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Related Experiment Video

Updated: Jan 20, 2026

Robot-Assisted Kidney Transplantation
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Robotic-Assisted Simultaneous Bilateral Native Nephrectomy and Living Donor Kidney Transplantation.

Rodrigo Vianna1, Mahmoud Morsi1, Armando Salim Munoz-Abraham1

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

The Journal of Surgical Research
|January 18, 2026
PubMed
Summary

Robotic surgery for simultaneous bilateral nephrectomy and kidney transplant in autosomal dominant polycystic kidney disease patients is safe and effective. This minimally invasive approach leads to excellent early outcomes and quick recovery.

Keywords:
ADPKDBilateral nephrectomyKidney transplantationLiving donor transplantationMinimally invasive surgeryRobotic-assisted surgery

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Area of Science:

  • Urology
  • Nephrology
  • Minimally Invasive Surgery

Background:

  • Autosomal dominant polycystic kidney disease (ADPKD) with end-stage kidney disease (ESKD) often requires simultaneous bilateral nephrectomy and kidney transplantation.
  • Robotic-assisted surgery presents a minimally invasive option to open procedures, potentially reducing complications and hospital stays.

Purpose of the Study:

  • To evaluate the feasibility and safety of robotic-assisted simultaneous bilateral nephrectomy/living donor kidney transplantation (RASBN/LDKT).
  • To assess perioperative and functional outcomes in ADPKD/ESKD patients undergoing this complex procedure.

Main Methods:

  • Four adult patients with ADPKD/ESKD underwent fully robotic-assisted simultaneous bilateral nephrectomy/LDKT.
  • Procedures utilized an intra-abdominal approach with a Pfannenstiel incision and GelPort for kidney handling.
  • Clinical, perioperative, and functional outcomes were prospectively recorded and retrospectively analyzed.

Main Results:

  • Median operative time was 462.5 minutes, with a median length of stay of 3.5 days.
  • No intraoperative or postoperative complications occurred; no conversions or hand assistance were needed.
  • All recipients experienced immediate graft function, with stable allograft function at 12 months.

Conclusions:

  • Robotic-assisted simultaneous bilateral nephrectomy/LDKT is a feasible and safe procedure for selected ADPKD/ESKD patients.
  • This minimally invasive technique offers excellent early clinical outcomes.
  • It expands the application of minimally invasive surgery in complex transplant scenarios.