Evidence map›Paper›PMID 31127330›Full record

ArticleWorld journal of urology2020

Minimally invasive robotic versus conventional open living donor kidney transplantation.

Ulrich Pein, Matthias Girndt, Silke Markau, Annekathrin Fritz, Alberto Breda, Michael Stöckle, Nasreldin Mohammed, Felix Kawan, Andre Schumann, Paolo Fornara and 1 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in World journal of urology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. [Robot-assisted kidney transplantation].Der Urologe. Ausg. A · 2020
    Pooled it
  4. Article
  5. Living-Donor Kidney Transplantation: Comparison of Robotic-Assisted Versus Conventional Open Technique.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  6. Robotic kidney transplantation.Nature reviews. Urology · 2024
    Review
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  17. Comparison of outcomes after open versus robotic kidney transplantation: A systematic review and meta-analysis.Indian journal of urology : IJU : journal of the Urological Society of India
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Ulrich PeinDepartment of Nephrology, University Hospital Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany. ulrich.pein@uk-halle.de.ORCID http://orcid.org/0000-0003-4568-914X
Matthias GirndtDepartment of Nephrology, University Hospital Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.
Silke MarkauDepartment of Nephrology, University Hospital Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.
Annekathrin FritzDepartment of Nephrology, University Hospital Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Germany.
Alberto BredaDepartment of Urology, Autonoma University of Barcelona, Barcelona, Spain.
Michael StöckleDepartment of Urology, University Hospital Saarland, Homburg/Saar, Germany.
Nasreldin MohammedDepartment of Urology, University Hospital Halle (Saale), Halle (Saale), Germany.
Felix KawanDepartment of Urology, University Hospital Halle (Saale), Halle (Saale), Germany.
Andre SchumannDepartment of Urology, University Hospital Halle (Saale), Halle (Saale), Germany.
Paolo FornaraDepartment of Urology, University Hospital Halle (Saale), Halle (Saale), Germany.
Karl WeigandDepartment of Urology, University Hospital Halle (Saale), Halle (Saale), Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFirst robotic-assisted kidney transplants (RAKT) were performed in Germany in 2016. To introduce and establish this method as a routine procedure for patients in transplantation medicine, our 2-year experiences are presented.

methodsNon-randomized open-label cohort study to compare functional and operative results as well as complication rates between RAKT and standard open transplantation. Collected data are part of ERUS RAKT Group Registry.

resultsSince initiation of the RAKT program 21/27 transplantations after living kidney donations have been performed as RAKT. This represents the largest series of RAKT in Germany. Patient survival, transplant survival, and primary function rate are 100% (mean follow-up 12.9 ± 8.6 month). Mean incision to closure time was 306.1 ± 45.5, mean handling time 70.8 ± 13.1 min compared to 212.1 ± 40.6 min and 51.7 ± 9.9 min, respectively, in the standard group. Despite extended operating times using the robotic approach, comparable complication rates and graft function with significant reduction in median length of hospital stay (14 vs. 20 days) were observed.

conclusionsRAKT extends the options for recipients towards minimally invasive techniques. Compared to classic open surgery, RAKT appears to be safe in selected patients without influencing graft outcome or higher complication rates. However, RAKT till today is not suitable for all patients but seems to be one of the upcoming new standard techniques in kidney transplantation.

Indexed as

Graft SurvivalLiving DonorsAdultAgedCohort StudiesFemaleHumansKidney TransplantationLength of StayMaleMiddle AgedNephrectomyOperative TimePostoperative ComplicationsRobotic Surgical ProceduresLiving kidney transplantationMinimally invasiveOpen surgeryRobot-assisted

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.