30 October 2014 : Short communication
Laparoendoscopic Single-Site Donor Nephrectomy: A Single-Center Initial Experience
Ercument GurlulerA, Ibrahim BerberB, Ulkem CakirBF, Alihan GurkanGDOI: 10.12659/AOT.892468
Ann Transplant 2014; 19:551-555
Abstract
Background
This study presents our initial experience with laparoendoscopic single-site donor nephrectomy. Ten patients (8 females, 2 males; mean age 45.3±13.2 years) underwent LESS-DN.
Material and Methods
Transumbilical laparoscopic donor nephrectomy was performed using an SILS™ port. Standard laparoscopic instruments and a 30-degree angled camera were used during the surgery. We evaluated the following parameters: warm and cold ischemia time, duration of the operation, amount of blood loss during the operation, duration of hospitalization, creatinine level, and visual analogue scale score for pain at discharge.
Results
The means for duration of operation, warm ischemia time, and duration of hospitalization were 140 min, 194 s, and 1.4 days, respectively. Intraoperative and/or postoperative complications were not observed. Low pain score and cosmetic advantage were remarkable. All recipients had functional grafts. The results of our initial experience with LESS-DN appeared to be positive.
Conclusions
Further studies on the LESS-DN technique with larger series conducted in different centers are needed.
Keywords: Living Donors, Nephrectomy, Surgical Procedures, Minimally Invasive
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