Mother gives daughter a kidney in SA’s first robotic living donor surgery

In a first for South Africa, a surgeon with the Western Cape Department of Health and Wellness has successfully removed a donor kidney using robotic surgery technology at Tygerberg Hospital, marking an advancement in helping make organ donation less invasive for living donors.

The surgery, called a donor nephrectomy, was performed by urologist Dr Danelo du Plessis, a joint staff member with Tygerberg Hospital and Stellenbosch University (SU), using the da Vinci Xi Robotic platform. This system enables surgeons to operate with exceptional precision through four robotic arms, controlled remotely via an immersive 3D console, according to a press release by SU.

“The surgery, completed in under 90 minutes, exceeded our expectations,” says Du Plessis, a senior lecturer and medical specialist in SU’s division of urology.

The procedure involved a 45-year-old mother donating a kidney to her 24-year-old daughter.

The robotic platform’s precision and dexterity enabled the surgical team to take a retroperitoneal approach – a less invasive technique that reduces post-operative pain and allows for faster recovery. The donor was discharged the following day, and the transplanted kidney immediately began producing urine, indicating it is functional.

While nephrectomies to remove diseased or damaged kidneys have been performed robotically in South Africa, donor nephrectomy presents significantly greater complexity. This procedure requires the complete removal of a healthy kidney while preserving the full length of the kidney’s blood vessels, ureter and organ integrity for successful transplantation.

Dr Matodzi Mukosi, the CEO of Tygerberg Hospital, says the successful robotic kidney donor surgery is a first for South Africa and a proud moment for Tygerberg Hospital. “It reflects the extraordinary skill of our surgical teams and highlights the life-changing impact of medical innovation for our patients and their families.”

Prof Elmi Muller, the dean of SU’s faculty of medicine and health sciences and transplant surgeon, praises the achievement. “Robotic surgery is a new technology that has been used safely in many parts of the world for procedures like nephrectomies and prostatectomies. It is great to see that such innovations can also happen in South Africa.

“In a large consensus meeting on the use of robotic surgery in the field of transplantation at the end of 2024, we found that robotic surgery now provides similar results to standard laparoscopic procedures.”

Du Plessis has completed 200 robotic procedures, including partial nephrectomies, prostatectomies and cystectomies.

“When operating on perfectly healthy donors, it is essential to have a refined technique,” explains Du Plessis. “Living donors make this extraordinary sacrifice purely from altruism – they deserve a safe and minimally invasive procedure. This technology delivers on that promise.”

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