PMC5820682_01
(a) Transplant (left) incision scar. (b) Placing a sterile glove on the rectum, semilunar incision lines. (c) Docking of the robotic system.
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A renal transplant from a cadaveric donor was performed on the patient with no additional diseases at another center in May 2017 (Fig. 1a). The perioperative digital rectal examination was performed with a sterile glove to avoid damaging the rectum (Fig. 1b). For assistance, a 10-mm trocar was placed at the 6 o'clock position (Fig. 1c).
(a) Lateral lobe dissection. (b) Placing the clip in and cutting the urethral catheter. (c) Strap suture in the middle lobe.
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After insufflation started, dissection was initiated from the apex of the prostate and extended to the lateral lobes (Fig. 2a). Triangle Park, NC) was placed in the urethral catheter and, with laparoscopic scissors, a urethral catheter was cut from the upper part of the clip (Fig. 2b). To cut the bladder neck from behind the middle lobe, a strap suture was placed in the middle lobe of the prostate to function as a traction device (Fig. 2c).
(a) Double-J catheter of the transplanted kidney. (b) Vesicourethral anastomosis.
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The prostate was fully dissected from the bladder and the neoureteral orifice and Double-J catheter of the transplanted kidney were then observed in the bladder (Fig. 3a). The robot was undocked to remove prostatic tissue from the surgical region and then redocked. A vesicourethral anastomosis was started and two 3/0 V-Loc  (Covidien, Mansfield, MA) sutures were used (Fig. 3b).