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Updated: Apr 23, 2026
Single Port Donor Nephrectomy
Published on: March 12, 2011
Minilaparoscopic-assisted laparoendoscopic single-site bilateral nephrectomies in postrenal transplant recipient:
G Pini1, F Greco2, N Mohammed3
1Department of Urology and Kidney Transplantation Center, University "Martin-Luther" Halle, Halle/Saale, Germany; Uroclinic, Robotic Surgery Center, Sophiahemmet Hospital, Stockholm, Sweden.
Abstract:
We present our first minilaparoscopic-assisted laparoendoscopic single-site bilateral nephrectomies (b-LESS-N) performed in a patient with bilateral atrophic kidney, right malignant renal tumor of 4.5 cm that developed in a native kidney after multiple bilateral renal transplantations and renovascular hypertension. The mean operative time was 233 minutes, with a mean blood loss of 180 mL. A single umbilical incision (5.5 cm) was performed to remove both kidneys. No significant difference in glomerular filtration rate was observed postoperatively. The postoperative recovery was uneventful with favorable short-term outcomes and high patient satisfaction. The 10-month follow-up showed effective arterial pressure improvement, absence of tumor relapse, and stable graft function. We believe that b-LESS-N for renal cancer after a renal transplantation can be performed without increased risks for the patients or for the transplanted kidney.
