MP76-13 PROSPECTIVE PROPENSITY MATCHED NON-RANDOMIZED COMPARISON BETWEEN OPEN AND ROBOT ASSISTED KIDNEY TRANSPLANTATION

Abstract

INTRODUCTION AND OBJECTIVES: Open Kidney transplant (OKT) has been a well-established procedure for End Stage Renal Disease (ESRD). Robot Assisted Kidney Transplantation (RAKT) has been a recent development, and is gradually getting established. Herein, we compared our initial 60 RAKT with 60 OKT performed at our centre between April 2016 and July 2018. METHODS: Data of 60 RAKT was prospectively collected and compared with propensity matched 60 cases of OKT out of 293 OKT done during the same period. All graft kidneys were harvested laparoscopically. Kidney was wrapped in an ice slush jacket and inserted into the abdominal cavity of the recipient through a midline umbilical (27 patients) or Pfannensteil approach (33 patients). A Gelport® was used to seal the midline incision. The data was statistically analysed. RESULTS: The two groups were comparable in terms of age, sex, duration on hemodialysis warm ischemia time (WIT), cold ischaemia time (CIT) and donor kidney glomerular filtration rate (GFR). Recipients in RAKT group had higher body mass index. Requirement of peri-operative analgesia was significantly less in RAKT group.Re-warm ischemia time was significantly longer in RAKT group. Functional outcomes in terms of serum creatinine were similar in both the groups at post-operative day 7 and day 90. CONCLUSIONS: RAKT confers advantage of decreased wound morbidity with similar functional outcomes as compared to OKT in short term. It looks promising; however, long term follow-up of larger number of patients in needed.