Authors
Phillipe Abreu, Haaris Kadri, Jimena Alaniz, Amen Kiani, Caroline Godfrey, Neeta Vachharajani, Jesse D Schold, Thomas Pshak, Adeel S Khan, Mario Spaggiari, ART Consortium
Published in
Journal of robotic surgery. Volume 20. Issue 1. Nov 09, 2026. Epub Nov 09, 2026.
Abstract
The safety of robotic kidney transplantation has been shown in single-center studies, but multi-institutional outcomes in America remain understudied. This was a retrospective analysis of 671 robotic kidney transplants across three institutions, with data collected from the start of their robotic kidney transplant programs through December 2025. Outcomes were stratified by recipient body mass index, donor type, and renal artery anatomy. Median recipient age was 49 years, and 58.0% were male. Most patients had obesity (87.8%), with 47.5% having morbid obesity. Most (55.1%) received living donor grafts. Median operative and warm ischemia times were 273 and 44 min, respectively. Conversion to open surgery occurred in 0.6% of cases. Delayed graft function occurred in 16.2% of recipients, and major complications in 12.1%; neither differed by recipient body mass index. Patient survival was significantly lower for patients with BMI ≥ 40 (p < 0.001). Delayed graft function varied by donor type, ranging from 2.2% (living donor) to 48.3% (donation after circulatory death with rapid recovery). Patient survival at 1, 3, and 5 years post-transplant was 96.5%, 92.5%, and 87.3%; graft survival was 96.9%, 93.4%, and 86.8%, respectively. Robotic kidney transplantation was safe and technically reproducible with appropriate perioperative outcomes across three American transplant centers.
PMID:
43002268
Bibliographic data and abstract were imported from PubMed on 10 Nov 2026.
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