TY - JOUR T1 - Robotic-Assisted Laparoscopic Donor Nephrectomy: Decreasing Length of Stay JF - Ochsner Journal JO - Ochsner J SP - 19 LP - 24 VL - 15 IS - 1 AU - Ari J. Cohen AU - Darin S. Williams AU - Humberto Bohorquez AU - David S. Bruce AU - Ian C. Carmody AU - Trevor Reichman AU - George E. Loss, Jr. Y1 - 2015/03/20 UR - http://www.ochsnerjournal.org/content/15/1/19.abstract N2 - Background The number of robotic operations performed with the da Vinci Surgical System has increased during the past decade. This system allows for greater maneuverability and control than hand-assisted laparoscopic procedures, resulting in less tissue manipulation and irritation.Methods We retrospectively analyzed the results of 100 consecutive robotic-assisted laparoscopic donor nephrectomies and compared them to our most recent 20 hand-assisted laparoscopic donor nephrectomies.Results Between May 2008 and June 2012, 120 laparoscopic donor nephrectomies were performed at Ochsner Clinic Foundation. Of those, 100 live kidney donors underwent robotic-assisted laparoscopic donor nephrectomies. Surgical time and hospital length of stay improved after the first 20 patients receiving robotic-assisted laparoscopic nephrectomies, which was considered the learning curve. Sixty percent of patients who underwent robotic-assisted laparoscopic donor nephrectomies were released on postoperative day 1 compared to 45% of patients who underwent hand-assisted laparoscopic techniques.Conclusion In our experience, robotic-assisted laparoscopic donor nephrectomy resulted in decreased postoperative length of stay that decreased the global cost of the procedure and allowed our institution to admit more patients. ER -