First Canadian experience with robotic laparoendoscopic single-site vs. standard laparoscopic living-donor nephrectomy: A prospective comparative study

  • Patrick P. Luke University Hospital, London Health Sciences Centre
  • Shahid Aquil University Hospital, London Health Sciences Centre
  • Bijad Alharbi University Hospital, London Health Sciences Centre
  • Hemant Sharma University Hospital, London Health Sciences Centre
  • Alp Sener University Hospital, London Health Sciences Centre

Abstract

Introduction: We aimed to compare the outcomes of robotic laparoendoscopic single-site living donor nephrectomy (R-LESS LDN) vs. standard laparoscopic living donor nephrectomy (LLDN).

Methods: Between October 2013 and November 2015, 39 patients were allocated to either standard LLDN (n=25) or R-LESS LDN (n=14). Patient demographics, perioperative outcomes, analgesic requirement, visual analogue scale of pain at postoperative days 1, 3, 7, and 30, and a health-related quality of life and body image questionnaire were prospectively collected.

Results: There were no significant differences in demographics and intraoperative outcomes between the two cohorts. The R-LESS LDN cohort had lower analgesic requirement (p=0.002) and lower visual pain scores on days 1 and 3 (p=0.001). Additionally, body image and satisfaction scores in the R-LESS group were also superior compared to the LLDN cohort (p=0.008). There was no significant difference in the postoperative complications according to the Clavien-Dindo system. Recipient graft functional outcomes were equivalent.

Conclusions: This is the first evidence that R-LESS LDN is safe and associated with comparable surgical and early functional outcomes compared to LLDN, while pain, donor body image, and satisfaction scores were improved compared to LLDN.

Author Biographies

Patrick P. Luke, University Hospital, London Health Sciences Centre

Departmet of surgery, Multi-organ transplant unit.

Professor of Urology

Shahid Aquil, University Hospital, London Health Sciences Centre

Departmet of surgery, Multi-organ transplant unit.

Clinical fellow

Bijad Alharbi, University Hospital, London Health Sciences Centre

Departmet of surgery, Multi-organ transplant unit.

Clinical fellow

Hemant Sharma, University Hospital, London Health Sciences Centre

Departmet of surgery, Multi-organ transplant unit.

Clinical fellow

Alp Sener, University Hospital, London Health Sciences Centre

Departmet of surgery, Multi-organ transplant unit.

Associate Professor

Published
2018-06-07
How to Cite
Luke, P. P., Aquil, S., Alharbi, B., Sharma, H., & Sener, A. (2018). First Canadian experience with robotic laparoendoscopic single-site vs. standard laparoscopic living-donor nephrectomy: A prospective comparative study. Canadian Urological Association Journal, 12(11). https://doi.org/10.5489/cuaj.5275
Section
Original Research