{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,9]],"date-time":"2026-11-09T16:19:12Z","timestamp":1794241152509,"version":"4.9.0"},"reference-count":18,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T00:00:00Z","timestamp":1748217600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To test the hypothesis that the type of surgical approach, robot\u2010assisted kidney transplantation (RAKT) vs open kidney transplantation (OKT), impacts intra\u2010operative and postoperative surgical outcomes of patients receiving kidney transplantation from deceased donors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This was a multicentre retrospective cohort study including 676 patients who received RAKT or OKT in the period 2015 to 2023 in one of seven European academic centres. Patient heterogeneity at baseline was balanced using 2:1 nearest neighbour propensity\u2010score matching. Intra\u2010 and postoperative complications were reported according to the Clavien\u2013Dindo classification system. Kaplan\u2013Meier estimates and the log\u2010rank test were used to compare dialysis\u2010free survival (DFS), graft survival (GS), reintervention\u2010free survival (RFS) and overall survival (OS) according to the surgical approach used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After propensity\u2010score matching, two cohorts of 72 recipients (65%) in the OKT group and 37 (35%) in the RAKT group with similar baseline characteristics were obtained. The site of transplantation was the right iliac fossa in 59 (82%) and 28 patients (76%) undergoing OKT and RAKT, respectively. RAKT was associated with shorter rewarming time (53 vs 39\u2009min), total vascular anastomosis time (55 vs 36\u2009min), and arterial (25 vs 17\u2009min) and venous (28 vs 18\u2009min) anastomosis times (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001), whereas OKT was associated with reduced surgical time (180 vs 200\u2009min;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.01). Intra\u2010operative complications were more commonly reported in recipients undergoing OKT (8.3% vs 2.7%;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.4). During follow\u2010up, no differences in terms of postoperative complications, DFS, GS, RFS or OS were detected.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This is the largest comparative study of RAKT vs OKT in the deceased donor setting. While it confirms the safety of RAKT from deceased donors, it underscores the superiority of RAKT in selected patients in terms of achieving vascular anastomosis and rewarming time in a shorter timeframe.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.16799","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T04:04:59Z","timestamp":1748232299000},"page":"484-492","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Robot\u2010assisted vs open kidney transplantation from deceased donors"],"prefix":"10.1111","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5472-1933","authenticated-orcid":false,"given":"Luca","family":"Afferi","sequence":"first","affiliation":[{"name":"Department of Surgery Autonomous University of Barcelona  Barcelona Spain"},{"name":"Department of Urology Fundaci\u00f3 Puigvert  Barcelona Spain"},{"name":"Department of Urology Luzerner Kantonsspital  Lucerne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Territo","sequence":"additional","affiliation":[{"name":"Department of Urology Fundaci\u00f3 Puigvert  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0667-1468","authenticated-orcid":false,"given":"Alessio","family":"Pecoraro","sequence":"additional","affiliation":[{"name":"Unit of Oncology, Department of Experimental and Clinical Medicine University of Florence  Florence Italy"},{"name":"Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorenzo","family":"Masieri","sequence":"additional","affiliation":[{"name":"Unit of Oncology, Department of Experimental and Clinical Medicine University of Florence  Florence Italy"},{"name":"Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milla","family":"Ortved","sequence":"additional","affiliation":[{"name":"Urological Research Unit Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2719-2885","authenticated-orcid":false,"given":"Julia Abildgaard","family":"Dagn\u00e6s\u2010Hansen","sequence":"additional","affiliation":[{"name":"Urological Research Unit Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Begonya","family":"Etcheverry","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital Bellvitge  Bellvitge Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3316-5691","authenticated-orcid":false,"given":"Andrea","family":"Gallioli","sequence":"additional","affiliation":[{"name":"Department of Urology Fundaci\u00f3 Puigvert  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donato","family":"Cannoletta","sequence":"additional","affiliation":[{"name":"Department of Surgery Autonomous University of Barcelona  Barcelona Spain"},{"name":"Division of Oncology\/Unit of Urology, Soldera Prostate Cancer Laboratory, Urological Research Institute IRCCS San Raffaele Scientific Institute  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joris","family":"Vangeneugden","sequence":"additional","affiliation":[{"name":"Department of Urology Ghent University Hospital  Ghent Belgium"},{"name":"AZ Maria Middelares  Ghent Belgium"},{"name":"Department of Human Structure and Repair, Faculty of Medicine and Health Sciences Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0630-364X","authenticated-orcid":false,"given":"Jeremy","family":"Mercier","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital of Toulouse  Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3601-9339","authenticated-orcid":false,"given":"Thomas","family":"Prudhomme","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital of Toulouse  Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isacco","family":"Donnini","sequence":"additional","affiliation":[{"name":"Department of Surgery Autonomous University of Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonino","family":"Vazzana","sequence":"additional","affiliation":[{"name":"Department of Surgery Autonomous University of Barcelona  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Malene","family":"Rohrsted","sequence":"additional","affiliation":[{"name":"Urological Research Unit Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesc","family":"Vigu\u00e9s","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital Bellvitge  Bellvitge Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Doumerc","sequence":"additional","affiliation":[{"name":"Department of Urology Hospital of Toulouse  Toulouse France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0767-940X","authenticated-orcid":false,"given":"Karel","family":"Decaestecker","sequence":"additional","affiliation":[{"name":"Department of Urology Ghent University Hospital  Ghent Belgium"},{"name":"AZ Maria Middelares  Ghent Belgium"},{"name":"Department of Human Structure and Repair, Faculty of Medicine and Health Sciences Ghent University  Ghent Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Palou","sequence":"additional","affiliation":[{"name":"Department of Surgery Autonomous University of Barcelona  Barcelona Spain"},{"name":"Department of Urology Fundaci\u00f3 Puigvert  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5237-0888","authenticated-orcid":false,"given":"Riccardo","family":"Campi","sequence":"additional","affiliation":[{"name":"Unit of Oncology, Department of Experimental and Clinical Medicine University of Florence  Florence Italy"},{"name":"Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Serni","sequence":"additional","affiliation":[{"name":"Unit of Oncology, Department of Experimental and Clinical Medicine University of Florence  Florence Italy"},{"name":"Unit of Urological Robotic Surgery and Renal Transplantation, Careggi Hospital University of Florence  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Roder","sequence":"additional","affiliation":[{"name":"Urological Research Unit Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Breda","sequence":"additional","affiliation":[{"name":"Department of Surgery Autonomous University of Barcelona  Barcelona Spain"},{"name":"Department of Urology Fundaci\u00f3 Puigvert  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-015-1673-6"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2015.07.026"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2024.12.005"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-020-03309-6"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2018.07.022"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.15626"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000001368"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41585-024-00865-z"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euros.2022.03.007"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000001671"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-021-03836-w"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.08.028"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1432-2277.2010.01191.x"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2013.11.011"},{"key":"e_1_2_9_16_1","first-page":"17","article-title":"Renal transplantation: technical aspects, diagnosis and management of early and late urological complications","volume":"56","author":"Greco F","year":"2014","journal-title":"Panminerva Med"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000008938"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2009.06.035"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15199"}],"container-title":["BJU International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bju.16799","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T07:55:10Z","timestamp":1761724510000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1111\/bju.16799"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,26]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1111\/bju.16799"],"URL":"https:\/\/doi.org\/10.1111\/bju.16799","archive":["Portico"],"relation":{},"ISSN":["1464-4096","1464-410X"],"issn-type":[{"value":"1464-4096","type":"print"},{"value":"1464-410X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,26]]},"assertion":[{"value":"2025-05-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}