Our Summary

This research paper reviews the results of a type of kidney removal surgery called robotic-assisted laparoscopic donor nephrectomy. This procedure is used to remove a kidney from a donor for transplantation. The paper finds that this method is a safe, efficient, and minimally invasive surgical technique that provides good results for both the kidney donor and recipient.

The studies reviewed in the paper show that the surgery takes on average about 208 minutes, a reasonable time frame for this type of procedure. The time period during which the kidney is not getting blood supply (known as “warm ischemia time”) averages just under 4 minutes, which is well within the safe limit to ensure the kidney remains healthy for transplantation.

The research also shows that blood loss during the procedure is usually less than 150 milliliters (about half a cup), which is quite low. There’s also a very small chance (roughly 1%) that a surgeon would need to switch from the robotic-assisted method to a traditional open surgery.

Overall, the paper concludes that using a robot-assisted method for kidney donor surgeries is a feasible and safe option.

FAQs

  1. What are the advantages of using robotic-assisted laparoscopic donor nephrectomy?
  2. What is the average operation time for a robotic-assisted laparoscopic donor nephrectomy?
  3. What is the rate of conversion from robotic-assisted procedures to open surgery in donor nephrectomies?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic nephrectomy is to follow post-operative care instructions closely, including taking prescribed medications, avoiding heavy lifting or strenuous activity, and attending follow-up appointments. It is important to communicate any concerns or changes in symptoms to your healthcare provider promptly. Additionally, maintaining a healthy lifestyle, including staying active and eating a balanced diet, can help promote a smooth recovery process.

Suitable For

Patients who are typically recommended for laparoscopic nephrectomy include those who are in need of a kidney transplant and have a suitable living donor. This procedure is commonly recommended for living kidney donors, as it offers a minimally invasive approach with multiple advantages for both the donor and recipient. The outcomes of robotic-assisted laparoscopic donor nephrectomy have been shown to be safe, efficient, and effective, with low complication rates and good outcomes for both the donor and recipient. This technique has been adopted by multiple centers worldwide and is considered feasible and safe for donor nephrectomy.

Timeline

Before laparoscopic nephrectomy:

  1. Patient undergoes preoperative evaluation and testing to determine candidacy for surgery.
  2. Patient meets with surgical team to discuss risks and benefits of laparoscopic nephrectomy.
  3. Surgery is scheduled and patient is instructed on preoperative preparations, such as fasting and medication adjustments.

During laparoscopic nephrectomy:

  1. Patient is placed under general anesthesia.
  2. Surgeon makes small incisions in the abdomen to insert laparoscopic tools and camera.
  3. Kidney is carefully detached from surrounding tissues and blood vessels.
  4. Kidney is removed through one of the small incisions.
  5. Incisions are closed and patient is monitored in the recovery room.

After laparoscopic nephrectomy:

  1. Patient is monitored for any complications and pain management.
  2. Patient may stay in the hospital for a few days for observation.
  3. Patient is instructed on postoperative care, including wound care and activity restrictions.
  4. Follow-up appointments are scheduled to monitor recovery and kidney function.
  5. Patient may resume normal activities after a few weeks, with regular follow-ups to monitor long-term outcomes.

What to Ask Your Doctor

  1. How experienced are you in performing laparoscopic nephrectomy procedures?
  2. What are the potential risks and complications associated with laparoscopic nephrectomy?
  3. What is the expected recovery time and post-operative care for this procedure?
  4. How will my kidney function be affected after the surgery?
  5. Will I need any additional tests or follow-up appointments after the surgery?
  6. Are there any long-term effects or considerations I should be aware of?
  7. What are the success rates for laparoscopic nephrectomy in terms of kidney function and overall outcomes?
  8. How does robotic-assisted laparoscopic nephrectomy differ from traditional laparoscopic nephrectomy?
  9. What are the advantages of robotic-assisted laparoscopic nephrectomy compared to other surgical techniques?
  10. Do you recommend any specific lifestyle changes or precautions following the surgery?

Reference

Authors: Munoz Abraham AS, Morsi M, Vianna R. Journal: Curr Urol Rep. 2025 Apr 5;26(1):35. doi: 10.1007/s11934-025-01263-7. PMID: 40186030