Laparoendoscopic single-site simultaneous bilateral nephrectomy: first reported case series.

Area of Science:

• Urology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Bilateral renal tumors in dialysis patients typically necessitate bilateral nephrectomy.
• Traditional laparoscopic surgery for this procedure requires multiple trocar insertions.
• Laparoendoscopic single-site surgery (LESS) utilizes a single umbilical incision for instruments and specimen retrieval.

Purpose of the Study:

• To evaluate the feasibility and outcomes of simultaneous bilateral radical nephrectomies using the LESS technique.
• To assess the safety, operative time, and complications associated with LESS for this specific patient population.

Main Methods:

• Retrospective case series of 5 patients undergoing simultaneous bilateral radical nephrectomies.
• Procedure performed using the Laparoendoscopic Single-Site (LESS) approach at a single academic institution.

Main Results:

• No intraoperative complications were reported.
• The mean operative time was 155 minutes.
• Four out of five cases were successfully completed with LESS; one required conversion to traditional laparoscopy.
• One postoperative complication occurred.

Conclusions:

• LESS is a feasible technique for simultaneous bilateral radical nephrectomies in patients on dialysis.
• The approach can be performed with acceptable operative times and morbidity.
• LESS may offer advantages by reducing the number of abdominal access ports required.