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Transplantation & Vascular Surgery I Podium Tuesday, May 20, 2014 8:00 AM-10:00 AM PD30-01 WITHDRAWN SURGICAL COMPLICATIONS AND GRAFT FUNCTION FOLLOWING LIVE-DONOR EXTRAPERITONEAL RENAL TRANSPLANTATION IN CHILDREN 20 KG OR LESS Mohammed ElSheemy*, Ahmed Shouman, Ahmed Shoukry, Sherif Soaida, Doaa Salah, Ali Yousif, Hany Morsi, Fatina Fadel, Sameh Sadek, Cairo, Egypt PD30-02 ROBOTIC KIDNEY TRANSPLANTATION WITH REGIONAL HYPOTHERMIA: RESULTS FROM A PROSPECTIVE TWO-ARM NON-RANDOMIZED CONTROLLED TRIAL (IDEAL PHASE 2B) Akshay Sood*, Detroit, MI; Rajesh Ahlawat, Vijay Kher, Prasun Ghosh, New Delhi, India; Ronney Abaza, Columbus, OH; Wooju Jeong, Detroit, MI; Pranjal Modi, Ahmedabad, India; Mahendra Bhandari, Mani Menon, Detroit, MI INTRODUCTION AND OBJECTIVES: Minimally invasive ap- proaches to kidney transplantation (KT) have recently been described. We recently developed and described a novel technique of robotic KT (RKT) which allows intra corporeal graft cooling. Here, we sought to assess the comparative effectiveness of robotic and open KT (OKT) by evaluating peri and post-operative outcomes. METHODS: During Jan-May 2013, a total of 83 patients with end stage renal disease underwent KT at a tertiary referral center. Sixty six patients met the selection criteria and were enrolled into this pro- spective two-arm non-randomized controlled trial (IDEAL Phase-2b). Primary outcome was post transplant graft function. Secondary out- comes measured included surgical and immunologic complications, and peri-operative parameters. All patients had a minimum follow up of 6 months. RESULTS: Twenty five and 41 patients underwent RKT and OKT, respectively. There were no significant baseline differences between the two groups. Mean serum creatinine at discharge was 1.3 and 1.4 mg/dl in RKT and OKT patients, respectively (p¼0.71). Post-operative pain and analgesic requirements were significantly less in patients undergoing RKT (p¼0.01) (Fig 1). No patient undergoing RKT required post transplant dialysis whereas 2 (4.8%) patients un- dergoing OKT did. The incidence of lymphocele was markedly reduced in patients undergoing RKT detected by per protocol non contrast CT done at 3months (0% vs. 23.8%; p¼0.05; Fig 1). There was 1 graft loss in the OKT group; and 1 patient death (1.5 months post transplant secondary to congestive heart failure) in the RKT group (Table 1). CONCLUSIONS: RKT with regional hypothermia is safe and easily reproducible. Early outcomes are equivalent to OKT; with a propensity towards lower complications, quicker graft function recovery and shorter patient convalescence. Source of Funding: NONE PD30-03 IMPROVEMENTS IN EARLY HOSPITAL READMISSION AFTER RENAL TRANSPLANT e A NECESSITY Pamela Baron*, Felix Cheung, Michael Ernst, Wayne Waltzer, David Bekofsky, Frank Darras, Stony Brook, NY INTRODUCTION AND OBJECTIVES: Early hospital read- mission (EHR) focuses on quality control. Medicare is authorized to reduce payments for certain excessive and preventable read- missions. Readmission for any reason is thus considered an adverse event. National 30 day readmission after renal transplantation is 31%.This study is part of constant quality improvement to identify e774 THE JOURNAL OF UROLOGY â Vol. 191, No. 4S, Supplement, Tuesday, May 20, 2014
