Presentation Authors: Mohamed Eltemamy*, Juan Garisto, Riccardo Bertolo, Alvin Wee, Jihad Kaouk, Cleveland, OH
Introduction: While open surgery remains the gold standard, minimally invasive surgery has recently gained interest for kidney transplantation. The recently FDA approved da Vinci SP (Intuitive Surgical, Sunnyvale, CA) surgical system was developed specifically to facilitate single-site, multi-quadrant surgery. We aimed to report our initial pre-clinical experience using the SP surgical system (Intuitive Surgical, Sunnyvale, Ca) for kidney transplantation.
Methods: A male fresh cadaver model was used. The GelPoint advanced access platform was placed through a 3-cm midline incision, 4 cm cephalad the belly button. A left kidney was obtained from the local procurement organization. Bench preparation of the nephrectomized kidney was performed and the kidney was introduced into the abdominal cavity through the Alexis wound protector. Then the robot was docked, and the pelvic fossa was targeted. The standardized steps of robotic multi-arm kidney transplant were duplicated.The procedure was successful with no intraoperative complications. Total operative time was 180 minutes, with 15 minutes spent for docking. 35 minutes were counted for bench surgery.
Results: The procedure was successful with no intraoperative complications. Total operative time was 180 minutes, with 15 minutes spent for docking. 35 minutes were counted for bench kidney surgery.
Conclusions: Robotic Single-Port kidney transplantation using the SP surgical platform is feasible. The platform could be particularly interesting for multi-quadrant surgery such as auto-transplantation, potentially reducing the time for redocking.