Robotic distal pancreatectomy and nephrectomy for living donor pancreas-kidney transplantation

Santiago Horgan, Carlos A Galvani, Veronica Gorodner, Umberto Bareato, Fabrizio Panaro, Jose Oberholzer, Enrico Benedetti

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Living organ donation is of increasing importance to satisfy the demand of good quality organs for patients remaining for extended periods on the waiting list. While the benefit for the recipient is undeniable, the organ procurement represents an important burden to live donors in terms of invasiveness and long-term consequences. The latter can be minimized with careful donor selection. With the avenue of minimally invasive surgery, and more recently the availability of robotic technology, the surgical trauma can be reduced, the safety increased, and the recovery accelerated. In this case report, we present the first reported combined robotic distal pancreatectomy and left nephrectomy from a live donor. The surgery was performed using the Da Vinci robotic system with four small trocar incisions, and a short infraumbilical midline incision for hand-assistance and extraction of the organ. The donor operation lasted 5 hr and blood loss was only 100 mL. Both donor and recipient had an uncomplicated postoperative course and present with normal endocrine and renal function 3 mo after surgery. In experienced hands, advanced surgical procedures such as combined distal pancreatectomy and left nephrectomy can be safely performed in living donors with minimally invasive robotic surgery, dramatically reduced surgical trauma, and impressive postoperative recovery. The availability of minimally invasive robotic surgery may further increase the willingness for live organ donation from suitable donors.

Original languageEnglish (US)
Pages (from-to)934-936
Number of pages3
JournalTransplantation
Volume84
Issue number7
DOIs
StatePublished - Oct 2007
Externally publishedYes

Fingerprint

Pancreas Transplantation
Pancreatectomy
Living Donors
Robotics
Nephrectomy
Kidney Transplantation
Tissue Donors
Tissue and Organ Procurement
Minimally Invasive Surgical Procedures
Donor Selection
Waiting Lists
Wounds and Injuries
Surgical Instruments
Hand
Technology
Kidney
Safety

Keywords

  • Distal pancreatectomy
  • Living donor
  • Pancreas-kidney
  • Robotic nephrectomy
  • Transplantation

ASJC Scopus subject areas

  • Transplantation
  • Immunology

Cite this

Robotic distal pancreatectomy and nephrectomy for living donor pancreas-kidney transplantation. / Horgan, Santiago; Galvani, Carlos A; Gorodner, Veronica; Bareato, Umberto; Panaro, Fabrizio; Oberholzer, Jose; Benedetti, Enrico.

In: Transplantation, Vol. 84, No. 7, 10.2007, p. 934-936.

Research output: Contribution to journalArticle

Horgan, S, Galvani, CA, Gorodner, V, Bareato, U, Panaro, F, Oberholzer, J & Benedetti, E 2007, 'Robotic distal pancreatectomy and nephrectomy for living donor pancreas-kidney transplantation', Transplantation, vol. 84, no. 7, pp. 934-936. https://doi.org/10.1097/01.tp.0000284585.12633.06
Horgan, Santiago ; Galvani, Carlos A ; Gorodner, Veronica ; Bareato, Umberto ; Panaro, Fabrizio ; Oberholzer, Jose ; Benedetti, Enrico. / Robotic distal pancreatectomy and nephrectomy for living donor pancreas-kidney transplantation. In: Transplantation. 2007 ; Vol. 84, No. 7. pp. 934-936.
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