TY - CHAP M1 - Book, Section TI - Minimally Invasive Kidney Transplantation A1 - Modi, Pranjal A1 - Sood, Akshay A1 - Jeong, Wooju A1 - Bhandari, Mahendra A1 - Ahlawat, Rajesh K A1 - Kumar, Ramesh A1 - Menon, Mani A2 - Molmenti, Ernesto Pompeo PY - 2023 T2 - Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e AB - Minimally invasive surgery reduces perioperative morbidity. Benefits include, but are not limited to, smaller incision, lesser surgical site infection, blood loss and postoperative pain, shorter hospital stay and convalescence period, and better cosmesis1–5Indeed, the role of minimally invasive surgery in donor nephrectomy has been well established6; however, its utility for recipient surgery has not been rigorously evaluatedBeing fragile and immunocompromised, patients undergoing kidney transplantation (KT) are at a higher risk for developing perioperative complications than the renal donor. Complications affect not only short-term patient convalescence adversely but also compromise long-term graft and patient survival.7–10 Thus, transplant recipients may benefit substantially from minimally invasive surgeryMinimally invasive approaches to KT have been described recentlyIn 2010, Modi et al. introduced the technique of laparoscopic KT,11 and Giulianotti et al. described their technique of robotic KT (RKT)12Both groups noted a slightly slower return of graft function.13,14 These studies were performed without renal coolingWe reasoned that warm ischemia may have played a role in the slight delay in recovery of graft function and sought to develop a technique for RKT that eliminated warm ischemia during the recipient surgeryHere, we describe our novel technique of RKT with regional hypothermia SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1194180877 ER -