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Related Experiment Video

Updated: Jun 18, 2026

Single Port Donor Nephrectomy
07:17

Single Port Donor Nephrectomy

Published on: March 12, 2011

Laparoendoscopic single-site pfannenstiel donor nephrectomy.

Sero Andonian1, Amin S Herati, Mohamed A Atalla

  • 1Smith Institute for Urology, North Shore-Long Island Jewish Health System, New Hyde Park, New York 11040, USA.

Urology
|November 17, 2009
PubMed
Summary

Laparoendoscopic single-site (LESS) donor nephrectomy via a Pfannenstiel incision offers improved cosmesis. This minimally invasive technique was successfully performed in six patients with no complications, demonstrating its safety and efficacy.

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Area of Science:

  • Minimally Invasive Surgery
  • Urology
  • Transplant Surgery

Background:

  • Laparoscopic donor nephrectomy is the standard for live kidney donation.
  • Current methods typically involve three ports and a Pfannenstiel incision for kidney retrieval.
  • Improving cosmesis and patient outcomes remains a focus in donor nephrectomy.

Purpose of the Study:

  • To describe the technique of laparoendoscopic single-site (LESS) donor nephrectomy performed through a Pfannenstiel incision.
  • To evaluate the feasibility and initial outcomes of this LESS approach.

Main Methods:

  • A 5 cm Pfannenstiel incision was used to place three 5 mm ports.
  • A flexible-tip laparoscope facilitated the procedure.
  • A 12-mm trocar was used for the Endo-GIA stapler, and the kidney was retrieved through an incision between midline ports.

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Published on: March 12, 2011

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Main Results:

  • Successful LESS Pfannenstiel donor nephrectomy in 6 patients with no conversions to standard laparoscopy or open surgery.
  • Median operative time was 142 minutes, with a median warm ischemia time of 5 minutes.
  • Median hospital stay was 2 days, with a median pain score of 0 at discharge and no peri-operative complications or transfusions.

Conclusions:

  • LESS Pfannenstiel donor nephrectomy provides superior cosmetic results compared to standard laparoscopic donor nephrectomy.
  • Further randomized trials are necessary to compare postoperative pain between LESS and standard laparoscopic techniques.