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Robotic Renal Autotransplantation: First Case Outside of North America. 2017
Motoo Araki, and
Koichiro Wada, and
Yosuke Mitsui, and
Takuya Sadahira, and
Risa Kubota, and
Shingo Nishimura, and
Takashi Yoshioka, and
Yuichi Ariyoshi, and
Kei Fujio, and
Atsushi Takamoto, and
Morito Sugimoto, and
Katsumi Sasaki, and
Yasuyuki Kobayashi, and
Shin Ebara, and
Hideki Taninishi, and
Hiroyuki Amano, and
Masashi Inui, and
Masami Watanabe, and
Toyohiko Watanabe, and
Yasutomo Nasu
Department of Urology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama 700-8558, Japan.motoosh@md.okayama-u.ac.jp.
A 38-year-old woman with a 2.7-cm left ureteral stenosis requiring chronic ureteral stent exchange elected to undergo robotic renal autotransplantation. Left ureteropelvic junction obstruction (UPJO) was also suspected. Robotic donor nephrectomy contributed to the fine dissection for desmoplastic changes. The kidney was removed through a Gelport and examined on ice. UPJO was not seen. An end-to-side robotic anastomosis was created between the renal and external iliac vessels. The console time was 507 min, and the warm ischemia time was 4 min 5 sec. She became stent-free. Robotic renal autotransplantation is a new, minimally invasive approach to renal preservation.
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