V02-04 ROBOT-ASSISTED MANAGEMENT OF URETERAL COMPLICATIONS IN KIDNEY TRANSPLANT PATIENTS: CASE SERIES AND DESCRIPTION OF SURGICAL TECHNIQUES

Le résumé fourni par la source

AirSeal Ò trocar were placed.Fireflyä Fluorescence was used to verify adequate vascular supply of resected ureter.AR-3D video stream was then used for the exact identification and dissection of renal hilum: the 3D virtual model was manually oriented through the AR-dedicated workstation by the assistant engineer.The overlapped 3D images of the renal model allowed the surgeon to identify the precise anatomy of the renal hilum early and safely.Intuitive endowrist stapler 30 Ò was then used to seal and cut renal artery.Graft harvest was achieved with Applied Inzii Retrieval System Ò through GelPort Ò System to assure rapid graft retrieval minimizing ischemia time.RESULTS: Overall operative time was 270min.Console time was 178min.Time from renal artery division to graft harvest was 2min 56sec.Overall ischemia time was 140min (including harvest, back-table and transplant).Patient was discharged 4 days after surgery.Neither early nor late complications were reported; renal function at time of discharge was within normal range.Graft transplantation was successful.CONCLUSIONS: The use of AR during RALDN may improve the understanding of renal anatomy thus facilitating the management of the hilum and enhancing the safety and the chances of a successful kidney transplant.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.