{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T01:23:14Z","timestamp":1788830594082,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,3,2]],"date-time":"2023-03-02T00:00:00Z","timestamp":1677715200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Describe the outcomes and safety of robotic\u2010assisted kidney auto\u2010transplantation (RAKAT) in the treatment of nutcracker syndrome (NCS) and loin pain haematuria syndrome (LPHS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study included 32 cases of NCS and LPHS seen during December 2016 to June 2021.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three (9%) patients had LPHS and 29 (91%) NCS. All were non\u2010Hispanic whites, and 31 (97%) women. The mean age was 32\u00a0years (SD\u00a0=\u00a010) and the BMI 22.8 (SD\u00a0=\u00a05). The RAKAT was completed in all patients, 63% had a total improvement of pain. According to the Clavien\u2010Dindo classification, 47% presented with type 1, and 9% with type 3 complications with a mean follow\u2010up of 10.9\u00a0months. The incidence of acute kidney injury in post\u2010procedure was 28%. No one required blood transfusions, and there were no deaths during the follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>RAKAT was a feasible procedure with a similar complication rate to those reported for other surgical techniques.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2508","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T02:08:55Z","timestamp":1676945335000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Robotic assisted kidney auto\u2010transplantation as a safe alternative for treatment of nutcracker syndrome and loin pain haematuria syndrome: A case series report"],"prefix":"10.1002","volume":"19","author":[{"given":"Alejandro","family":"Mejia","sequence":"first","affiliation":[{"name":"The Liver Institute Methodist Dallas Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Carlos","family":"Barrera Gutierrez","sequence":"additional","affiliation":[{"name":"Methodist Digestive Institute Methodist Dallas Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7632-1391","authenticated-orcid":false,"given":"Elaina","family":"Vivian","sequence":"additional","affiliation":[{"name":"Methodist Digestive Institute Methodist Dallas Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jimmy","family":"Shah","sequence":"additional","affiliation":[{"name":"Methodist Digestive Institute Methodist Dallas Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard","family":"Dickerman","sequence":"additional","affiliation":[{"name":"The Liver Institute Methodist Dallas Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,2]]},"reference":[{"issue":"2","key":"e_1_2_12_2_1","first-page":"109","article-title":"Indications for renal autotransplant: an overview","volume":"13","author":"Azhar B","year":"2015","journal-title":"Exp Clin Transplant"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2014.02.2589"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0950-821X(05)80619-X"},{"issue":"2","key":"e_1_2_12_5_1","first-page":"237","article-title":"The role of renal autotransplantation in treatment of nutcracker syndrome","volume":"21","author":"Salehipour M","year":"2010","journal-title":"Saudi J Kidney Dis Transplant"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2021.05.007"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvsv.2019.03.003"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2014.01.439"},{"issue":"6","key":"e_1_2_12_9_1","first-page":"651","article-title":"The \u201cUW\u2010LPHS test\u201d: a new test to predict the outcome of renal autotransplant for loin pain hematuria syndrome","volume":"16","author":"Sollinger HW","year":"2018","journal-title":"Exp Clin Transplant"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(94)80045-6"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejrad.2010.08.044"},{"issue":"2","key":"e_1_2_12_12_1","first-page":"85","article-title":"Acute kidney injury: definition, pathophysiology and clinical phenotypes","volume":"37","author":"Makris K","year":"2016","journal-title":"Clin Biochem Rev"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2021.02.065"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjab580"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)62503-5"},{"issue":"3","key":"e_1_2_12_16_1","article-title":"The association between Ehlers\u2010Danlos syndrome\u2010hypermobility type and gastrointestinal symptoms in university students: a cross\u2010sectional study","volume":"29","author":"Fikree A","year":"2017","journal-title":"Neuro Gastroenterol Motil"},{"key":"e_1_2_12_17_1","unstructured":"BrockawayL.Gastrointestinal problems in hypermobile Ehlers\u2010Danlos syndrome and hypermobility spectrum disorders. 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