■随着全球对肾移植的需求不断增加,医疗机构面临着弥合等待肾移植患者和捐赠者数量之间差距的挑战。影响供体决定的主要因素是手术风险和潜在的手术并发症。开放式手术方法已被腹腔镜供体肾切除术作为实践标准所取代。然而,越来越多的证据表明其优于腹腔镜方法。在这项研究中,我们的目标是介绍我们对机器人辅助活体肾切除术(RALDN)结果的经验,在阿拉伯联合酋长国(阿联酋)的第一个系列。
■我们回顾性收集了在Mediclinc市医院接受RALDN的患者的数据。人口统计数据,实验室调查,收集和分析手术细节。
■7名患者在2021年至2022年4月期间在我们的设施接受了RALDN。四名捐献者是男性,三名是女性。平均住院时间为4天。在我们的研究中,其中一名患者患有Clavien-DindoIV级并发症,需要延长入院时间.
■我们得出结论,RALDN是一种安全的供体肾脏获取方法,携带低发病率和死亡率的风险。这种方法可能会发展肾脏供体的数量,以解决肾脏移植需求高的问题。
UNASSIGNED: As the demand for kidney transplants continues to increase globally, healthcare institutions face a challenge to bridge the gap between patients waitlisted for kidney transplants and the number of donors. A major factor influencing the donor\'s decision is the operative risk and potential complications of the surgery. Open surgical approaches have been vastly replaced with laparoscopic donor nephrectomies as the standard of practice. However, there is a growing body of evidence pointing towards its potential superiority over laparoscopic methods. In this study, we aim to present our experience on outcomes of Robotic-Assisted Live Donor Nephrectomies (RALDN), the first series of its kind in the United Arab Emirates (UAE).
UNASSIGNED: We retrospectively collected data from patients who underwent RALDN at Mediclinc City Hospital. Demographic data, laboratory investigations, and operative details were collected and analyzed.
UNASSIGNED: Seven patients underwent RALDN between 2021 and April 2022 at our facility. Four donors were male while three were female. Median length of hospital stay was 4 days. In our study, one of the patients suffered from a Clavien-Dindo grade IV complication which necessitated prolonged admission.
UNASSIGNED: We conclude that RALDN is a safe method for donor kidney procurement, carrying a low risk of morbidity and mortality. This method could potentially evolve the number of kidney donors to address the issue of high kidney transplant demand.