机器人辅助肾移植在膀胱切除术伴尿改道患者中的应用：由rus - rakt工作组报道的首例病例。

IF 3.2 3区医学 Q1 UROLOGY & NEPHROLOGY

European Urology Open Science Pub Date : 2025-01-01 DOI:10.1016/j.euros.2024.12.002

José Ignacio Pérez-Reggeti , Begoña Etcheverry , María Fiol , Angelo Territo , Luca Afferi , Oscar Buisan , Luis Riera , José F. Suarez-Novo , Alberto Breda , Francesc Vigués , European Association of Urology Robotic Urology Section (ERUS) Robot-assisted Kidney Transplantation (RAKT) Working Group

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引用次数: 0

摘要

重度下尿路功能障碍和终末期肾病患者经尿改道肾移植的适应症是一个有争议的问题。由于机器人辅助肾移植（RAKT）项目的进步，边界正在进一步推进。我们提出了第一个RAKT系列报道的患者接受单纯膀胱切除术和良性膀胱疾病的UD。第一个病例涉及同时机器人辅助单纯性膀胱切除术与体内UD和RAKT。第二个病例包括机器人辅助的单纯性膀胱切除术和体内UD和双侧肾切除术，随后在8个月后进行RAKT。术后9个月，两例患者均无并发症，肾功能稳定，无需血液透析。这是RAKT在膀胱切除术和UD患者中的首次应用，证明了该手术的可行性和安全性。

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Robot-assisted Kidney Transplantation in Patients Undergoing Cystectomy with Urinary Diversion: First Cases Reported by the ERUS-RAKT Working Group

The indication for kidney transplantation over a urinary diversion (UD) for patients with severe lower urinary tract dysfunction and end-stage renal disease is a controversial issue. Thanks to advances in robot-assisted kidney transplant (RAKT) programs, the boundaries are being pushed further. We present the first RAKT series reported for patients undergoing simple cystectomy and UD for benign bladder disease. The first case involved simultaneous robot-assisted simple cystectomy with intracorporeal UD and RAKT. The second case involved robot-assisted simple cystectomy with intracorporeal UD and bilateral nephrectomy in the first procedure, followed by RAKT 8 mo later. At 9 mo after surgery, both patients had experienced no complications and had stable renal function with no need for hemodialysis. This first experience of RAKT in patients with cystectomy and UD demonstrates the feasibility and safety of the procedure.

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