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Related Experiment Video

Updated: May 6, 2026

Orthotopic Rat Kidney Transplantation: A Novel and Simplified Surgical Approach
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Robotically procured living donor kidneys transplanted into pediatric recipients.

Enric Lledo Graell1, Mahmoud Morsi1, Marina M Tabbara1

  • 1Department of Surgery, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL, USA; Miami Transplant Institute, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, FL, USA.

Journal of Pediatric Urology
|April 2, 2025
PubMed
Summary

Robotically procured living donor kidney grafts are safe for pediatric transplants, even with anatomical variants. This technique can expand the donor pool for children needing kidney transplants.

Keywords:
KidneyPediatricsReconstructionRoboticTransplantVascular

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Area of Science:

  • Pediatric Nephrology
  • Transplant Surgery
  • Robotic Surgery

Background:

  • Living donor kidney transplantation offers optimal outcomes for pediatric recipients.
  • Robotic-assisted living donor nephrectomy is a safe and feasible procedure.
  • This technique can potentially expand the living donor pool for pediatric kidney transplants, including those with anatomical variants.

Purpose of the Study:

  • To evaluate the safety and feasibility of robotically procured living donor kidney grafts in pediatric recipients.
  • To assess the outcomes of pediatric kidney transplants utilizing grafts with anatomical variants requiring reconstruction.

Main Methods:

  • Retrospective review of pediatric patients (≤18 years) receiving open kidney transplants with robotically procured living donor grafts.
  • Analysis of recipient and donor demographics, peri-operative data, and graft characteristics.
  • Evaluation of graft reconstruction, ischemia times, and post-transplant complications.

Main Results:

  • Eight pediatric recipients (mean age 11 years) received transplants.
  • Four grafts required back-table reconstruction, including vascular reconstruction for anatomical variants.
  • No delayed graft function or post-operative vascular/urological complications were observed.
  • Mean serum creatinine levels remained stable post-transplant.

Conclusions:

  • Robotically procured living donor kidney grafts are a safe and feasible option for pediatric kidney transplantation.
  • Utilizing grafts with vascular abnormalities after reconstruction does not increase complication risk.
  • This approach can significantly expand the donor pool for pediatric transplant candidates.