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Related Concept Videos

Kidney Transplant II: Surgical Procedure01:26

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Related Experiment Video

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Single Port Donor Nephrectomy
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Laparoendoscopic single-site donor nephrectomy: a single-center initial experience.

Ercument Gurluler1, Ibrahim Berber1, Ulkem Cakir2

  • 1Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey.

Annals of Transplantation
|October 31, 2014
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Laparoendoscopic single-site donor nephrectomy (LESS-DN) shows promising initial results for kidney donation, with no complications, minimal pain, and good cosmetic outcomes. All kidney transplant recipients had functional grafts, indicating the technique

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Area of Science:

  • Minimally invasive surgery
  • Transplant surgery
  • Urology

Background:

  • Initial experience with laparoendoscopic single-site donor nephrectomy (LESS-DN).
  • Ten patients (8 female, 2 male; mean age 45.3 years) underwent the procedure.
  • Evaluating the feasibility and outcomes of LESS-DN.

Purpose of the Study:

  • To assess the safety and efficacy of LESS-DN.
  • To evaluate key surgical and patient outcomes.
  • To determine the potential of LESS-DN as a donor nephrectomy technique.

Main Methods:

  • Transumbilical laparoscopic donor nephrectomy using SILS™ port.
  • Standard laparoscopic instruments and a 30-degree angled camera utilized.
  • Evaluation of warm/cold ischemia time, operation duration, blood loss, hospitalization, creatinine levels, and pain scores.

Main Results:

  • Mean operation time: 140 min; warm ischemia time: 194 s; hospitalization: 1.4 days.
  • No intraoperative or postoperative complications observed.
  • Low pain scores, excellent cosmetic results, and functional grafts in all recipients.

Conclusions:

  • Initial LESS-DN experience is positive.
  • The technique offers advantages in pain and cosmesis.
  • Further multi-center studies with larger cohorts are warranted.