Robotic Surgery in Organ Transplantation

  • Ivo Tzvetanov
  • Sandra Garcia Aroz
  • Mario Spaggiari
  • Enrico BenedettiEmail author


The application of minimally invasive surgical technologies has gained widespread adoption. The surgical robotic system has allowed surgeons to perform complex procedures, otherwise unachievable. Robotic systems afford access to minimally invasive surgery to more patients with a variety of pathological conditions. Better surgical dexterity and vision for surgeons, in addition to a facilitated learning curve, compared to conventional laparoscopic surgery, leads to lower rate of complications and higher patient satisfaction. Until recently, these benefits were inaccessible for patients in need of solid organ transplants. Conventional laparoscopy has been seen as non-applicable for such a technically demanding procedure. The introduction of the da Vinci Robotic Surgical System has expanded the ability to complete solid organ transplantation in a minimally invasive fashion. Robotic applications in kidney, pancreas, and liver transplantation have been reported. There are several groups which report their experiences and initial results showing the viability of this technique in the field. The biggest experience has been described in kidney transplantation. One of the main advantages of the robotic surgery is the significantly lower rate of surgical site infections, which in immunosuppressed patients is reflected in superior outcomes. Another proven advantage is that the robotic kidney approach permits transplantation in extreme BMI categories without additional technical complications. The first results in pancreas transplantation and living donor hepatectomies are very promising; however, larger series are needed in order to address the value of the robotic surgery in other areas of solid organ transplantation.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2017

Authors and Affiliations

  • Ivo Tzvetanov
    • 1
  • Sandra Garcia Aroz
    • 1
  • Mario Spaggiari
    • 1
  • Enrico Benedetti
    • 1
    Email author
  1. 1.Division of Transplantation, Department of SurgeryUniversity of Illinois at ChicagoChicagoUSA

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