Presented by: Arvind Ganpule MBBS, M.S, D.N.B, M.N.A.M.S
MULJIBHAI PATEL UROLOGICAL HOSPITAL

Introduction

RAKT is a relatively newer approach for kidney transplantation. Open kidney transplant is the standardized approach for kidney transplantation.  In this study we compared pre-, intra- and postoperative parameters in medium term follow up of both approaches by propensity matching similar characteristics patients.

Materials

Data of 28 OKT and 28 RAKT propensity matched patients was collected during duration 2014 to 2022. OKT and RAKT patients were propensity matched for variables such as donor age, eGFR, side along with recipient age, BMI and comorbidities.

Results

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Both the groups were comparable in terms of recipient age and BMI, donor age, creatinine, BMI, eGFR and comorbidities. Total ischemia time (p<0.001) and postoperative day (POD) 1 creatinine (p<0.001) was significantly higher in RAKT. However, postoperative 1 month (p=0.12), 3 months (p=0.60) and 1 year (p=0.10) creatinine was comparable in both approaches. Postoperative complications (p=0.90) including hemoglobin drop (p=0.72) were comparable in both the groups. Graft survival was 78.5% in OKT group and 82.14% in RAKT group with median follow-up of 60 months in both the groups.

Conclusion

In this comprehensive propensity matched analysis of RAKT with OKT, we conclude that RAKT has similar outcomes as OKT at medium term follow up upto 60 months in terms of graft survival. RAKT is a novel approach which is non-inferior to established OKT approach.

Funding

none

Co-Authors

ABHIJIT PATIL, MBBS, MS, Mch urology, DNB
MULJIBHAI PATEL UROLOGICAL HOSPITAL

ABHISHEK SINGH, MBBS, MS, Mch UROLOGY, DNB
MULJIBHAI PATEL UROLOGICAL HOSPITAL

ANSHUL AGRAWAL, MBBS, MS
MULJIBHAI PATEL UROLOGICAL HOSPITAL

PRATIK PATEL, MBBS, MS
MULJIBHAI PATEL UROLOGICAL HOSPITAL

NITIRAJ SHETE, M.Sc
MULJIBHAI PATEL UROLOGICAL HOSPITAL

RAVINDRA SABNIS, MBBS, MS, Mch UROLOGY
MULJIBHAI PATEL UROLOGICAL HOSPITAL

MAHESH DESAI, MBBS, MS, FRCS
MULJIBHAI PATEL UROLOGICAL HOSPITAL