Журнал клинической и экспериментальной трансплантации

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Robotic Assisted Kidney Transplant, Reserved for the Deserved

Ramesh K Batra, David C Mulligan, Sanjay Kulkarni and Chandra S Bhati

Robotic assisted kidney transplant is the latest technical milestone in kidney transplant surgery. But, unlike other minimal invasive surgery, robotic kidney transplant has been slow to gain popularity despite the ergonomic advantage and lower wound complications, due to the costs involved, therefore questioning its true need in transplant surgery. Clearly the indications of robotic assisted kidney transplant are unclear, further debating its utility. Obesity in kidney transplant has been steadily growing, in accordance with the rising obesity rates worldwide. Obesity leads to poor outcomes after any general surgical procedure due to the higher incidence of complications, and subsequently, negatively impacts graft and patient survival after a kidney transplant. Therefore, some of obese patients can significantly benefit with a robotic kidney transplant and therefore justify its utility and cost. Robotic kidney transplant is not here to replace the open conventional surgery, but rather act as an alternative tool, reserved to benefit certain patients only.