Renal Autotransplantation; Case Series
Status unconfirmed
Conditions studied: Renal Vascular Disease, Nutcracker Syndrome, Renal, Pelvic Trauma, Loin Pain-Hematuria Syndrome, Renal Tumor, Congestion, Venous
In brief
Renal autotransplantation (RAT) is a method of removing a kidney from its place of origin in a patient, repairing it, and transplanting it in another location of the body, generally the iliac fossa of the same patient.RAT is a relatively new technique; the first ever RAT procedure in the US was performed in 1963. Advances in preservation and transplantation techniques have made RAT a modality that can be utilized in complex renal diseases. RAT is indicated for conditions such as renal vascular disease, nutcracker syndrome, pelvic venous congestion, pelvic trauma, refractory stone disease and, in some cases, loin pain hematuria syndrome and conventionally unresectable renal tumors. Irrespective of the excellent outcomes shown by RAT, the conventional open approach requires a large midline xiphoid-to-pubis or flank incision for donor nephrectomy with a second pelvic incision for renal transplantation into the iliac fossa.The current gold standard approach to RAT is a laparoscopic nephrectomy followed by open auto-transplantation. However, this approach still requires a large pelvic incision. Robotic technology enables us to perform more complex minimally invasive surgery. Gordon et al. performed and reported the first completely intracorporeal robotic RAT to repair a ureteral injury in 2014.
Key facts
- Study ID
- NCT05115812
- Run by
- Methodist Health System
- People needed
- 30
- Starts
- 2021-09-15
- Expected to finish
- 2024-09-30
- Last updated by the study team
- 2024-03-27
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Subject was 18 years or older at the time of the procedure
- Subject who has undergone robotic RAT irrespective of the underlying etiology.
You may not qualify if…
- Subjects who do not meet the inclusion criteria
Where it is running
- Liver Institute of Methodist Dallas Medical Center — Dallas, Texas, United States
Full record on ClinicalTrials.gov
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