The Tours CHRU announces that it has successfully performed a renal transplant by laparoscopy and robot-assisted. A first in France.
A kidney transplant that hardly leaves any scars, this is the feat achieved by a French surgical team! On October 24, at the CHRU in Tours, the team coordinated by Professor Bruyère, in close collaboration with the head of the renal transplant unit, Professor Büchler, performed a kidney transplant by laparoscopy and robot-assisted. This surgical technique which allows a robot to operate inside the abdomen by making only small incisions, successfully performed as part of this operation, is a first in France!
No 15 cm incision
Traditionally, kidney transplants are carried out through an incision of about fifteen centimeters in the lower and lateral part of the belly. The complications that can be observed after this intervention can be multiple (aesthetic damage related to the scar, infections or disembowelments of the wall, problems with the suture of the vessels, etc.). These complications may require new procedures or even lead to the loss of the graft.
For a long time, surgeons in Touraine have been trying to find ways to reduce these complications. To achieve this goal, they wanted to try for the first time the operation by robot-assisted laparoscopy, a technique known to potentially reduce the risks. Nevertheless, the act is more difficult and requires teams of experienced operators. This is the reason why this has not been achieved so far in France. Only a few operations have been carried out in the United States, in India, or even in Italy.
This first, carried out by French surgeons, therefore testifies to the dual skills of the Touraine university hospital teams. First in nephrology, then in robot-assisted surgery. The establishment in question was equipped with the surgical robot in 2007. Since then, nearly 1000 operations have been carried out using the robot (most of which have been removed from the prostate for cancer).
The patient is fine
Following this operation, the patient’s condition does not cause concern. Her transit quickly resumed and she did not suffer from significant pain following the operation. “It is for the moment premature on this single case to say whether the potential risks of the transplant are reduced, but the nephrology team and in particular the post-transplant follow-up nurses confirm the excellent condition of the patient and more consequences. simple than usual, ”says the team.
Unfortunately not all patients will be able to benefit from this novel technique. The Tours CHRU indicates that initially, only certain patients will be operated on by robot-assisted laparoscopy, but secondarily, we can assume that the most complicated patients will be the patients who will benefit the most from this surgery. “The significant use of the robot in our establishment does not make it available all the time, which will potentially limit the indications”, underlines the establishment. “We imagine that the first year around twenty patients will be able to be operated according to this route and gradually more and more patients if the availability of the robot allows it will be able to benefit from it”, concludes the press release.
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