RT Journal Article
SR Electronic
T1 Robotic-Assisted Laparoscopic Donor Nephrectomy: Decreasing Length of Stay
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 19
OP 24
VO 15
IS 1
A1 Ari J. Cohen
A1 Darin S. Williams
A1 Humberto Bohorquez
A1 David S. Bruce
A1 Ian C. Carmody
A1 Trevor Reichman
A1 George E. Loss, Jr.
YR 2015
UL http://www.ochsnerjournal.org/content/15/1/19.abstract
AB 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.