The best option: Umbilical LESS radical nephrectomy with vaginal extraction

Area of Science:

• Urology
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Umbilical laparoendoscopic single-site (LESS) surgery offers advantages over traditional multiport approaches, including faster recovery, reduced postoperative pain, and improved cosmesis.
• The reusability of LESS instruments also presents significant economic benefits.

Observation:

• A 34-year-old patient with an 8 cm solid mesorenal lesion underwent pure LESS radical nephrectomy.
• Vaginal extraction of the specimen was utilized, facilitated by specialized instruments.
• The procedure involved mobilization of the colon, dissection of the renal hilum, and clipping of vessels.

Findings:

• The surgical time was 180 minutes.
• The patient was discharged the next day without analgesia.
• One year post-surgery, the patient remained disease-free with no complications.

Implications:

• Umbilical LESS radical nephrectomy with vaginal extraction is a viable option for select patients.
• This technique is oncologically safe, scarless, and promotes early recovery.
• It simplifies natural orifice transluminal endoscopic surgery (NOTES) and achieves minimally invasive results.