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Updated: Aug 9, 2026
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Single Port Donor Nephrectomy
Published on: March 12, 2011
Transvaginal route for kidney extraction in laparoscopic donor nephrectomy
Ercument Gurluler1, Ibrahim Berber1, Ulkem Cakir1
1International Hospital Organ Transplant Center, Acibadem University, Istanbul, Turkey.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|November 25, 2014
Summary
Transvaginal natural orifice transluminal endoscopic surgery-assisted living-donor nephrectomy is a viable alternative to traditional laparoscopic procedures for female kidney donors. This minimally invasive approach demonstrates comparable outcomes for both donors and recipients.
Area of Science:
- Minimally invasive surgery
- Nephrology
- Transplant surgery
Background:
- Conventional laparoscopic living-donor nephrectomy is a standard procedure.
- Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) offers a less invasive approach.
- Comparing these techniques is crucial for optimizing donor safety and surgical outcomes.
Purpose of the Study:
- To evaluate the feasibility and reproducibility of vNOTES-assisted living-donor nephrectomy.
- To compare vNOTES-assisted nephrectomy with conventional laparoscopic nephrectomy.
- To assess operative characteristics and donor/recipient outcomes of both techniques.
Main Methods:
- Retrospective study including 115 female patients.
- Comparison between laparoscopic living-donor nephrectomy (n=70) and vNOTES-assisted living-donor nephrectomy (n=45).
- Analysis of operative parameters, ischemia times, pain scores, hospital stay, and graft/recipient outcomes.
Main Results:
- No significant differences in warm/cold ischemia, operation time, hospital stay, arterial anastomoses, pain scores, or recipient outcomes.
- vNOTES group showed a significantly lower number of venous anastomoses (P=.029).
Conclusions:
- vNOTES-assisted living-donor nephrectomy is a feasible and reproducible alternative for female donors.
- The vagina serves as a viable natural orifice for organ retrieval.
- This technique holds promise for improving donor experience in kidney transplantation.
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