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

Authors

  • 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

DOI:

https://doi.org/10.5489/cuaj.5275

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.

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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

Issue

Section

Original Research