Right versus left fully robotic live donor nephrectomy and open kidney transplantation: Does the laterality of the donor kidney really matter?

• DOI: 10.1016/j.ajur.2023.08.004
• Publication Date: 2023-08-26T15:35:36Z
• Authors: Brianna Ruch; Deki Tsering; Chandra Bhati; Dhiren Kumar; Muhammad Saeed; Seung Duk Lee; Aamir Khan; Daisuke Imai; David Bruno; Marlon Levy; Adrian Cotterell; Amit Sharma
• Keywords: Live donor

Robotic-assisted live donor nephrectomy (LDN) is being gradually adopted across transplant centers. The left kidney preferred over right due to anatomical factors and ease of procurement. We aimed study recipient outcomes after robotic procurement subsequent open implantation kidneys.All fully LDNs their corresponding transplants performed at our center between February 2016 December 2021 were retrospectively analyzed.Out 196 LDN (49 [right] vs. 147 [left]), 10 (5.1%) donors had intra-operative events (6.1% 4.8% [left], p=0.71). None the required conversion surgery. operative times comparable for two groups. Nausea (13.3%) was most common post-operative complication. There no mortality in either group. Herein, we report on 156 recipients (39 117 allografts) excluding implants, exports, pediatric recipients. significant differences with respect 1-year post-transplant patient survival (100.0% 98.1%, p=0.45) or graft (93.9% 97.1%, p=0.11), delayed function (7.7% 5.1%, p=0.55).Non-hand-assisted nephrectomies can be safely excellent outcomes. Right not associated higher incidence complications compared LDN. Open robotically procured renal allografts risk complications.