Transplanted kidney spared during robotic partial nephrectomy
Jihad Kaouk, MD, Director of the Center for Laparoscopic and Robotic Surgery at the Glickman Urological & Kidney Institute, performed the first robotic partial nephrectomy on a patient with a transplanted kidney.
Dr. Kaouk used a robotic approach to remove a 7-centimeter tumor from the kidney of a patient who received a transplant 24 years ago. The large tumor was initially thought to require a total nephrectomy, and other centers recommended the kidney be removed, but using a modified robotic approach, Dr. Kaouk was able to remove only the tumor.
Because a transplanted kidney often lies closer to the pelvis, a robot was required to minimize risk of bleeding during surgery and allow for removal of the tumor alone.
“Our team at Cleveland Clinic has accumulated among the largest robotic kidney surgery experience in the world,” Dr. Kaouk says. “It’s that experience that made this partial nephrectomy of a transplanted kidney possible and successful.”
The patient is a 35-year-old woman from Rochester, N.Y. She had congenital kidney problems and received a donor kidney from her father in 1986 at age 10. The surgery has fully preserved her kidney function and resulted in a less than one-week hospital stay.
Preserving the kidney was especially important to the patient, and the procedure has allowed her to avoid dialysis.
“We congratulate Dr. Kaouk on his continued innovation in robotic surgery, and we anticipate forthcoming opportunities, as in this unique case, to leverage our capabilities to provide vital options to our patients,” says Eric Klein, MD, Chairman of the Glickman Urological Kidney Institute at Cleveland Clinic.
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