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Only recipients who were obese (BMI\u2009\u2265\u200930\u00a0g\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) at the time of transplantation were included.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 86 patients were included in our study, including 46 patients in the RAKT group and 40 patients in the OKT group. The two groups were comparable except a higher rate of previous abdominal surgery in the OKT group (65% versus 28%;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). Early postoperative complications and delayed graft function were similar between the 2 groups. One death occurred on postoperative day 15 in the OKT group due to cardiac arrest. Two open conversions occurred in the RAKT group: one due to active bleeding and one due to intraoperative venous thrombosis. Median length of hospitalization was significantly longer in the OKT group (12 versus 9 days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001). The rate of surgical reintervention after POD 90 was significantly higher in the OKT group (37.5% versus 6.5%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). 1- and 3-patient and graft survival were comparable between the RAKT and OKT cohorts.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our outcomes confirms the safety and efficacy of robotic approach for living donor kidney transplantation in obese recipients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00345-026-06241-3","type":"journal-article","created":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T13:17:25Z","timestamp":1771420645000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Living-donor kidney transplantation: comparison of robotic-assisted versus conventional open technique in obese recipients"],"prefix":"10.1007","volume":"44","author":[{"given":"Alice","family":"Rondot","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Levy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9r\u00e9my","family":"Mercier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne Sophie","family":"Bajeot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arnaud","family":"Del Bello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nassim","family":"Kamar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xavier","family":"Gam\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Doumerc","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Sallusto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3601-9339","authenticated-orcid":false,"given":"Thomas","family":"Prudhomme","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,18]]},"reference":[{"issue":"8","key":"6241_CR1","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1056\/NEJMra2014530","volume":"385","author":"S Hariharan","year":"2021","unstructured":"Hariharan S, Israni AK, Danovitch G (2021) Long-term survival after kidney transplantation. 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