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New research · Nephrology
Journal of robotic surgery · 23h
Cohort studyJournal of robotic surgery · 2026

Feasibility of simultaneous donor nephrectomy and kidney transplantation using a shared single-port robotic platform.

Hafiz Umair Siddiqui, Adam Esa, Dylan Isaacson … Mohamed Eltemamy
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NephrologyCohort study

Simultaneous single-port robotic kidney transplantation is associated with shorter recipient operative time.

Feasibility of simultaneous donor nephrectomy and kidney transplantation using a shared single-port robotic platform.

Hafiz Umair Siddiqui et al. · Journal of robotic surgery · 2026
Background

Single-port (SP) robotic platforms are enabling new approaches to living donor nephrectomy and kidney transplantation, but limited access to robotic systems may prevent simultaneous donor and recipient procedures.

Purpose

This retrospective cohort study evaluated the feasibility, safety, and efficiency of a simultaneous SP robotic workflow using a single robotic platform for both operations.

Results
recipients had shorter surgery time with the simultaneous robotic approach
n = 30 cases
More results

15 pairs underwent a simultaneous SP robotic approach in which both donor nephrectomy and recipient transplant were completed using the same SP robotic platform, while 30 cases underwent laparoscopic donor nephrectomy followed by SP robotic kidney transplantation.

More results

Outcomes included operative time, graft ischemia times, perioperative complications, pain scores, length of stay, and graft function.

Baseline donor characteristics were similar between groups.

Donors in the SP group reported lower postoperative day 1 pain scores (p = 0.03).

“
Conclusion

Overall, this study presents a novel, resource-efficient surgical model that enables dual robotic procedures using a single platform without compromising outcomes.

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