Evidence map›Paper›PMID 42487011›Full record

ArticleJournal of robotic surgery2026

Feasibility of simultaneous donor nephrectomy and kidney transplantation using a shared single-port robotic platform.

Hafiz Umair Siddiqui, Adam Esa, Dylan Isaacson, Sami Shoucair, Venkatesh Krishnamurthi, Jihad Kaouk, Yi-Chia Lin, Alvin Wee, Mohamed Eltemamy

Abstract read
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In one paragraph

Article in Journal of robotic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Hafiz Umair SiddiquiDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, NA-23, Cleveland, OH, 44195-3733, USA.
Adam EsaDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, NA-23, Cleveland, OH, 44195-3733, USA.
Dylan IsaacsonDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, NA-23, Cleveland, OH, 44195-3733, USA.
Sami ShoucairDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, NA-23, Cleveland, OH, 44195-3733, USA.
Venkatesh KrishnamurthiDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, NA-23, Cleveland, OH, 44195-3733, USA.
Jihad KaoukDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, NA-23, Cleveland, OH, 44195-3733, USA.
Yi-Chia LinDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, NA-23, Cleveland, OH, 44195-3733, USA.
Alvin WeeDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, NA-23, Cleveland, OH, 44195-3733, USA.
Mohamed EltemamyDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue, NA-23, Cleveland, OH, 44195-3733, USA. eltemam@ccf.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Single-port (SP) robotic platforms are enabling new approaches to living donor nephrectomy and kidney transplantation, but limited access to robotic systems may prevent simultaneous donor and recipient procedures. This retrospective cohort study evaluated the feasibility, safety, and efficiency of a simultaneous SP robotic workflow using a single robotic platform for both operations. 45 living kidney donor/recipient operations were performed between October 2019 and September 2025. 15 pairs underwent a simultaneous SP robotic approach in which both donor nephrectomy and recipient transplant were completed using the same SP robotic platform, while 30 cases underwent laparoscopic donor nephrectomy followed by SP robotic kidney transplantation. Outcomes included operative time, graft ischemia times, perioperative complications, pain scores, length of stay, and graft function. Baseline donor characteristics were similar between groups. SP robotic donor nephrectomy had longer operative time than laparoscopic nephrectomy (median 4:10 vs. 3:07 h, p = 0.001), while warm ischemia time, blood loss, length of stay, and renal function were comparable. Donors in the SP group reported lower postoperative day 1 pain scores (p = 0.03). In recipients, the simultaneous SP robotic approach resulted in a shorter operative time (3:54 vs. 4:41 h, p = 0.015) and anastomosis time (44 vs. 52.5 min, p = 0.007), with no differences in cold ischemia time, complications, or graft function. Overall, this study presents a novel, resource-efficient surgical model that enables dual robotic procedures using a single platform without compromising outcomes.

Indexed as

Kidney TransplantationLaparoscopyLiving DonorsNephrectomyRobotic Surgical ProceduresAdultFeasibility StudiesFemaleHumansLength of StayMaleMiddle AgedOperative TimeRetrospective StudiesLiving donorPerioperative outcomesRobotic surgerySingle port donor nephrectomy RAKTSingle port robotic kidney transplantation

Identifiers

PMID42487011
PMCPMC13391760

What OpenQuestion holds

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Registered trials

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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.