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REVIEW ARTICLE
Year : 2008  |  Volume : 24  |  Issue : 4  |  Page : 457-460

Single access laparoscopic nephrectomy


Department of Urology, University of Texas Southwestern Medical Center, Dallas, TX, USA

Correspondence Address:
Jeffrey A Cadeddu
Department of Urology, UT Southwestern Medical Center, 5323 Harry Hines Blvd., J8.106, MC 9110, Dallas, TX 75390-9110
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.44247

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Laparoscopic nephrectomy has assumed a central role in the management of benign and malignant kidney diseases. While laparoscopy is less morbid than open surgery, it still requires several incisions each at least 1-2 cm in length. Each incision carries morbidity risks of bleeding, hernia and/or internal organ damage, and incrementally decreases cosmesis. An alternative to conventional laparoscopy is single access or keyhole surgery, which utilizes magnetic anchoring and guidance system (MAGS) technology or articulating laparoscopic instruments. These technical innovations obviate the need to externally space trocars for triangulation, thus allowing for the creation of a small, solitary portal of entry into the abdomen. Laboratory and early clinical series demonstrate feasibility as well as safe and successful completion of keyhole nephrectomy. Future work is necessary to improve existing instrumentation, increase clinical experience, assess benefits of this surgical approach, and explore other potential applications for this technique.


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