication rates were higher in the LCP group compared with the SP and TP groups (p = 0.04).
Conclusion:
This study demonstrated that RDN outcomes improve after the learning period.
Related Concept Videos
Kidney Transplant I: Introduction
Kidney Transplant II: Surgical Procedure

