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Can robot-assisted renal transplantation provide higher quality of life than open renal transplantation during the early postoperative period?
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  • Mithat Eksi,
  • Selcuk Sahin,
  • Ismail Evren,
  • Yusuf Arıkan,
  • Fatih Gokhan Akbay,
  • Serdar Karadag,
  • Ahmet Faysal Guler,
  • Zulal Celik,
  • Suheyla Apaydin,
  • Ali Ihsan Tasci,
  • Volkan Tugcu
Mithat Eksi
Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital
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Selcuk Sahin
Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital
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Ismail Evren
Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital
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Yusuf Arıkan
Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital
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Fatih Gokhan Akbay
Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital
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Serdar Karadag
Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital
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Ahmet Faysal Guler
Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital
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Zulal Celik
Karaman Training and Research Hospital
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Suheyla Apaydin
Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital
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Ali Ihsan Tasci
Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital
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Volkan Tugcu
Memorial Bahcelievler Hospital
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Abstract

Purpose: To investigate the quality of life (QoL) in patients with end-stage renal disease who underwent open or robot-assisted renal transplantation (ORT and RART). Materials and Methods: Patients who underwent ORT and RART at Bakirkoy Sadi Konuk Training and Research Hospital between June 2016 and December 2018 constituted the target population of this study. The patient group was divided into two groups as per the surgical technique (i.e., open vs. robot-assisted). Demographic data, preoperative and postoperative data of all patients were collected prospectively. The QoL of the patients was assessed preoperatively and on the postoperative 30th day. Results: 67 patients who underwent ORT and 60 patients who underwent RART were included. The mean patient age and BMI were calculated as 40,9 ± 11,6 years and 24,4 ± 2,9 kg/m2, respectively. While mean total ischemia time was shorter in the ‘open’ group, incision length, duration of surgical drainage and hospital stay were shorter in the ‘robot-assisted’ group. The physical component scores of the QoL questionnaire revealed that postoperative impairment of quality of life was more significant in the ORT than the RART. Conclusion: Patients who underwent RART have a higher QoL than the patients who were treated with ORT as per their self-reported QoL scores in the early postoperative period. Keywords: End-stage renal disease; Open renal transplantation; Robot-assisted renal transplantation; Quality of life

Peer review status:ACCEPTED

23 Feb 2021Submitted to International Journal of Clinical Practice
25 Feb 2021Submission Checks Completed
25 Feb 2021Assigned to Editor
26 Feb 2021Reviewer(s) Assigned
17 Mar 2021Review(s) Completed, Editorial Evaluation Pending
29 Mar 20211st Revision Received
29 Mar 2021Assigned to Editor
29 Mar 2021Submission Checks Completed
01 Apr 2021Reviewer(s) Assigned
05 Apr 2021Review(s) Completed, Editorial Evaluation Pending
13 Apr 20212nd Revision Received
14 Apr 2021Submission Checks Completed
14 Apr 2021Assigned to Editor
16 Apr 2021Reviewer(s) Assigned
22 Apr 2021Review(s) Completed, Editorial Evaluation Pending
23 Apr 2021Editorial Decision: Accept