Analyzing the Impact of CIT on the Largest Reported Cohort of Robotic Kidney Transplantation From the Deceased Donors

Egor Petrochenkov, MD; Giulia Bencini, MD; Alessandro Martinino, MD; Amy Lian, MD; Joanna Olazar, BS; Stepan Akshelyan, MD; Kentaro Yoshikawa, MD; Pierpaolo Di Cocco, MD; Jorge Almario-Alvarez, MD; Mario Spaggiari, MD; Enrico Benedetti, MD; Ivo Tzvetanov, MD

doi:10.1097/TXD.0000000000001671

Transplantation Direct (Sep 2024)

Analyzing the Impact of CIT on the Largest Reported Cohort of Robotic Kidney Transplantation From the Deceased Donors

Egor Petrochenkov, MD,
Giulia Bencini, MD,
Alessandro Martinino, MD,
Amy Lian, MD,
Joanna Olazar, BS,
Stepan Akshelyan, MD,
Kentaro Yoshikawa, MD,
Pierpaolo Di Cocco, MD,
Jorge Almario-Alvarez, MD,
Mario Spaggiari, MD,
Enrico Benedetti, MD,
Ivo Tzvetanov, MD

Affiliations

Egor Petrochenkov, MD: 1 Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL.
Giulia Bencini, MD: 1 Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL.
Alessandro Martinino, MD: 1 Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL.
Amy Lian, MD: 2 School of Medicine, University of Illinois at Chicago College of Medicine, Chicago, IL.
Joanna Olazar, BS: 1 Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL.
Stepan Akshelyan, MD: 1 Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL.
Kentaro Yoshikawa, MD: 1 Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL.
Pierpaolo Di Cocco, MD: 1 Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL.
Jorge Almario-Alvarez, MD: 1 Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL.
Mario Spaggiari, MD: 1 Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL.
Enrico Benedetti, MD: 1 Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL.
Ivo Tzvetanov, MD: 1 Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL.

DOI: https://doi.org/10.1097/TXD.0000000000001671
Journal volume & issue: Vol. 10, no. 9
p. e1671

Abstract

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Background. Robotic-assisted kidney transplant (RAKT) has proven to be a successful approach for patients with morbid obesity and more centers are encouraged to apply robotic approach also for deceased donor kidney transplantation. Prolonged cold ischemia time (CIT) is accompanied by delayed graft function (DGF) and early graft loss after traditional open kidney transplant (OKT). This study examines the impact of CIT after robotic kidney transplantation on settings of deceased donation. Methods. We present a single-center retrospective analysis of 115 cases of RAKT and 128 cases of OKT from deceased donors performed from deceased donor from 2009 to July 2022. Cohort was divided in 3 groups based on CIT (“high” CIT > 15 h, n = 43; “medium” CIT 11–15 h, n = 38; “low” CIT< 11 h, n = 40). The subgroup analysis of DGF and CIT was performed. Results. The median CIT in the cohort was 13.46 (7) h, and overall rate of DGF was 30.6%. The correlation between CIT and DGF was statistically significant (P = 0.008), and DGF negatively correlated with 1-y graft survival (P = 0.04). The rate of DGF was significantly different between the groups (P = 0.05). Conclusions. Results from our study demonstrate that the effect of CIT on DGF in settings of RAKT follows a similar pattern as in traditional OKT.

Published in Transplantation Direct

ISSN: 2373-8731 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://journals.lww.com/transplantationdirect/Pages/default.aspx

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