Robotic Kidney Transplant Cost in India

“The cost of a robotic kidney transplant in India starts from USD 16,000, including pre-transplant evaluation, surgery, and other expenses, that’s comparatively lower than the cost for surgery in many other countries.

Kidney-Ultrasound
  • The most recommended standard of care for patients with end-stage renal disease is kidney transplantation (KT). Kidney transplants have historically been performed through open surgery, which involves making large incisions. Nonetheless, minimally invasive surgical techniques have been used to complete the procedure in recent times.
  • A minimally invasive procedure called Robot-Assisted Kidney Transplantation (RAKT) uses robotic assistance to carry out the KT. Transplant surgeons with extensive training and experience in robotics and transplant surgery perform RAKT because KT and robotic surgery require high expertise.
  • Depending on their body stature, patients requiring kidney transplants typically need an incision that is 15 to 25 cm long; obese patients require a larger incision.
  • Kidney transplantation requires retraction of the wound, which causes soft tissue damage and makes the procedure more painful.
  • Kidney transplantation is performed with a mere 6 cm long incision and 5 or 6 port sites, each measuring approximately 1 cm long, using the da Vinci robotic platform. Retraction is not required.
  • Adult females can undergo kidney transplantation through the vagina without requiring a large abdominal incision. In addition to being purely cosmetic, this also results in less pain, early ambulation, and speedy recovery for the patient.

Robotic Kidney Transplant Surgery Vs. Open Kidney Transplant Surgery

The benefit of robotic kidney transplant surgery over open kidney transplant surgery regarding technology: While reducing hand tremors, the robot mimics the surgeon’s hand movements. Thus, in addition to applying experience and expertise, the surgeon can perform intricate procedures with control, skill, and precision particularly helpful in situations requiring fine dissection and micro suturing in a deep, narrow operating field.

Better patient outcomes: Kidney transplant patients with immunocompromised and end-stage renal disease can benefit greatly from robotic surgery, which has several advantages over open surgery, including a lower risk of complications.

  • Safer and more effective for obese patients who would not normally be advised to have a transplant.
  • Reducing the following benefits of minimally invasive surgery:
  • Blood loss
  • Hospital stays
  • Suffering
  • The rate of postoperative complications
  • Length of recovery
  • Scars from surgery

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Advantages of a Robot-Assisted Kidney Transplantation

  • The process was continuously refined to optimize the patient’s benefit. An important innovation was the development of the hypothermia technique, which keeps the kidneys cool during robotic kidney implantation using ice slush.
  • Improvements in renal function from regional hypothermia combined with ice slush were equivalent to those from open kidney transplants. Another technique was developed to secure the grafts in place and allow for percutaneous biopsies to be performed on them during the post-transplant period. The results were published in several international peer-reviewed journals.
  • The widespread acceptance and positive outcomes of kidney transplantation have helped a great number of people. Additionally, fewer procedure-related complications have resulted from this.
  • Robotic technology mimics the hand movements of a surgeon by using tiny, precise motions of tiny devices inside a patient’s body.
  • With enhanced magnification and three-dimensional vision provided by the advanced camera, surgeons can see more clearly in the surgical field and perform more accurate and precise procedures because they have total control over the system.

The Risks of Kidney Transplant Using Robot-Assisted Surgery

Robotic surgery is a sophisticated surgical technique in which a surgeon uses a computer to control a robotic arm with tiny surgical instruments attached.

The robotic assistance significantly reduces the risks associated with kidney transplants. However, the following risks are particular to the kidney transplant procedure:

  • Damage to surrounding structures.
  • Port site hernia is a type of hernia that is caused by small incisions made for the instruments used during laparoscopic surgery.
  • Twisting of the kidney (torsion) after the transplant.
  • Scarring affecting the bowel in the long term (adhesive obstruction).
  • Trapping of carbon dioxide used during surgery in the abdomen.
  • Nerve compression.
  • Life-threatening risks are minuscule.
  • Uncontrolled bleeding.
  • Post-operative infections.
  • Blockage of blood vessels.
  • Leakage of urine or blockage of ureters.
  • Lack of urine production in the new kidney.

Preparing For Robotic Kidney Transplant

Before performing a robotic kidney transplant, some preparation is necessary.

  • Stop smoking or drinking
  • Lose any excess weight
  • Regular exercise
  • Vaccinations as advised
  • Dialysis before transplant
  • Necessary lab tests

Robotic Kidney Transplant Procedure

Before the Transplant

  • Transplant recipients require a comprehensive evaluation.
  • To make sure one is eligible for a kidney transplant, doctors will conduct a test.
  • If you are not a candidate for a kidney transplant, they might put you on dialysis, which could last a lifetime.
  • You might not be eligible for a kidney transplant because certain conditions, like substance abuse and cancer, can raise the risk of kidney transplant failure.
  • If your medical history supports the need for a kidney transplant, you will be required to participate in tests such as tissue typing, blood typing, and cross-matching to determine your suitability for the organ. You might spend months on the waiting list, during which time these tests might be performed regularly.
  • Surgery will be scheduled as soon as a compatible organ becomes available.
  • Before the procedure, the doctor will ask you to fast for at least eight hours.
  • The surgeon will answer your questions and give you a brief explanation of the process on the day of the procedure. They might also give you medication to aid in relaxation.

During the Transplant

The robot is operated by a surgeon skilled in both robotic surgery and robotic kidney transplantation. The kidney measures approximately 11 cm in length and 5 cm in width. A 6 cm incision made into the abdomen would not cause any harm to a kidney.

Similar to this, the vagina is elastic, so a normal baby delivery is possible. The kidneys are easily able to enter the abdomen through the vagina because they are smaller than the baby’s head.

  • Individuals with end-stage renal failure in one or both kidneys may be candidates for kidney transplantation. Another name for this illness is end-stage renal disease (ESRD) in India. Many patients at this point are already receiving dialysis; if that doesn’t work, they are asked to have transplant surgery.
  • Since more people are waiting for kidneys than there are kidneys available, most kidney transplant patients only receive one kidney. The donor of the healthy new kidney may be a living or deceased person.
  • In a robot-assisted kidney transplant, the surgery is carried out using mechanical arms that are console-controlled. Compared to laparoscopic or open surgery, the initial incisions made in this procedure are substantially smaller.
  • The surgeon manoeuvres the arms that hold the surgical instruments and the camera, which provides 3D real-time visualization of the surgical field, through these tiny incisions using a console.
  • Using the incision, the surgeon removes the diseased or damaged kidney while protecting the surrounding organs, ureters, and blood vessels.
  • After the replacement kidney is firmly in place, the ureters and blood vessels are connected to it by the mechanical arms.
  • Because the mechanical arms are made to resemble a surgeon’s hands, even with such a tiny incision, the precision of this procedure is increased.
  • When finished, the surgeon looks for any bleeding that may have persisted and, if none, closes the incision site. Surgeons frequently replace just the damaged or diseased kidney, leaving the other kidney in place.

Follow-up

  • Following the procedure, the medical staff will admit you to the intensive care unit and keep a close eye on your vital signs for a few days. A few days to a week could pass while you’re in the hospital. In the case of kidney transplants assisted by robots, the length of hospital stay may be reduced.
  • The medical staff will draw blood regularly while the patient is in the hospital. You may need temporary dialysis until your new kidneys begin to function properly because it may take some time for them to start producing urine.
  • Doctors may also keep an eye on your tests to look for any indications of organ rejection. Immunosuppressants are among the medications that may be administered to you to stop organ rejection.
  • In addition, you might be watched closely for infections following surgery. To avoid ripping your stitches, the doctor might advise against engaging in any strenuous activities.

Cost of Robot-Assisted Kidney Transplant in India

The cost of a robotic kidney transplant in India starts from USD 16,000, including pre-transplant evaluation, surgery, and other expenses, that’s comparatively lower than the cost for surgery in many other countries.

A less invasive procedure may shorten a patient’s stay in the hospital and allow them to return home sooner.

Factors that Affect the Cost of Robot-Assisted Surgery in India

Surgery costs are typically influenced by a wide range of variables, the main ones being:

  • Experience and proficiency of the team and kidney transplant surgeon.
  • Duration of the procedure and any complications afterward.
  • Age and underlying co-morbidities may have an impact on the need for additional testing and medication.
  • Hospital stays: Depending on the hospital’s billing policy, the room category is used.

How can Lyfboat assist you getting Robotic Kidney Transplant in India?

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Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

Recuperation

  • The risks associated with a kidney transplant assisted by a robot are generally lower in terms of bleeding or infection. On the other hand, kidney transplants necessitate extensive postoperative care.
  • Patients might require dialysis in the early phases of their recuperation until their replacement kidney starts to function completely. If you want to avoid overtaxing the kidneys, one might also need to adhere to a strict diet.
  • Grapefruits, for instance, should be avoided since they interfere with immunosuppressants.
  • There are dietary and nutritional adjustments that must be made, but they will be smaller in number than those required during dialysis. It is advised that you properly manage any pre-existing conditions, such as diabetes, high blood pressure, etc., to avoid taxing the new kidney.
  • You might be asked to refrain from physically demanding activities or heavy lifting. Walking or low-impact exercise is advised by surgeons to enhance both your physical and emotional well-being.
  • It should only be carried out with your doctor’s approval. To assist you with the psychological effects of the procedure, your doctor might also ask you to enlist in transplant rehabilitation support.

Success Rate of Kidney Transplant Using Robot-Assisted Surgery

All donor nephrectomies performed since 2000 have been performed via laparoscopic surgery. The benefits of minimally invasive surgery were extended to kidney transplant patients by using the Da Vinci robot in conjunction with surgical proficiency.

There are no appreciable differences between open surgery and robot-assisted kidney transplant surgery because the graft survival rate, or the survival rate of the donor’s kidney, depends on the physical attributes of the recipient’s body. Nonetheless, the robotic kidney transplant procedure provides several advantages in terms of:

  • Low surgical site infection (range 0-8%).
  • Incisional hernia rates (range 0-6%).
  • Improved aesthetic outcomes.

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Dr. Surbhi Suden is one of the founders of Lyfboat and a doctor with a renowned name in the Medical tourism industry. She has been working with international patients since 2008 and is a deeply committed professional with a long term vision of transforming the current healthcare scenarios.
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