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Single Port Donor Nephrectomy

Single Port Donor Nephrectomy

Published on: March 12, 2011

Pediatric laparoendoscopic single-site partial nephrectomy: initial report.

Hwang Gyun Jeon¹, Dong Suk Kim, Ha Bum Jeoung

¹Department of Urology, Urological Science Institute, Yonsei University, College of Medicine, Seoul, Korea.

|May 25, 2010

Summary

Transumbilical laparoendoscopic single-site surgery (LESS) is a safe and feasible approach for pediatric partial nephrectomy. This minimally invasive technique successfully removed a renal mass in a child with excellent outcomes.

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Area of Science:

Pediatric Urology
Minimally Invasive Surgery
Surgical Oncology

Background:

Partial nephrectomy is the gold standard for treating localized renal masses in children.
Minimally invasive techniques are increasingly explored to reduce surgical morbidity.
Laparoendoscopic single-site surgery (LESS) offers potential cosmetic and functional advantages.

Observation:

A 7-year-old girl with a 3.5-cm renal mass underwent transumbilical LESS partial nephrectomy.
A homemade single-port device was utilized through a 3-cm umbilical incision.
The procedure involved hilar clamping and meticulous suturing of the renal defect.

Findings:

The surgery was completed in 210 minutes with a warm ischemic time of 42 minutes.
Histopathology confirmed a 3.5-cm metanephric adenoma with clear surgical margins.
The patient experienced no intraoperative or postoperative complications and showed normal renal function on follow-up.

Implications:

Transumbilical LESS partial nephrectomy demonstrates safety and feasibility in pediatric patients.
Further advancements in instrumentation and suturing techniques are warranted for wider adoption.
This approach represents a promising minimally invasive option for pediatric renal mass management.