Kidney Transplantation

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Enrico Benedetti - One of the best experts on this subject based on the ideXlab platform.

  • Robotic-assisted Kidney Transplantation: Our Experience and Literature Review
    Current Transplantation Reports, 2015
    Co-Authors: Ivo Tzvetanov, Giuseppe D’amico, Enrico Benedetti
    Abstract:

    Kidney Transplantation is the preferred treatment for patients with end-stage renal disease. While open surgery remains the gold standard, minimally invasive surgery has recently been introduced for the recipient undergoing Kidney Transplantation. Our team has employed the robotic surgical system to perform renal Transplantation in obese recipients to minimize the risk of surgical site infections, with good results in terms of complications and graft and patient survival. However, others groups have performed Kidney Transplantation robotically in nonobese patients using different techniques. The da Vinci surgical system allows the performance of Kidney Transplantation under optimal operative conditions. Larger studies and long-term follow-up of recipients are required to determine the effectiveness of this approach. In this article, we describe our experience and review the development of the robotic-assisted Kidney Transplantation (RAKT).

  • Robotic-assisted Kidney Transplantation.
    The Surgical clinics of North America, 2013
    Co-Authors: Ivo Tzvetanov, Raquel Garcia-roca, Pier Cristoforo Giulianotti, Lorena Bejarano-pineda, Hoonbae Jeon, Francesco Bianco, Jose Oberholzer, Enrico Benedetti
    Abstract:

    Abstract Traditional, open Kidney Transplantation has been performed with minimal changes for more than half a century. Despite the immense benefits for the recipients, open surgery also carries some of the disadvantages of surgical trauma. The development of robotic surgical systems has made a minimally invasive approach possible, even for complex and precise procedures such as Kidney Transplantation. We have employed a robotic surgical system to perform transabdominal renal Transplantation in obese recipients with very encouraging results in terms of decreased wound complications, graft function, and graft and patient survival. Others groups, applying different robotic approaches to Kidney Transplantation, reported benefit also for nonobese patients. With the evolution of the robotic surgical technology and intensive exchange of experience, the popularity of minimally invasive Kidney Transplantation is expected to increase in the near future.

Ivo Tzvetanov - One of the best experts on this subject based on the ideXlab platform.

  • Robotic-assisted Kidney Transplantation: Our Experience and Literature Review
    Current Transplantation Reports, 2015
    Co-Authors: Ivo Tzvetanov, Giuseppe D’amico, Enrico Benedetti
    Abstract:

    Kidney Transplantation is the preferred treatment for patients with end-stage renal disease. While open surgery remains the gold standard, minimally invasive surgery has recently been introduced for the recipient undergoing Kidney Transplantation. Our team has employed the robotic surgical system to perform renal Transplantation in obese recipients to minimize the risk of surgical site infections, with good results in terms of complications and graft and patient survival. However, others groups have performed Kidney Transplantation robotically in nonobese patients using different techniques. The da Vinci surgical system allows the performance of Kidney Transplantation under optimal operative conditions. Larger studies and long-term follow-up of recipients are required to determine the effectiveness of this approach. In this article, we describe our experience and review the development of the robotic-assisted Kidney Transplantation (RAKT).

  • Robotic-assisted Kidney Transplantation.
    The Surgical clinics of North America, 2013
    Co-Authors: Ivo Tzvetanov, Raquel Garcia-roca, Pier Cristoforo Giulianotti, Lorena Bejarano-pineda, Hoonbae Jeon, Francesco Bianco, Jose Oberholzer, Enrico Benedetti
    Abstract:

    Abstract Traditional, open Kidney Transplantation has been performed with minimal changes for more than half a century. Despite the immense benefits for the recipients, open surgery also carries some of the disadvantages of surgical trauma. The development of robotic surgical systems has made a minimally invasive approach possible, even for complex and precise procedures such as Kidney Transplantation. We have employed a robotic surgical system to perform transabdominal renal Transplantation in obese recipients with very encouraging results in terms of decreased wound complications, graft function, and graft and patient survival. Others groups, applying different robotic approaches to Kidney Transplantation, reported benefit also for nonobese patients. With the evolution of the robotic surgical technology and intensive exchange of experience, the popularity of minimally invasive Kidney Transplantation is expected to increase in the near future.

Sayeed Malek - One of the best experts on this subject based on the ideXlab platform.

  • Surgical Aspects of Kidney Transplantation
    DeckerMed Nephrology Dialysis and Transplantation, 2017
    Co-Authors: Anupamaa Seshadri, Sayeed Malek
    Abstract:

    Kidney Transplantation is the treatment of choice for patients with end-stage renal disease. This review discusses the surgical aspects of Kidney Transplantation in detail, beginning with the important features of the preoperative evaluation of a potential transplant recipient. We then explain in detail the technical aspects of living donor nephrectomy and Kidney Transplantation and provide guidance for managing variability in donor organ anatomy. Immediate postoperative management of the Kidney transplant patient is briefly discussed. Finally, this review addresses the important postoperative complications to be aware of in the Kidney transplant patient and management strategies, as well as outcomes of Kidney Transplantation. Key words: chronic Kidney disease, deceased donor Transplantation, delayed graft function, Kidney transplant, living donor nephrectomy, living donor Transplantation, lymphocele, renal artery stenosis, transplant workup, urologic complications

Jens Goebel - One of the best experts on this subject based on the ideXlab platform.

  • Pediatric Kidney Transplantation
    Seminars in pediatric surgery, 2017
    Co-Authors: Jonathan P. Roach, Margret E. Bock, Jens Goebel
    Abstract:

    Abstract Since first performed in 1954, Kidney Transplantation has evolved as the preferred long-term treatment of children with end stage renal disease (ESRD). The etiology of chronic Kidney disease (CKD) and ESRD in children is broad and can be quite complicated, necessitating a multidisciplinary team to adequately care for these patients and their myriad needs. Precise surgical techniques and modern protocols for immunosuppression provide excellent long-term patient and graft survival. This article reviews the many etiologies of renal failure in the pediatric population focusing on those most commonly leading to the need for Kidney Transplantation. The processes of evaluation, Kidney Transplantation, short-term and long-term complications, as well as long-term outcomes are also reviewed.

Larissa Myaskovsky - One of the best experts on this subject based on the ideXlab platform.

  • An overview of disparities and interventions in pediatric Kidney Transplantation worldwide
    Pediatric Nephrology, 2015
    Co-Authors: Michael A. Freeman, Larissa Myaskovsky
    Abstract:

    Despite the stated goals of the transplant community and the majority of organ allocation systems, persistent racial disparities in pediatric Kidney Transplantation exist throughout the world. These disparities are evident in both living and deceased donor Kidney Transplantation and are independent of any clinical differences between racial groups. The reasons for these persistent disparities are multifactorial, reflecting both patient and provider barriers to care. In this review, we examine the most current findings regarding disparities in pediatric Kidney Transplantation and consider interventions which may help reduce those disparities.