Core Viewpoint - The successful completion of the third kidney transplant assisted by the Da Vinci robot at Yantai Yuhuangding Hospital marks a significant breakthrough in complex organ transplantation in China, providing new treatment pathways for patients with end-stage kidney disease globally [1][11][13]. Group 1: Surgical Achievement - The surgery was performed by a collaborative team led by Director Yu Shengqiang from the organ transplant department and Director Wu Jitao from the urology department, under the guidance of Professor Gao Zhenli [1][11]. - The patient, Mr. Wang, had undergone two previous kidney transplants and faced high surgical difficulty and rejection risks due to extensive adhesions and weakened tissues from prior surgeries [7][11]. - The use of the Da Vinci robot significantly reduced surgical trauma and patient burden, allowing for precise operations in a challenging environment [7][13]. Group 2: Innovative Approach - The surgical team faced a lack of prior literature or practical experience regarding the use of the Da Vinci robot for a third kidney transplant, necessitating independent exploration and innovation [11][13]. - A comprehensive pre-surgical plan was developed, including individualized immunosuppressant protocols and detailed monitoring strategies to minimize rejection risks [11][13]. - The team utilized advanced techniques to navigate the complex anatomical challenges presented by the patient's previous surgeries, demonstrating a high level of surgical skill and innovation [11][13]. Group 3: Broader Implications - The success of this surgery not only saved the patient's life but also showcased the hospital's capability to tackle complex transplant challenges using cutting-edge technology [13]. - This achievement is expected to have significant clinical implications, providing valuable experience and a successful model for similar complex cases globally [13]. - The hospital's efforts reflect a commitment to advancing minimally invasive surgical techniques and contributing to the global medical community's understanding of complex organ transplants [13].