The transplant surgery sector has undergone a significant transformation over the years by the RKT, a.k.a Robotic Kidney Transplantation.
Thanks to RKT, the renal transplantation sector has witnessed the application of the advantages of minimally invasive surgery. The RKT techniques have also contributed to lowering the kidney transplant cost in India, unlike before.
The surgery approaches vary sparsely across the globe, and uniformity within evidential and substantiated chassis is required to account for mass-scale usage and guarantee safe and result-oriented innovation.
An all-inclusive literature study was conducted between 2010 and 2020 to find and explore papers accounting for RKT techniques. Till now, compelling and successful results have been recorded, and specific benefits have been explored for obese individuals who are not rejected for an open kidney transplant.
In this article, you will learn all about the evolution of the techniques in robotic kidney transplantation, like robotic dual kidney transplantation, RKT with numerous-vessel grafts, scarless surgery, and gasless surgery. So, let’s start.
After taking inspiration from the work by Modi et al., where the kidney is put inside the body trans-vaginally, Documerc et al. in France have come up with an advanced technique. This has been in agreement with the extensive and universal acquisition of the Alexis dual-ring wound retractor.
Both robotic and open urological procedures involve the use of this wound retractor, which yields promising and effective results, especially by stopping wound infection.
By leveraging the Alexis retractor, it has been demonstrated that doctors can take out a kidney from the donor as well as insert it into the patient needing a transplant trans-vaginally. The outcome turns out to be nearly scarless surgery.
Nevertheless, this technique comes with restrictions as it is not ideal for women who never gave birth to a live baby due to the insufficiency of vaginal capacity.
When it comes to performing RKT, the most widely and commonly adopted technique is the Vattikuti-Medanta technique. However, other approaches have accounted for promising and effective outcomes.
According to the publication of Tsai et al., they have devised a technique that leverages the robots’ arms to encamp the individual’s abdominal wall. This alleviates the usage of gas for the creation of a pneumoperitoneum.
This gas was postulated as a heat source, which can be utilized for warming up the ischemia. By preventing the kidney from getting heated and using robotic arms for uplifting the abdominal wall, the research team came to the conclusion that it’s possible to lower the measure of warm ischemia.
Robotic Kidney Transplantation With Multiple Vessels
This is another method that will contribute to the lower kidney transplant cost in India. Let’s take a toll on what this RKT technique is all about.
When it comes to anastomose execution and back-bench preparation, the graft kidneys with numerous arteries or, in rare cases, veins can lead to troubles.
When compared to GSVs or Grafts with Single Vessels, GMVs or Grafts with multiple vessels are acknowledged for their high vulnerability, along with the delayed graft functionality.
Using the open technique, we can compare the patient survival rate with GMVs and long-term outcomes with single-vessel grafts.
Due to the lack of donor kidneys in today’s medical world, GMVs cannot be considered the ultimate response to transplantation and may still be leveraged.
All About Robotic Dual Kidney Transplantation
A highly effective approach to expand the aspect of deceased donor transplantation is dual kidney transplantation. These can perfect the long-term working of the kidneys to that of a normal kidney.
Integrating the comprehensive advantages of RKT alongside dual kidney transplantation has the capability and power to enhance renal functionality in the long run.
The research team at H.L. Trivedi Institute of Transplantation Sciences in India has introduced and evolved the RDKT or Robotic dual kidney transplantation. They revealed that they had performed the RDKT in a range of six cases.
The team built upon the practicality studies and past case studies on dead bodies. They leveraged an exceptional technique in positioning the two kidneys on the vessels (the ipsilateral iliac vessels).
However, compared to open dual kidney transplantation, the primary drawback of this technique is the extended operative time due to the involvement of multiple anastomoses, which can consume a lot of time when done using robots.
With the emergence of new surgical procedures in the future, patients will take priority over techniques and can enjoy lower kidney surgery costs in India. If you need to undergo kidney transplant at a reasonable cost and from the best healthcare unit, you should visit the BLK Max Hospital.
Read More Blogs: