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Scientific paper - Case study
Robotski asistirana nefrektomija u živog darivatelja – prikaz slučaja
Medicina Fluminensis, 61 (2025), 1; 85-91. https://doi.org/10.21860/medflum2025_323588
Markić, Dean; Berlakovich, Gabriela

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Markić, D. & Berlakovich, G. (2025). Robotski asistirana nefrektomija u živog darivatelja – prikaz slučaja. Medicina Fluminensis, 61. (1), 85-91. doi: 10.21860/medflum2025_323588

Markić, Dean and Gabriela Berlakovich. "Robotski asistirana nefrektomija u živog darivatelja – prikaz slučaja." Medicina Fluminensis, vol. 61, no. 1, 2025, pp. 85-91. https://doi.org/10.21860/medflum2025_323588

Markić, Dean and Gabriela Berlakovich. "Robotski asistirana nefrektomija u živog darivatelja – prikaz slučaja." Medicina Fluminensis 61, no. 1 (2025): 85-91. https://doi.org/10.21860/medflum2025_323588

Markić, D. and Berlakovich, G. (2025) 'Robotski asistirana nefrektomija u živog darivatelja – prikaz slučaja', Medicina Fluminensis, 61(1), pp. 85-91. doi: 10.21860/medflum2025_323588

Markić D, Berlakovich G. Robotski asistirana nefrektomija u živog darivatelja – prikaz slučaja. Medicina Fluminensis [Internet]. 2025 March 01 [cited 2025 March 03];61(1):85-91. doi: 10.21860/medflum2025_323588

D. Markić and G. Berlakovich, "Robotski asistirana nefrektomija u živog darivatelja – prikaz slučaja", Medicina Fluminensis, vol. 61, no. 1, pp. 85-91, March 2025. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:184:169134. [Accessed: 03 March 2025]

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Metadata
Title (croatian)Robotski asistirana nefrektomija u živog darivatelja – prikaz slučaja
Title (english)Robot-Assisted Nephrectomy in a Living Kidney Donor – a Case Report
AuthorDean Markić
AuthorGabriela Berlakovich
Author's institutionUniversity of Rijeka
Faculty of Medicine
(Department of Urology)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Urology
Abstract (croatian)
Cilj: Uvođenje minimalno invazivnih metoda u donorsku kirurgiju dovelo je do povećanja broja živih darivatelja bubrega. U današnje se vrijeme laparoskopska donorska nefrektomija smatra zlatnim standardom, no broj se robotski asistiranih donorskih nefrektomija (RADN) povećava. Prikazat ćemo bolesnika u kojega je učinjen RADN i posljedična uspješna transplantacija bubrega. Prikaz slučaja: U 77-godišnjeg bolesnika s adultnom policističnom bolešću bubrega došlo je do progresije u terminalni stadij bubrežnog zatajenja te je u prosincu 2022. započeo s dijalitičkim liječenjem. Nakon opsežne obrade njegova 61-godišnja sestra prihvaćena je kao donor. U rujnu 2023. učinjen je RADN, a odstranjen joj je lijevi bubreg. Slijedila je uspješna transplantacija bubrega, a hladna ishemija trajala je četiri sata i 30 minuta. Poslijeoperacijski tijek bio je uredan u darivatelja i primatelja. Tri mjeseca nakon operacije bubrežna funkcija bila je stabilna u oboje bolesnika. Zaključak: RADN je sigurna i efikasna metoda s podjednakim rezultatima kao i kod laparoskopske donorske nefrektomije, a provodi se u centrima gdje se radi robotska kirurgija.
Abstract (english)
Aim: The use of minimal-invasive surgical methods in kidney donation surgery led to an increased number of living kidney donors. The laparoscopic donor nephrectomy has become the gold standard for living kidney donation but nowadays the robot-assisted nephrectomy for living kidney donation (RADN) has been performed in expert centres. We present a case of RADN followed by a successful kidney transplantation. Case report: The 77-year-old man with adult polycystic kidney disease gradually progressed to end-stage renal disease and started with dialysis in December 2022. After extensive assessment, his 61-year-old sister was prepared to be a donor. In September 2023, a successful RADN was performed. The left kidney was procured. The kidney was successfully transplanted to the recipient with a cold ischemia time of 4 hours and 30 minutes. The postoperative course was uneventful for both donor and recipient. Three months after surgery the renal function is stable in both patients. Conclusion: The RADN is a safe and effective method with comparable results to laparoscopic donor nephrectomy used in centres with robotic surgery.
Keywords (croatian)
Keywords (english)
Languagecroatian
Languageenglish
Publication typeScientific paper - Case study
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleMedicina Fluminensis
Numberingvol. 61, no. 1, pp. 85-91
p-ISSN1847-6864
e-ISSN1848-820X
DOIhttps://doi.org/10.21860/medflum2025_323588
URN:NBNurn:nbn:hr:184:169134
Publication2025-03-01
Document URLhttps://hrcak.srce.hr/323588
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2025-03-03 09:46:26