Renal Autotransplantation; Case Series
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Baseline patient characteristics
研究概览
简要总结
Renal autotransplantation (RAT) is a method of removing a kidney from its place of origin in a patient, repairing it, and transplanting it in another location of the body, generally the iliac fossa of the same patient.RAT is a relatively new technique; the first ever RAT procedure in the US was performed in 1963. Advances in preservation and transplantation techniques have made RAT a modality that can be utilized in complex renal diseases. RAT is indicated for conditions such as renal vascular disease, nutcracker syndrome, pelvic venous congestion, pelvic trauma, refractory stone disease and, in some cases, loin pain hematuria syndrome and conventionally unresectable renal tumors.
Irrespective of the excellent outcomes shown by RAT, the conventional open approach requires a large midline xiphoid-to-pubis or flank incision for donor nephrectomy with a second pelvic incision for renal transplantation into the iliac fossa.The current gold standard approach to RAT is a laparoscopic nephrectomy followed by open auto-transplantation. However, this approach still requires a large pelvic incision. Robotic technology enables us to perform more complex minimally invasive surgery. Gordon et al. performed and reported the first completely intracorporeal robotic RAT to repair a ureteral injury in 2014.
详细描述
This is a retrospective chart review case series study of all consecutive cases in which robotic RAT was performed that meet the study inclusion and exclusion criteria. The case series will be performed starting from January 2018 until June 2021 to include all cases of robotic RAT procedures.
Perioperative and short-term clinical data will be obtained from the EMR. All the data variables will be documented in the case report forms.
Because the data will have been de-identified and is archival in nature, there will be no active subject recruitment and no patient consenting is required.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Subject was 18 years or older at the time of the procedure
- •Subject who has undergone robotic RAT irrespective of the underlying etiology.
排除标准
- •Subjects who do not meet the inclusion criteria
结局指标
主要结局
Baseline patient characteristics
时间窗: January 2018 until June 2021
Demographics-age
Baseline patient characteristics- Hypertension
时间窗: January 2018 until June 2021
Medical History: hypertension
Baseline patient characteristics-indication for RAT (Renal Autotransplantation
时间窗: January 2018 until June 2021
Medical History: indication for RAT (Renal Autotransplantation)
Baseline patient characteristics-lesions
时间窗: January 2018 until June 2021
Medical History: lesions
Baseline patient characteristics- Tobacco use
时间窗: January 2018 until June 2021
Medical History: tobacco use
Baseline patient characteristics- Gender
时间窗: January 2018 until June 2021
Demographics: gender
Baseline patient characteristics-previous renal revascularization
时间窗: January 2018 until June 2021
Medical History: previous renal revascularization
intraoperative characteristics-Operative time
时间窗: January 2018 until June 2021
Operative time
Baseline patient characteristics- BMI
时间窗: January 2018 until June 2021
BMI, based on the American Society of Anesthesiologists status classification
Baseline patient characteristics- Diabetes
时间窗: January 2018 until June 2021
Medical History: diabetes
Baseline patient characteristics-cardiopulmonary disease
时间窗: January 2018 until June 2021
Medical History: cardiopulmonary disease
intraoperative characteristics-concomitant procedures
时间窗: January 2018 until June 2021
concomitant procedures
intraoperative characteristics-conversions
时间窗: January 2018 until June 2021
conversions
post-operative characteristics-Post-operative adverse events
时间窗: January 2018 until June 2021
Post-operative adverse events
intraoperative characteristics-autotransplantation technique
时间窗: January 2018 until June 2021
autotransplantation technique
post-operative characteristics-hospital length of stay
时间窗: January 2018 until June 2021
hospital length of stay
post-operative characteristics-information on enhanced recovery program
时间窗: January 2018 until June 2021
information on enhanced recovery program
Baseline patient characteristics-serum creatinine level
时间窗: January 2018 until June 2021
Medical History: serum creatinine level
short-term clinical data-Adverse events,
时间窗: up to 30 days post discharge
Adverse events, re- admissions, re-operations related to the index procedure
intraoperative characteristics-total OR time
时间窗: January 2018 until June 2021
total OR time
intraoperative characteristics-transfusions
时间窗: January 2018 until June 2021
transfusions
intraoperative characteristics-intraoperative adverse events
时间窗: January 2018 until June 2021
intraoperative adverse events
post-operative characteristics-discharge status
时间窗: January 2018 until June 2021
discharge status
次要结局
未报告次要终点