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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

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Related Experiment Video

Updated: Jun 22, 2026

Single Port Donor Nephrectomy
07:17

Single Port Donor Nephrectomy

Published on: March 12, 2011

Single-setting bilateral hand-assisted laparoscopic partial nephrectomy.

Rabii Madi1, J Stuart Wolf

  • 1Department of Urology, University of Michigan Health System, Ann Arbor, MI 48109-5330, USA.

Journal of Endourology
|May 29, 2009
PubMed
Summary
This summary is machine-generated.

Single-setting bilateral hand-assisted laparoscopic partial nephrectomy is a safe and effective procedure for small, exophytic kidney tumors. This minimally invasive technique avoids hilar clamping, preserving renal function in select cases.

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Last Updated: Jun 22, 2026

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Nephrology

Background:

  • Partial nephrectomy is the gold standard for small renal masses.
  • Bilateral kidney tumors present unique surgical challenges.
  • Hand-assisted laparoscopy offers advantages in complex procedures.

Observation:

  • A single-setting bilateral hand-assisted laparoscopic partial nephrectomy was performed on three patients.
  • The procedure utilized a single hand-assistance incision for both kidneys.
  • Tumor characteristics included small size and minimal penetration depth, obviating the need for renal hilar clamping.

Findings:

  • All three operations were successful without conversion to open surgery.
  • Mean estimated blood loss was 208 mL, and mean operative time was 246 minutes.
  • Postoperative recovery was uneventful, with no intraoperative complications and stable renal function post-surgery.

Implications:

  • Single-setting bilateral hand-assisted laparoscopic partial nephrectomy is feasible and safe for select patients with bilateral small exophytic renal tumors.
  • This technique is recommended when temporary hilar occlusion is not required for both kidneys.
  • It can be considered if only one kidney necessitates hilar occlusion, preserving renal function.