Navigation Links
Robotic transplant an option for obese kidney patients
Date:5/15/2013

Obese patients who received robotic kidney transplants had fewer wound complications than patients who received traditional "open" transplant surgery, according to surgeons at the University of Illinois Hospital & Health Sciences System.

The findings should allow more obese patients to receive kidney transplants.

Patients with a body mass index (BMI) greater than 35 who have end-stage kidney disease are often denied transplantation, and patients with a BMI over 40 often die on dialysis without an opportunity for transplant. Obesity "markedly increases the risk of wound infection, which lowers graft and patient survival," said Dr. Jose Oberholzer, chief of transplantation surgery at UI Hospital and lead author of the study, in the March issue of the American Journal of Transplantation.

Minimally invasive robotic transplantation may reduce health disparities for obese patients with end-stage kidney disease, according to the study authors.

Up to half of dialysis patients are obese, defined as having a body mass index greater than 30. Studies have shown that obese patients with chronic kidney failure wait longer for transplants and consequently have poorer outcomes than non-obese patients. However, obese transplant patients who don't have surgical site infections have similar kidney transplant success rates as non-obese patients.

Obese patients often have diabetes and hypertension as a result of being overweight. Seventy percent of hypertensive dialysis patients and 75 percent of diabetic dialysis patients survive less than five years, previous research has shown.

UI Hospital surgeons have developed a new robotic technique that avoids any incision in the infection-prone lower abdomen and uses only a small incision above the belly-button.

Physicians identified 28 obese patients who received robotic kidney transplants at UI Hospital between June 2009 and December 2011. They followed the patients for six months after transplant and compared their outcomes with a group of 28 obese patients who received traditional "open" kidney transplantation at the hospital prior to 2009.

There were no surgical site infections in the robotic patients, while 29 percent of patients in the control group developed an infection. Measurements of kidney function, graft and patient survival were comparable in the two groups.

The robotic kidney transplant procedure provides "one of the best applications for robotic surgery, because it gives very high risk patients who are frequently bypassed for surgery an opportunity for a better quality of life," said Oberholzer, C.& B. Frese and G. Moss Professor of Transplant Surgery, Bioengineering and Endocrinology at UIC. "Without robotics, most of these patients would simply not be considered for transplantation."

The University of Illinois Hospital & Health Sciences System provides comprehensive care, education and research to the people of Illinois and beyond. The UI Health System includes a 495-bed tertiary hospital; the University of Illinois at Chicago colleges of Medicine, Dentistry, Pharmacy, Nursing, and Applied Health Sciences, the UIC School of Public Health and UIC's Jane Addams College of Social Work; 22 outpatient clinics located in Chicago; 12 federally qualified health centers throughout the city; and College of Medicine and affiliated health care facilities in Urbana, Peoria and Rockford.


'/>"/>

Contact: Sherri McGinnis Gonzalez
smcginn@uic.edu
312-996-8277
University of Illinois at Chicago
Source:Eurekalert

Related medicine news :

1. Paralyzed Patients Use Mind to Move Robotic Arm
2. Robotic-assisted prostate cancer surgery drives up costs, UPMC study finds
3. Robotic surgery outcomes data presented at head and neck cancer annual meeting
4. OU research team developing robotic devices to aid infants with cerebral palsy
5. New technique for minimally invasive robotic kidney cancer surgery
6. Robotic-assisted radical bladder surgery potentially benefits bladder cancer patients
7. Virtual reality and robotics in neurosurgery -- promise and challenges
8. Minimally Invasive and Robotic Treatment for Pelvic Organ Prolapse (POP) Now Available from the Specialists at Women’s Excellence in Bladder Control in Clarkston, MI
9. Sharp Rise Seen in Robotically Assisted Hysterectomies
10. Da Vinci Robotic Procedure Offers a Surgical Solution for Endometriosis; Now Available at Women’s Excellence in Endometriosis in Oakland County, Michigan
11. Robotic Surgery for Hysterectomy Often Not Best Option, Ob/Gyn Group Says
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:12/8/2016)... Peachtree City, Ga (PRWEB) , ... December 08, ... ... and moving as soon after surgery as possible. With this in mind, SIGVARIS ... vein thrombosis (DVT or blood clot) during bed rest and provide the benefits ...
(Date:12/8/2016)... ... 2016 , ... The Dan Carlisle Agency, an Alabama-owned firm ... announcing the launch of a charity drive to raise support and awareness for ... children in Birmingham has grown steadily since the 1980’s, and the Pathways organization ...
(Date:12/8/2016)... ... December 08, 2016 , ... ... to families and business owners in and around central Kansas, is joining the ... at-risk youth in the region. , Headquartered in Wichita, Youth Horizons works to ...
(Date:12/7/2016)... ... December 07, 2016 , ... Children exposed to secondhand marijuana ... the Icahn School of Medicine at Mount Sinai has found. The study was ... children are exposed to secondhand marijuana smoke, measurable amounts of primary metabolite of ...
(Date:12/7/2016)... ... 07, 2016 , ... In the early morning of October 30, Newton County ... when he lost control of his patrol car. The vehicle overturned into an embankment, ... transported to Atlanta Medical Center, where he later succumbed to his injuries. Justin White ...
Breaking Medicine News(10 mins):
(Date:12/8/2016)... , Dec. 8, 2016  A new study by ... the use of opioid therapy to treat chronic pain ... likelihood of more harmful consequences, including death. ... and Zankhana Mehta , M.D., authored the study ... chronic opioid therapy. The study was published in the ...
(Date:12/8/2016)... NORWALK, Connecticut , 8. Dezember 2016 Mederi Therapeutics Inc ... Stretta-Therapie – eine nicht-operative Behandlungsmethode für gastroösophageale Refluxerkrankung (GERD) – in ... Reading ... Live ... by Professor Jun Liu, Director of Endoscopy at Wuhan Union Hospital ...
(Date:12/8/2016)... According to the research report, the ... is expected to be worth US$9.7 bn by the end ... the forecast years of 2016 and 2024, the global market ... leading players operating in the global diabetes injection pens market ... Biocon Ltd., and Sanofi S.A. Transparency Market Research reports that ...
Breaking Medicine Technology: