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vol.66 número3TRATAMIENTO QUIRÚRGICO DE LOS TUMORES DE PARÓTIDA: EXPERIENCIA DE 10 AÑOSUSO DE MALLA DE MARLEX® EN EL TRATAMIENTO DE FRACTURAS DE SUELO DE ÓRBITA índice de autoresíndice de materiabúsqueda de artículos
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Revista chilena de cirugía

versión On-line ISSN 0718-4026

Resumen

RUIZ J, Leticia et al. Living robotic donor nephrectomy: The first case in Latin America. Rev Chil Cir [online]. 2014, vol.66, n.3, pp.251-253. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262014000300011.

Introduction: Living donor nephrectomy is the best alternative of treatment for patients with chronic renal disease. Even though open surgery remains the gold standard for donor nephrectomy, laparoscopic surgery has become a feasible alternative in referral centers. To minimize the long learning curve associated with this procedure, some centers have introduced robotic donor nephrectomy as a surgical option. Aim: To present the first robotic-assisted laparoscopic donor nephrectomy in Latin America. Clinical case: The donor is a 50 years old male, living-related to the recipient by affinity (husband/wife). The recipient is a 54 years old female with history of end-stage renal disease waiting to initiate dialysis program. A left transperitoneal robotic-assisted laparoscopic nephrectomy employing the da Vinci Si® (Intuitive Surgical, Sunnyvale CA.) is performed. Mean operative time was 188 minutes with an estimated blood loss of 300 ml. Mean ischemia time was 6 minutes. The graft presented immediate function. Both patients were discharged at 72 h. Conclusion: Living donor robotic-assisted laparoscopic nephrectomy is a safe and viable procedure. Larger series are needed to establish its role.

Palabras clave : Kidney transplant; laparoscopic surgery; robotic surgery; living related donor.

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