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Updated: May 23, 2026

Single Port Donor Nephrectomy
Published on: March 12, 2011
Single-site surgery for simultaneous totally extraperitoneal bilateral herniorrhaphy and transperitoneal radical
Cheng-Hsing Hsieh1, Stephen Shei-Dei Yang, Shang-Jen Chang
1Buddhist Tzu Chi General Hospital, Taipei Branch, New Taipei, Taiwan.
Aim:
This study reports a case undergoing laparoendoscopic totally extraperitoneal herniorrhpahy and transperitoneal laparoscopic radical nephrectomy through transumbilical single-site incisions.
Method:
A 56-year-old man presented with incidental left renal tumor and bilateral inguinal hernia. Accordingly, a homemade single-port in subumbilicus was applied for totally extraperitoneal herniorrhpahy, following which the incisional wound was extended upward for transperitoneal radical nephrectomy as well.
Results:
No extraumbilical port was required. Pathology confirmed the diagnosis of renal cell carcinoma. The peri- and postoperative course was quite smooth with rapid recovery, and the patient was discharged home on the fifth postoperative day.
Discussion:
The laparoendoscopic single-site surgery with homemade single-port allowed extraperitoneal and transperitoneal procedures to be carried out at the same time, which was feasible and safe with negligible complications.
Conclusions:
Performing 2 procedures with single-site incision greatly diminished the number of port site incisions and offered obvious cosmetic advantage.
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