{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T21:48:44Z","timestamp":1791841724552,"version":"4.3.4"},"reference-count":20,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2018,10,15]],"date-time":"2018-10-15T00:00:00Z","timestamp":1539561600000},"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":["Clinical Transplantation"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The pre\u2010transplant weight loss required of end\u2010stage renal disease patients is often unachievable. Though robot\u2010assisted procedures among extremely obese have shown minimal complication, long\u2010term outcomes are understudied. Previously, we reported no difference in 6\u2010month patient and graft survival among 28 robot\u2010assisted transplant cases (2009\u20102013) and 28 open controls (2004\u20102010). Groups were frequency\u2010matched on age, sex, race, donor compatibility, disease, and dialysis history. Cases had greater median pre\u2010transplant body mass index (BMI; 42.3 (31.1\u201064.3) vs 36.8 (30.0\u201051.1)). Here, we compared patient and graft survival through 5\u00a0years post\u2010transplant. Infection, wound complications, and significant re\u2010hospitalizations were collected. One\u2010, three\u2010, and five\u2010year graft survival were 100%, 100%, and 89.3% among cases, and 96.4%, 85.7%, and 78.6% among controls. Rejection within 1\u00a0year was greater among cases (11 vs 8). Five\u2010year rates were similar (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.54). Post\u2010transplant <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content> remained comparable. No cases and eight controls experienced surgical site infection (SSI). Two cases and one control experienced hernias. Post\u2010transplant diabetes was documented among five cases and six controls. Three deaths occurred among cases, two among controls. This is the most extensive known follow\u2010up of such obese recipients of robot\u2010assisted transplant. Our procedure is a promising pathway to transplant and decreased mortality for those deemed too high risk for conventional surgery.<\/jats:p>","DOI":"10.1111\/ctr.13404","type":"journal-article","created":{"date-parts":[[2018,9,16]],"date-time":"2018-09-16T03:17:43Z","timestamp":1537067863000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["Minimally invasive, robot\u2010assisted procedure for kidney transplantation among morbidly obese: Positive outcomes at 5\u00a0years post\u2010transplant"],"prefix":"10.1111","volume":"32","author":[{"given":"Mario","family":"Spaggiari","sequence":"first","affiliation":[{"name":"Division of Transplantation University of Illinois at Chicago Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1167-8709","authenticated-orcid":false,"given":"Frances Rose","family":"Lendacki","sequence":"additional","affiliation":[{"name":"Division of Transplantation University of Illinois at Chicago Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina","family":"Di Bella","sequence":"additional","affiliation":[{"name":"Division of Transplantation University of Illinois at Chicago Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pier Cristoforo","family":"Giulianotti","sequence":"additional","affiliation":[{"name":"Division of Minimally Invasive and Robotic Surgery Department of Surgery University of Illinois at Chicago Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enrico","family":"Benedetti","sequence":"additional","affiliation":[{"name":"Division of Transplantation University of Illinois at Chicago Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Oberholzer","sequence":"additional","affiliation":[{"name":"Division of Transplant Department of Surgery University of Virginia Health System Charlottesville Virginia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivo","family":"Tzvetanov","sequence":"additional","affiliation":[{"name":"Division of Transplantation University of Illinois at Chicago Chicago Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,10,15]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"University of Wisconsin.Dialysis and Transplant: Patient Survival Statistics Quality Reports 2012.https:\/\/www.uwhealth.org\/transplant\/dialysis-and-transplant-patient-survival-statistics\/40583. 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National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases 2017."}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fctr.13404","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.13404","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T05:07:09Z","timestamp":1694754429000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.13404"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10,15]]},"references-count":20,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2018,11]]}},"alternative-id":["10.1111\/ctr.13404"],"URL":"https:\/\/doi.org\/10.1111\/ctr.13404","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"value":"0902-0063","type":"print"},{"value":"1399-0012","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10,15]]},"assertion":[{"value":"2018-04-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-09-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-10-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13404"}}