NICE has been notified about this procedure and will consider it as part of its work programme. The Interventional Procedures Advisory Committee (IPAC) will consider this procedure and NICE will issue an interventional procedures consultation document about its safety and efficacy for 4 weeks’ public consultation. IPAC will then review the consultation document in the light of comments received and produce a final interventional procedures document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
 
 
Status In progress
Process IP
ID number 1540
Description Robot-assisted kidney transplant may result in decreased blood loss, shorter recovery time, fewer wound complications and improved cosmetic results compared with conventional open surgery. With the patient under general anaesthesia and placed in supine position, a periumbilical incision of about 7 cm is made to insert a hand-assist device. Subsequently, 4 or 5 small incisions (0.5 to 1 cm) are made to insert robotic arms and instruments into the abdomen. After the ports and the hand-assist device are placed, the patient is usually moved to the Trendelenburg position. The external iliac vessels are prepared and the bladder is filled with normal saline to facilitate its dissection. The graft kidney is put into the peritoneum and the renal vein and artery are anastomosed to the external iliac vessels using the robot. After completion of vascular anastomoses, a ureteroneocystostomy is performed robotically. The patient’s wounds are closed in a standard manner. Intra-operative Doppler imaging may be used to assess graft vascular flow. Modifications of the techniques used for robot-assisted kidney transplant have been described.

Provisional Schedule

Interventional procedure consultation 21 December 2017 - 22 January 2018

For further information on how we develop guidance, please see our page about NICE interventional procedures guidance