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Updated: Jun 7, 2026

Single Port Donor Nephrectomy

Single Port Donor Nephrectomy

Published on: March 12, 2011

Retroperitoneal LESS donor nephrectomy.

A van der Merwe¹, A Bachmann, C F Heyns

¹Department of Urology, University of Stellenbosch and Tygerberg Hospital, Cape Town, South Africa. arvdm@sun.ac.za

International Braz J Urol : Official Journal of the Brazilian Society of Urology

|November 4, 2010

Summary

This summary is machine-generated.

This study introduces a new retroperitoneal donor nephrectomy technique using a single groin incision (LESS surgery). This feasible and safe approach offers cosmetic benefits and early renal vessel identification for kidney donation.

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Area of Science:

Urology
Minimally Invasive Surgery
Transplantation Surgery

Background:

Laparo-endoscopic single-site (LESS) donor nephrectomy has been performed via transperitoneal routes.
The retroperitoneal approach offers advantages in early renal vessel identification.

Purpose of the Study:

To describe a novel technique for retroperitoneal donor nephrectomy using a single groin incision.
To evaluate the feasibility and safety of this LESS retroperitoneal approach.

Main Methods:

A novel retroperitoneal donor nephrectomy technique was developed utilizing a single incision in the groin.
The procedure was performed in two obese patients (BMI 32 and 33 kg/m2).

Main Results:

Operative times were 4 and 5 hours; warm ischemic times were 135 and 315 seconds.
Blood loss was 100 and 250 mL, with hospitalization of 3 and 2 days, respectively.
The technique demonstrated feasibility and safety in the initial cases.

Conclusions:

Retroperitoneal LESS donor nephrectomy via a single groin incision is a viable and safe option.
Further investigation in a larger patient group is warranted to confirm efficacy.