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Updated: Jun 3, 2026
07:17
Single Port Donor Nephrectomy
Published on: March 12, 2011
Is right-sided laparoendoscopic single-site donor nephrectomy feasible?
Cheguevara Afaneh1, Ranjith Ramasamy, David B Leeser
1Department of Urology, New York-Presbyterian Hospital, Weill Cornell Medical College, New York, NY 10065, USA.
Urology
|March 15, 2011
Summary
Right-sided laparoendoscopic single-site donor nephrectomy (LESS-RDN) is a safe alternative for kidney transplantation. This minimally invasive technique shows comparable allograft function to left-sided procedures.
Area of Science:
- Minimally Invasive Surgery
- Transplant Surgery
- Urology
Background:
- Laparoendoscopic single-site (LESS) donor nephrectomy is an emerging technique.
- Most previous LESS donor nephrectomy cases involved left kidneys.
- Right kidney donation presents unique anatomical considerations.
Purpose of the Study:
- To report the initial experience with right-sided LESS donor nephrectomy (LESS-RDN).
- To evaluate the safety and efficacy of LESS-RDN.
- To compare outcomes with conventional laparoscopic donor nephrectomy (LDN).
Main Methods:
- Prospective data collection of 6 LESS-RDN cases between August 2009 and June 2010.
- Analysis of donor outcomes: operative time, blood loss, complications, pain, and recovery.
- Recipient outcomes: creatinine levels at discharge and 1, 3 months post-transplant.
Main Results:
- Five LESS-RDN were successfully completed; one conversion to hand-assisted laparoscopy.
- Mean operative time: 146 minutes; warm ischemia time: 3.9 minutes; blood loss: 92 mL.
- No perioperative complications; allografts functioned well with no difference in recipient creatinine compared to LESS-LDN.
Conclusions:
- LESS-RDN is technically challenging but can be performed safely by experienced surgeons.
- It offers a viable alternative for right kidney donation.
- Further research may expand its application in kidney transplantation.
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