Robotic Bilateral Nephrectomy for Large ADPKD Kidneys

What is it about?

This study describes a technique and reviews the experience with robotic bilateral nephrectomy for large kidneys in ADPKD. A retrospective review of 14 cases from January 2020 to present at a high-volume robotic single center was conducted. All patients underwent successful surgery with a median LOS of 3 days. The robotic approach was safe and well tolerated, even for extremely large polycystic kidneys. The indications for nephrectomy were for pain, hemorrhage, and renal mass, and all patients successfully underwent an extraperitoneal kidney transplant at a median of 95 days after native nephrectomy. The study concludes that the robotic approach to bilateral native nephrectomy for ADPKD is effective for large kidneys and should be considered when indicated.

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Photo by Robina Weermeijer on Unsplash

Photo by Robina Weermeijer on Unsplash

Why is it important?

This research is important because it presents a series of 14 consecutive patients who successfully underwent robotic bilateral nephrectomy for large kidneys in ADPKD. This procedure is a safe and effective alternative to open nephrectomy, with lower complication rates and shorter hospital stays. This study provides evidence that the robotic approach to bilateral native nephrectomy for ADPKD should be considered when native nephrectomies are indicated, especially for large kidneys. Key Takeaways: 1. The robotic approach to bilateral native nephrectomy for ADPKD is safe and effective, even for large polycystic kidneys. 2. The operative times and outcomes are favourable compared with prior series. 3. The technique works for very large kidneys, with a median largest kidney removed measurement of 32 cm. 4. There were no intra-operative complications or open conversions, and post-operative complications were minor. 5. The median length of stay was 3 days, and there were no intraoperative complications or open conversions. 6. The robotic approach to bilateral native nephrectomy for ADPKD should be considered when native nephrectomies are indicated, especially for large kidneys.

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