{
  "abstract": "Introduction\n\nRobot-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.Methods\n\nAfter 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.Results\n\nOverall, 18.5% were RK-RAKT. Donor/recipient demographics were similar between the groups. Total vascular (32.9 ± 8.9 vs. 29.6 ± 5.8 min, P = 0.003) and venous anastomosis times (14.4 ± 6.1 vs. 11.4 ± 2.5 min, P < 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.Conclusions\n\nRK-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.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Urology, Kidney Care Centre, Tirunelveli, Tamil Nadu, India.",
    "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.",
    "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.",
    "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.",
    "Department of Urology, Continental Hospitals, Hyderabad, Telangana, India."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 11,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "S R Prasad"
    },
    {
      "affs": [
        1
      ],
      "name": "Pranjal R Modi"
    },
    {
      "affs": [
        1
      ],
      "name": "Suresh Kumar"
    },
    {
      "affs": [
        1
      ],
      "name": "Rohit Chauhan"
    },
    {
      "affs": [
        2
      ],
      "name": "Himanshu V Patel"
    },
    {
      "affs": [
        2
      ],
      "name": "Vivek B Kute"
    },
    {
      "affs": [
        3
      ],
      "name": "Beena Kandarpkumar Parikh"
    },
    {
      "affs": [
        3
      ],
      "name": "Manisha P Modi"
    },
    {
      "affs": [
        4
      ],
      "name": "V Spurthi"
    },
    {
      "affs": [
        1
      ],
      "name": "Virendra K Soni"
    },
    {
      "affs": [
        1
      ],
      "name": "Syed J Rizvi"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/71bnsrbbp3pjr.bib",
  "cited_by": 0,
  "doi": "10.4103/iju.iju_283_26",
  "fulltext_url": "https://europepmc.org/articles/PMC13686704",
  "id": "71bnsrbbp3pjr",
  "issns": [
    "0970-1591",
    "1998-3824"
  ],
  "landing_url": "https://europepmc.org/article/MED/42910396",
  "language": "eng",
  "licence": "CC-BY-NC-SA",
  "licence_label": "CC BY-NC-SA",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2747|Renal Transplantation Outcomes and Treatments"
    ]
  ],
  "openalex": "W7214935403",
  "pdf_url": "https://europepmc.org/articles/PMC13686704?pdf=render",
  "pmcid": "PMC13686704",
  "pmid": "42910396",
  "published": "2026-09-29",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/71bnsrbbp3pjr.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:14Z",
      "native_id": "MED:42910396",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42910396"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2747|Renal Transplantation Outcomes and Treatments",
      "subfield": "surgery"
    }
  ],
  "title": "Robot-assisted kidney transplantation for right versus left living donor kidneys: A single-center outcome and learning curve analysis.",
  "title_text": "Robot-assisted kidney transplantation for right versus left living donor kidneys: A single-center outcome and learning curve analysis.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:20:14Z",
  "url": "https://research.draconitic.com/paper/71bnsrbbp3pjr",
  "venue": "Indian journal of urology : IJU : journal of the Urological Society of India",
  "versions": []
}