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Robot-assisted kidney transplantation (RAKT) has emerged as a minimally invasive alternative, although its role in complex retransplantation remains uncertain. We report a 41-year-old man with two failed deceased-donor kidney transplants who underwent robot-assisted third kidney transplantation using the da Vinci Xi system. Vascular anastomoses were performed under continuous intra-abdominal hypothermic perfusion, and uretero-ureterostomy was selected because severe pelvic adhesions precluded bladder reconstruction. Immediate graft function was achieved, with serum creatinine decreasing to 62 \u03bcmol\/L on postoperative day 2 and remaining stable thereafter. This case demonstrates that robot-assisted third kidney transplantation is feasible in carefully selected patients and suggests that robotic techniques may expand surgical options for complex kidney retransplantation.<\/jats:p>","DOI":"10.1177\/17562872261476756","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T11:22:17Z","timestamp":1786360937000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Robot-assisted third kidney transplantation in a patient with exhausted iliac fossae: A case report"],"prefix":"10.1177","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3100-1519","authenticated-orcid":false,"given":"Jianxin","family":"Cui","sequence":"first","affiliation":[{"name":"The Affiliated Yantai Yuhuangding Hospital of Qingdao University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiantao","family":"Wang","sequence":"additional","affiliation":[{"name":"The Affiliated Yantai Yuhuangding Hospital of Qingdao University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7924-3923","authenticated-orcid":false,"given":"Jitao","family":"Wu","sequence":"additional","affiliation":[{"name":"The Affiliated Yantai Yuhuangding Hospital of Qingdao University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengjun","family":"Zhang","sequence":"additional","affiliation":[{"name":"The Affiliated Yantai Yuhuangding Hospital of Qingdao University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haijian","family":"Wei","sequence":"additional","affiliation":[{"name":"The Affiliated Yantai Yuhuangding Hospital of Qingdao University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohua","family":"Fu","sequence":"additional","affiliation":[{"name":"The Affiliated Yantai Yuhuangding Hospital of Qingdao University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Zhang","sequence":"additional","affiliation":[{"name":"The Affiliated Yantai Yuhuangding Hospital of Qingdao University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhengfei","family":"Shan","sequence":"additional","affiliation":[{"name":"The Affiliated Yantai Yuhuangding Hospital of Qingdao University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8024-7958","authenticated-orcid":false,"given":"Shengqiang","family":"Yu","sequence":"additional","affiliation":[{"name":"The Affiliated Yantai Yuhuangding Hospital of Qingdao University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"Chronic kidney disease and dialysis","author":"Haynes RJ","year":"2017","unstructured":"Haynes RJ, Gilbert JA. 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