ROBOTIC BILATERAL NEPHRECTOMY FOR LARGE KIDNEYS WITH ADULT POLYCYSTIC KIDNEY DISEASE WITH DA VINCI XI AND DA VINCI SP

donor nephrectomy based on the additional information that was provided from the virtual models. In the patient with the perihilar mass, the 3D imaging delineated the mass as arising from the renal parenchyma. This patient underwent robotic donor nephrectomy with ex-vivo excision of the mass (pathology: lipid-poor renal angiomyolipoma), with successful subsequent renal transplantation. All 63 patients underwent uneventful laparoscopic or robotic donor nephrectomy. CONCLUSIONS: Virtual 3D anatomical modeling with IRIS allows surgeons to perform donor nephrectomy in patients that may otherwise be excluded from renal donation. This technology offers preoperative interpretation of renal anatomy, provides confidence in the setting of complex vasculature, and facilitates planned procedural completion.