Evidence map›Paper›PMID 41809534›Full record

ArticleCase reports in transplantation2026

Enhancing Kidney Transplantation Outcomes Through Robotic-Assisted Paired Kidney Exchange: A Case Report.

Vitor Turra, Sarah Rombach, Joao Manzi, Simone Zaragoza, Giselle Guerra, Rodrigo Vianna, Phillipe Abreu

Abstract read
In one paragraph

Article in Case reports in transplantation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Vitor TurraMiami Transplant Institute, Jackson Memorial Hospital, University of Miami, Miami, Florida, USA, miami.edu.
Sarah RombachMiami Transplant Institute, Jackson Memorial Hospital, University of Miami, Miami, Florida, USA, miami.edu.
Joao ManziMiami Transplant Institute, Jackson Memorial Hospital, University of Miami, Miami, Florida, USA, miami.edu.
Simone ZaragozaMiami Transplant Institute, Jackson Memorial Hospital, University of Miami, Miami, Florida, USA, miami.edu.
Giselle GuerraMiami Transplant Institute, Jackson Memorial Hospital, University of Miami, Miami, Florida, USA, miami.edu.
Rodrigo ViannaMiami Transplant Institute, Jackson Memorial Hospital, University of Miami, Miami, Florida, USA, miami.edu.
Phillipe AbreuMiami Transplant Institute, Jackson Memorial Hospital, University of Miami, Miami, Florida, USA, miami.edu.ORCID https://orcid.org/0000-0001-6340-7738

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic kidney disease (CKD) is a significant global health challenge with a rising prevalence, primarily affecting adults with underlying diabetes and hypertension. End-stage renal disease (ESRD), the most severe form of CKD, necessitates renal replacement therapy, such as dialysis or kidney transplantation, to sustain life. Although kidney transplantation offers superior survival and quality of life outcomes, the demand for donor kidneys far exceeds supply, leading to long waiting times and high mortality rates. Living donor kidney transplants demonstrate better outcomes, yet incompatibilities, such as blood type or human leukocyte antigen (HLA) sensitization, limit donor-recipient matches. Paired kidney exchange (PKE) is an innovative strategy that facilitates transplants between HLA-incompatible or ABO-incompatible donor-recipient pairs, increasing the donor pool and improving compatibility. This case report presents a PKE performed robotically at the Miami Transplant Institute, involving two incompatible pairs. Both donor and recipient surgeries were conducted using robotic-assisted techniques, optimizing surgical precision and patient recovery. The robotic approach minimized complications, expedited recovery, and improved postoperative outcomes. This case underscores the potential of combining robotic surgery with PKE to address challenges in kidney transplantation, enhancing compatibility, and patient outcomes while reducing invasiveness and recovery time. Despite its promise, the widespread adoption of robotic-assisted PKE is limited by cost, accessibility, and the need for robust support and educational systems to encourage donor participation.

Indexed as

ABO incompatibilityESRDHLA incompatibilitykidney transplantpaired exchangepaired kidney exchangerobotic surgerytransplant surgery

Identifiers

PMID41809534
PMCPMC12968318

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.