Robotic Renal Autotransplantation: A Feasibility Study in a Porcine Model

Risa Kubota; Motoo Arakia; Koichiro Wada; Kasumi Kawamura; Yuki Maruyama; Yosuke Mitsuia; Takuya Sadahira; Yuichi Ariyoshia; Takehiro Iwata; Shingo Nishimura; Atsushi Takamoto; Tomoko Sako; Kohei Edamura; Yasuyuki Kobayashia; Yuzuki Kano; Masashi Kitagawa; Katsuyuki Tanabe; Hitoshi Sugiyama; Jun Wada; Masami Watanabe; Toyohiko Watanabe; Yasutomo Nasu

Robotic Renal Autotransplantation: A Feasibility Study in a Porcine Model

Risa Kubota, Motoo Arakia, Koichiro Wada, Kasumi Kawamura, Yuki Maruyama, Yosuke Mitsuia, Takuya Sadahira, Yuichi Ariyoshia, Takehiro Iwata, Shingo Nishimura, Atsushi Takamoto, Tomoko Sako, Kohei Edamura, Yasuyuki Kobayashia, Yuzuki Kano, Masashi Kitagawa, Katsuyuki Tanabe, Hitoshi Sugiyama, Jun Wada, Masami WatanabeToyohiko Watanabe, Yasutomo Nasu

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

We investigated the feasibility of robotic renal autotransplantation (RAT) in a porcine model to reduce invasiveness of RAT. Five pigs underwent robotic RAT using the da Vinci® robotic system. A robotic left nephrectomy was performed in all cases. Robotic RAT was performed on the left side in all but one case. Four ports were used. In 3 cases, the kidney was taken out through the GelPort® and irrigated on ice with Ringer’s solution. In 2 cases, a complete intracorporeal robotic RAT was performed. An end-to-side anastomosis was performed between the renal vein and the external iliac vein and between the renal artery and the external iliac artery. Ureteroneocystostomy was also performed in 2 cases. All cases were performed robotically without open conversion. The median (IQR) console time was 3.1 (0.7) h, and the operative time was 3.8 (1.1) h. The estimated blood loss was 30 (0) ml. The warm ischemia time was 4.0 (0.2) min, and the cold ischemia time was 97 (17) min. Intracorporeal transarterial hypothermic renal perfusion was feasible in the 2 complete intracor-poreal robotic RAT cases by using a perfusion catheter through a laparoscopic port. Robotic RAT has the potential to be a new minimally invasive substitute for conventional open surgery.

Original language	English
Pages (from-to)	53-58
Number of pages	6
Journal	Acta medica Okayama
Volume	74
Issue number	1
Publication status	Published - 2020

Keywords

porcine model
renal autotransplantation
robotic
transplantation

ASJC Scopus subject areas

Biochemistry, Genetics and Molecular Biology(all)

Cite this

Kubota, R., Arakia, M., Wada, K., Kawamura, K., Maruyama, Y., Mitsuia, Y., Sadahira, T., Ariyoshia, Y., Iwata, T., Nishimura, S., Takamoto, A., Sako, T., Edamura, K., Kobayashia, Y., Kano, Y., Kitagawa, M., Tanabe, K., Sugiyama, H., Wada, J., ... Nasu, Y. (2020). Robotic Renal Autotransplantation: A Feasibility Study in a Porcine Model. Acta medica Okayama, 74(1), 53-58.

Kubota, R, Arakia, M, Wada, K, Kawamura, K , Maruyama, Y, Mitsuia, Y, Sadahira, T, Ariyoshia, Y, Iwata, T , Nishimura, S, Takamoto, A, Sako, T, Edamura, K , Kobayashia, Y, Kano, Y, Kitagawa, M, Tanabe, K, Sugiyama, H, Wada, J , Watanabe, M , Watanabe, T & Nasu, Y 2020, 'Robotic Renal Autotransplantation: A Feasibility Study in a Porcine Model', Acta medica Okayama, vol. 74, no. 1, pp. 53-58.

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abstract = "We investigated the feasibility of robotic renal autotransplantation (RAT) in a porcine model to reduce invasiveness of RAT. Five pigs underwent robotic RAT using the da Vinci{\textregistered} robotic system. A robotic left nephrectomy was performed in all cases. Robotic RAT was performed on the left side in all but one case. Four ports were used. In 3 cases, the kidney was taken out through the GelPort{\textregistered} and irrigated on ice with Ringer{\textquoteright}s solution. In 2 cases, a complete intracorporeal robotic RAT was performed. An end-to-side anastomosis was performed between the renal vein and the external iliac vein and between the renal artery and the external iliac artery. Ureteroneocystostomy was also performed in 2 cases. All cases were performed robotically without open conversion. The median (IQR) console time was 3.1 (0.7) h, and the operative time was 3.8 (1.1) h. The estimated blood loss was 30 (0) ml. The warm ischemia time was 4.0 (0.2) min, and the cold ischemia time was 97 (17) min. Intracorporeal transarterial hypothermic renal perfusion was feasible in the 2 complete intracor-poreal robotic RAT cases by using a perfusion catheter through a laparoscopic port. Robotic RAT has the potential to be a new minimally invasive substitute for conventional open surgery.",

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author = "Risa Kubota and Motoo Arakia and Koichiro Wada and Kasumi Kawamura and Yuki Maruyama and Yosuke Mitsuia and Takuya Sadahira and Yuichi Ariyoshia and Takehiro Iwata and Shingo Nishimura and Atsushi Takamoto and Tomoko Sako and Kohei Edamura and Yasuyuki Kobayashia and Yuzuki Kano and Masashi Kitagawa and Katsuyuki Tanabe and Hitoshi Sugiyama and Jun Wada and Masami Watanabe and Toyohiko Watanabe and Yasutomo Nasu",

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T2 - A Feasibility Study in a Porcine Model

AU - Kubota, Risa

AU - Arakia, Motoo

AU - Wada, Koichiro

AU - Kawamura, Kasumi

AU - Maruyama, Yuki

AU - Mitsuia, Yosuke

AU - Sadahira, Takuya

AU - Ariyoshia, Yuichi

AU - Iwata, Takehiro

AU - Nishimura, Shingo

AU - Takamoto, Atsushi

AU - Sako, Tomoko

AU - Edamura, Kohei

AU - Kobayashia, Yasuyuki

AU - Kano, Yuzuki

AU - Kitagawa, Masashi

AU - Tanabe, Katsuyuki

AU - Sugiyama, Hitoshi

AU - Wada, Jun

AU - Watanabe, Masami

AU - Watanabe, Toyohiko

AU - Nasu, Yasutomo

PY - 2020

Y1 - 2020

N2 - We investigated the feasibility of robotic renal autotransplantation (RAT) in a porcine model to reduce invasiveness of RAT. Five pigs underwent robotic RAT using the da Vinci® robotic system. A robotic left nephrectomy was performed in all cases. Robotic RAT was performed on the left side in all but one case. Four ports were used. In 3 cases, the kidney was taken out through the GelPort® and irrigated on ice with Ringer’s solution. In 2 cases, a complete intracorporeal robotic RAT was performed. An end-to-side anastomosis was performed between the renal vein and the external iliac vein and between the renal artery and the external iliac artery. Ureteroneocystostomy was also performed in 2 cases. All cases were performed robotically without open conversion. The median (IQR) console time was 3.1 (0.7) h, and the operative time was 3.8 (1.1) h. The estimated blood loss was 30 (0) ml. The warm ischemia time was 4.0 (0.2) min, and the cold ischemia time was 97 (17) min. Intracorporeal transarterial hypothermic renal perfusion was feasible in the 2 complete intracor-poreal robotic RAT cases by using a perfusion catheter through a laparoscopic port. Robotic RAT has the potential to be a new minimally invasive substitute for conventional open surgery.

AB - We investigated the feasibility of robotic renal autotransplantation (RAT) in a porcine model to reduce invasiveness of RAT. Five pigs underwent robotic RAT using the da Vinci® robotic system. A robotic left nephrectomy was performed in all cases. Robotic RAT was performed on the left side in all but one case. Four ports were used. In 3 cases, the kidney was taken out through the GelPort® and irrigated on ice with Ringer’s solution. In 2 cases, a complete intracorporeal robotic RAT was performed. An end-to-side anastomosis was performed between the renal vein and the external iliac vein and between the renal artery and the external iliac artery. Ureteroneocystostomy was also performed in 2 cases. All cases were performed robotically without open conversion. The median (IQR) console time was 3.1 (0.7) h, and the operative time was 3.8 (1.1) h. The estimated blood loss was 30 (0) ml. The warm ischemia time was 4.0 (0.2) min, and the cold ischemia time was 97 (17) min. Intracorporeal transarterial hypothermic renal perfusion was feasible in the 2 complete intracor-poreal robotic RAT cases by using a perfusion catheter through a laparoscopic port. Robotic RAT has the potential to be a new minimally invasive substitute for conventional open surgery.

KW - porcine model

KW - renal autotransplantation

KW - robotic

KW - transplantation

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JO - Acta medica Okayama

JF - Acta medica Okayama

IS - 1

ER -

Robotic Renal Autotransplantation: A Feasibility Study in a Porcine Model

Abstract

Keywords

ASJC Scopus subject areas

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