The experience of anesthesia during kidney transplantation with robot assisted laparoscopic surgery

Abstract

Objective: Renal transplantation is the most commonly used method to improve the quality of life of patientswith end-stage renal failure. Kidney transplantation began in our hospital in 2016 with robot-assistedlaparoscopic surgery (RALS). Here, we retrospectively compared the RALS technique and open surgery withrespect to anesthesia management during kidney transplant operations done in our clinic.Methods: Anesthesia management, the duration of the operation and of vascular anastomosis, the amount offluid delivered perioperatively, amount of urine, and diuretic requirements were investigated retrospectivelyin cases of renal transplantation (Group O, open surgical technique, n = 22; Group R, RALS technique, n =14). Blood gas values, and lactate, bicarbonate, glucose, and electrolyte levels, were examined preoperativelyafter extubation.Results: The durations of surgery and vascular anastomosis were significantly longer in Group R than in GroupO (p 0.05).Conclusions: The surgical superiority of RALS technique is known. However, anesthesia management in thispatient group is difficult due to the risk of the Trendelenburg position and pneumoperitoneum.