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Related Experiment Video

Updated: Jun 6, 2026

Single Port Donor Nephrectomy
07:17

Single Port Donor Nephrectomy

Published on: March 12, 2011

First Italian experience in single-incision laparoscopic nephrectomy.

Stefano Gidaro1, Luca Cindolo, Fabiola Raffaella Tamburro

  • 1Department of Surgery University Chieti-Pescara Chieti, Italy.

Surgical Technology International
|November 18, 2010
PubMed
Summary

Single-incision laparoscopic nephrectomy (SILN) is a feasible and safe technique for kidney removal, offering favorable outcomes. This minimally invasive approach, while technically demanding, demonstrates potential for reduced patient recovery time.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Technique

Background:

  • Laparoscopic nephrectomy is a standard surgical procedure.
  • Minimally invasive techniques aim to reduce patient morbidity and recovery time.
  • Single-incision laparoscopic surgery (SILS) offers potential cosmetic and recovery benefits.

Purpose of the Study:

  • To describe and evaluate a novel technique for single-incision laparoscopic nephrectomy (SILN).
  • To assess the feasibility, safety, and perioperative outcomes of this SILN approach.
  • To compare outcomes with standard laparoscopic nephrectomy.

Main Methods:

  • A series of 10 consecutive patients underwent SILN.
  • Trocars were placed directly on the fascia through a single 5-cm incision.

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  • Articulating instruments and a 5-mm optic were utilized.
  • Standard surgical strategy was followed, with data collection on operative time, blood loss, complications, pain, and length of stay.

    • Main Results:

    • The procedure was successfully completed in 9 out of 10 patients.
    • Mean operative time was 169 minutes with mean blood loss of 113 ml.
    • Patients were discharged early (mean 5.3 days) with no major perioperative complications.
    • Mean postoperative Visual Analogue Scale (VAS) pain scores were 5.7 pre-discharge and 1.4.

    Conclusions:

    • Single-incision laparoscopic nephrectomy is a feasible and safe surgical option.
    • The technique yields favorable perioperative and short-term outcomes.
    • This approach is technically more challenging than standard laparoscopy, requiring advanced surgical skills.