Related Experiment Video
Updated: Aug 28, 2025
07:17
Single Port Donor Nephrectomy
Published on: March 12, 2011
51.4K
Single-port retroperitoneoscopic partial nephrectomy: Initial description and standardisation of technique.
D Vazquez-Martul1, J Iglesias-Alvarado1, C Altez-Fernandez1
1Department of Urology, A Coruña University Hospital Complex, A Coruña, Spain.
Journal of Minimal Access Surgery
|September 20, 2022
Summary
Single-port retroperitoneoscopic partial nephrectomy (SPOR-PN) is a feasible, minimally invasive technique for kidney tumors. This approach offers potential benefits like reduced post-operative pain and improved cosmetic outcomes.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Nephrology
Background:
- Minimally invasive surgery is the standard for localized renal tumors.
- Retroperitoneal approach is suitable for posterior tumors and patients with prior abdominal surgery.
- Single-port retroperitoneoscopic partial nephrectomy (SPOR-PN) is an underexplored technique.
Purpose of the Study:
- To describe the technique of SPOR-PN.
- To present the initial outcomes of SPOR-PN.
Main Methods:
- A case series of nine patients undergoing SPOR-PN.
- Utilized a multi-channel single-port access device with a 35 mm incision.
- Employed a 30° 2D laparoscope and specialized instruments; renorrhaphy with sliding-clip technique.
- Pain assessed using Visual Analogue Scale (VAS).
Main Results:
- Median patient age: 44-78 years; median RENAL score: 5p.
- Mean surgical time: 134 minutes; median ischemia time: 18 minutes (for clamped cases).
- Median hospital stay: 48 hours; median post-operative VAS: 2. No positive surgical margins; one Clavien IIIa complication.
Conclusions:
- SPOR-PN is a feasible, minimally invasive, and nephron-sparing surgical option.
- Potential advantages include enhanced cosmetic results and decreased post-operative pain.
- Further research with larger cohorts is warranted to validate these findings.
