{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:56:33Z","timestamp":1790776593768,"version":"4.1.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Robot-assisted kidney transplantation (RAKT) is the standard of care in experienced hands. Transplantation of right kidney (RK) from a living donor (LD) is challenging because the right renal vein is shorter and thinner, which can lead to underutilization of RKs from LD. Data for RK-RAKT are scarce. We aim to compare the surgical, peri-operative, and long-term outcomes after RAKT from RK donors versus left kidney (LK) donors and the learning curve (LC) for the entire RAKT cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>After ethical committee approval, we retrospectively analyzed 409 adult RAKTs from LDs performed by a single surgeon between 2013 and 2021. We compared donor\/recipient demographics, intra-operative data, immediate and late graft function, and graft\/patient survival.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Overall, 18.5% were RK-RAKT. Donor\/recipient demographics were similar between the groups. Total vascular (32.9 \u00b1 8.9 vs. 29.6 \u00b1 5.8 min, P = 0.003) and venous anastomosis times (14.4 \u00b1 6.1 vs. 11.4 \u00b1 2.5 min, P &lt; 0.0001) were significantly longer in the RK group. No significant differences were observed in the serum creatinine and estimated glomerular filtration rate levels at day 1 and 7; 1 month; 1, 3, 5, 7, 10 years. 10-year Death-censored graft survival (77.4% for left vs. 79.17% for right, P = 0.917) and patient survival (83.9% for left vs. 75% for right, P = 0.10) were comparable. LC was shorter for critical vascular steps and graft functional outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>RK-RAKT achieves equivalent functional and survival outcomes to LK-RAKT. Concerns regarding vascular thrombosis are not supported by our findings. These results advocate for broader use of RK, potentially decreasing the wait times and improving the access to transplantation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/iju.iju_283_26","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T09:00:13Z","timestamp":1790758813000},"page":"324-331","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Robot-assisted kidney transplantation for right versus left living donor kidneys: A single-center outcome and learning curve analysis"],"prefix":"10.4103","volume":"42","author":[{"given":"SR","family":"Prasad","sequence":"first","affiliation":[{"name":"Department of Urology, Kidney Care Centre, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranjal R.","family":"Modi","sequence":"additional","affiliation":[{"name":"Department of Urology, Smt. G R Doshi and Smt. K M Mehta Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Urology, Smt. G R Doshi and Smt. K M Mehta Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Chauhan","sequence":"additional","affiliation":[{"name":"Department of Urology, Smt. G R Doshi and Smt. K M Mehta Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Himanshu V.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Smt. G R Doshi and Smt. K M Mehta Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek B.","family":"Kute","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Smt. G R Doshi and Smt. K M Mehta Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beena Kandarpkumar","family":"Parikh","sequence":"additional","affiliation":[{"name":"Anesthesiology, Smt. G R Doshi and Smt. K M Mehta Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manisha P.","family":"Modi","sequence":"additional","affiliation":[{"name":"Anesthesiology, Smt. G R Doshi and Smt. K M Mehta Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Spurthi","sequence":"additional","affiliation":[{"name":"Department of Urology, Continental Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virendra K.","family":"Soni","sequence":"additional","affiliation":[{"name":"Department of Urology, Smt. G R Doshi and Smt. K M Mehta Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed J","family":"Rizvi","sequence":"additional","affiliation":[{"name":"Department of Urology, Smt. G R Doshi and Smt. K M Mehta Institute of Kidney Diseases and Research Center and Dr. H L Trivedi Institute of Transplantation, Ahmedabad, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,9,29]]},"reference":[{"key":"R1-20260930","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1016\/j.eururo.2013.12.006","article-title":"Robotic kidney transplantation with regional hypothermia: A step-by-step description of the Vattikuti urology institute-medanta technique (IDEAL phase 2a)","volume":"65","author":"Menon","year":"2014","journal-title":"Eur Urol"},{"key":"R2-20260930","doi-asserted-by":"crossref","first-page":"1536","DOI":"10.1007\/s00268-017-4314-y","article-title":"Implantation of right kidneys: Is the risk of technical graft loss real?","volume":"42","author":"Khan","year":"2018","journal-title":"World J Surg"},{"key":"R3-20260930","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1111\/j.1464-410X.2006.06429.x","article-title":"Comparison of right and left laparoscopic live donor nephrectomy","volume":"98","author":"Kay","year":"2006","journal-title":"BJU Int"},{"key":"R4-20260930","first-page":"1491-96","article-title":"Right retroperitoneoscopic donor nephrectomy: Our experience","author":"Modi","year":"2008","journal-title":"Indian J Urol"},{"key":"R5-20260930","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1097\/00007890-200103150-00015","article-title":"Should the indications for laparascopic live donor nephrectomy of the right kidney be the same as for the open procedure? 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