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Alessimi A, Adam E, Haber GP, et al. LESS living donor nephrectomy: Surgical technique and results. Urol Ann. 2015;7(3):361-5doi: 10.4103/0974-7796.160321.
Alessimi, A., Adam, E., Haber, G. P., Badet, L., Codas, R., Fehri, H. F., Martin, X., & Crouzet, S. (2015). LESS living donor nephrectomy: Surgical technique and results. Urology annals, 7(3), 361-5. https://doi.org/10.4103/0974-7796.160321
Alessimi, Abdullah, et al. "LESS living donor nephrectomy: Surgical technique and results." Urology annals vol. 7,3 (2015): 361-5. doi: https://doi.org/10.4103/0974-7796.160321
Alessimi A, Adam E, Haber GP, Badet L, Codas R, Fehri HF, Martin X, Crouzet S. LESS living donor nephrectomy: Surgical technique and results. Urol Ann. 2015 Jul-Sep;7(3):361-5. doi: 10.4103/0974-7796.160321. PMID: 26229326; PMCID: PMC4518375.
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Urol Ann. 2015 Jul-Sep;7(3):361-5. doi: 10.4103/0974-7796.160321.

LESS living donor nephrectomy: Surgical technique and results.

Urology annals

Abdullah Alessimi, Emilie Adam, Georges-Pascal Haber, Lionel Badet, Ricardo Codas, Hakim Fassi Fehri, Xavier Martin, Sébastien Crouzet

Affiliations

  1. Department of Urology and Transplantation Edouard Herriot Hospital, Lyon, France.
  2. Center for Laparoscopic and Robotic Surgery, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio, USA.

PMID: 26229326 PMCID: PMC4518375 DOI: 10.4103/0974-7796.160321

Abstract

PURPOSE: We present the findings of 50 patients undergoing pure trans-umbilical laparo-endoscopic single-site surgery (LESS) living donor nephrectomy (LDN), between February 2010 and May 2014.

MATERIALS AND METHODS: Laparo-endoscopic single-site surgery LDN was performed through an umbilical incision. Different trocars were used, namely Gelpoint (Applied Mιdical, Rancho Santa Margarita, CA) SILS port (Covidien, Hamilton, Bermuda), R-port (Olympus Surgical, Orangeburg, NY) and standard trocars, inserted through the same skin incision but using separate fascial punctures. The standard laparoscopic technique was employed. The kidney was pre-entrapped in a retrieval bag and extracted trans-umbilically. Data were collected prospectively including questionnaires containing patient reported oral pain medication duration and time to recovery.

RESULTS: LESS LDN was successful in all patients. Mean warm ischemia time was 6.2 min (3-15), mean procedure time was 233.2 min (172-300), and hospitalization stay was 3.94 days (3-7) with a visual analogue pain score at discharge of 1.32 (0-3). No intraoperative complications occurred. The mean time of oral pain medication was 8.72 days (1-20) and final scar length was 4.06 cm (3-5). Each allograft was functional.

CONCLUSION: Although challenging, trans-umbilical LESS LDN seems to be feasible and safe. Hence, LESS has the potential to improve cosmetic results and decrease morbidity.

Keywords: Laparo-endoscopic single-site surgery; laparoscopy; living donor nephrectomy; minimally invasive; single port

References

  1. J Endourol. 2006 Nov;20(11):895-8 - PubMed
  2. Am J Transplant. 2010 Jun;10(6):1473-7 - PubMed
  3. N Engl J Med. 2006 Jun 8;354(23):2473-83 - PubMed
  4. Eur Urol. 2010 Jan;57(1):95-101 - PubMed
  5. Eur Urol. 2010 Oct;58(4):498-509 - PubMed
  6. J Endourol. 2008 Oct;22(10):2275-82; discussion 2282-3 - PubMed
  7. Ann Intern Med. 1999 Mar 16;130(6):461-70 - PubMed
  8. BMC Surg. 2001;1:4 - PubMed
  9. Urology. 2005 May;65(5):862-6 - PubMed
  10. J Endourol. 2010 Mar;24(3):429-32 - PubMed
  11. Prog Urol. 2006 Jun;16(3):336-42 - PubMed
  12. Am J Obstet Gynecol. 2003 Dec;189(6):1574-8; discussion 1578 - PubMed
  13. Am J Surg. 2006 Mar;191(3):325-9 - PubMed
  14. J Urol. 2008 Aug;180(2):637-41; discussion 641 - PubMed
  15. Urology. 2007 Feb;69(2):241-4 - PubMed
  16. Transplantation. 2008 Mar 27;85(6):916-9 - PubMed
  17. Urology. 2010 Dec;76(6):1279-82 - PubMed
  18. Transplantation. 1995 Nov 15;60(9):1047-9 - PubMed
  19. Urology. 2008 Jan;71(1):3-6 - PubMed

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