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Spaggiari M, Martinino A, Petrochenkov E, Bencini G, Zhang JC, Cardoso VR, Akshelyan S, Di Cocco P, Almario-Alvarez J, Tzvetanov I, Benedetti E. Single-center retrospective assessment of robotic-assisted simultaneous pancreas-kidney transplants: Exploring clinical utility. Am J Transplant 2023:S1600-6135(23)00924-3. [PMID: 38158189 DOI: 10.1016/j.ajt.2023.12.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 12/21/2023] [Accepted: 12/21/2023] [Indexed: 01/03/2024]
Abstract
The diabetic population is witnessing a rise in obesity rates, creating specific hurdles for individuals seeking pancreas transplantation because they are frequently disqualified due to their elevated body weight. Introducing a robotic-assisted approach to transplantation has been proven to yield improved outcomes, particularly in patients with obesity. A retrospective analysis was conducted between January 2015 and September 2023. The study included a total of 140 patients, with 16 receiving robotic-assisted simultaneous pancreas-kidney transplantation (RSPK) and 124 undergoing open approach simultaneous pancreas-kidney transplantation (OSPK) during the study period. The median age was 45 (36.8-52.7) and 44.5 years (36.8-51.8) (RSPK vs OSPK, P = .487). There were no significant differences in demographics except body mass index (RSPK vs OSPK, 34.9 vs 28.1, P < .001) and a higher percentage of patients with high cardiac risk in the RSPK group. The robotic approach has a lengthier overall operative time and warm ischemia time. Surgical and nonsurgical complications at 30-days and 1-year grafts and patient survival (93.8% vs 96.8%, RSPK vs OSPK, P = .521) were similar. Our findings suggest that employing robotic assistance in simultaneous pancreas-kidney transplantation is safe. Wider adoption and utilization of this technique could potentially improve transplant accessibility for individuals with obesity and diabetes.
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Affiliation(s)
- Mario Spaggiari
- Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Alessandro Martinino
- Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA.
| | - Egor Petrochenkov
- Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Giulia Bencini
- Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Jing Chen Zhang
- University of Illinois at Chicago College of Medicine, Chicago, Illinois, USA
| | - Victor Roth Cardoso
- Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK
| | - Stepan Akshelyan
- Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Pierpaolo Di Cocco
- Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Jorge Almario-Alvarez
- Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Ivo Tzvetanov
- Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Enrico Benedetti
- Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, Illinois, USA
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Spaggiari M, Tulla KA, Okoye O, Di Bella C, Di Cocco P, Almario J, Ugwu‐Dike P, Tzvetanov IG, Benedetti E. The utility of robotic assisted pancreas transplants – a single center retrospective study. Transpl Int 2019; 32:1173-1181. [DOI: 10.1111/tri.13477] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2018] [Revised: 07/31/2018] [Accepted: 06/25/2019] [Indexed: 11/26/2022]
Affiliation(s)
- Mario Spaggiari
- Division of Transplantation Department of Surgery University of Illinois at Chicago Chicago IL USA
| | - Kiara A. Tulla
- Division of Transplantation Department of Surgery University of Illinois at Chicago Chicago IL USA
| | - Obi Okoye
- Division of Transplantation Department of Surgery University of Illinois at Chicago Chicago IL USA
| | - Caterina Di Bella
- Division of Transplantation Department of Surgery University of Illinois at Chicago Chicago IL USA
| | - Pierpaolo Di Cocco
- Division of Transplantation Department of Surgery University of Illinois at Chicago Chicago IL USA
| | - Jorge Almario
- Division of Transplantation Department of Surgery University of Illinois at Chicago Chicago IL USA
| | - Pearl Ugwu‐Dike
- Division of Transplantation Department of Surgery University of Illinois at Chicago Chicago IL USA
| | - Ivo G. Tzvetanov
- Division of Transplantation Department of Surgery University of Illinois at Chicago Chicago IL USA
| | - Enrico Benedetti
- Division of Transplantation Department of Surgery University of Illinois at Chicago Chicago IL USA
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