Indian Journal of Urology
ORIGINAL ARTICLE
Year
: 2011  |  Volume : 27  |  Issue : 2  |  Page : 180--184

Transumbilical laparoendoscopic single-site donor nephrectomy: Without the use of a single port access device


Deepak Dubey, RP Shrinivas, G Srikanth 
 Department of Urology and Surgical Gastro-enterology, Manipal Hospital, Airport Road, Bangalore, India

Correspondence Address:
Deepak Dubey
Consultant in Urology and Renal transplantation, Manipal Hospital, Airport Road, Bangalore-560037
India

Introduction : Laparoendoscopic single-site donor nephrectomy (LESS-DN) is a procedure in evolution. Currently described techniques utilize single port access devices and articulating, flexible, and bent working instruments. We describe a modified technique of transumbilical LESS-DN with conventional laparoscopic instruments in five kidney donors. Materials and Methods : Three standard laparoscopic ports (10 mm x 1, 5 mm x 2) were placed through a 4.5 cm vertical transumbilical incision. A 10 mm 45°, long bariatric lens (Karl Storz) was used. Renal mobilization was performed using conventional rigid laparoscopy instruments. A port closure needle loaded with a blunt plastic needle cap was used for traction. After hilar clamping, an incision was made connecting the three ports, and the kidney was extracted using a preplaced suture over the lower pole fat. All data were prospectively recorded. Results : LESS-DN was performed successfully in all five patients. The mean operative time was 157.2 minutes (range, 134-184) and the mean warm ischemia time was 3.2 minutes (range, 3-4). All donors were discharged on postoperative day 3 and were able to resume normal physical activity by 2 weeks after the procedure. All donors had an excellent cosmetic outcome. The mean serum creatinine (recipient) at discharge was 1.14 mg% (range, 0.9-1.4). Conclusions : Transumbilical LESS-DN can be cost-effectively performed using conventional laparoscopy instruments and without the need for a single port access device. Warm ischemia times with this technique are comparable with that during conventional multiport laparoscopic donor nephrectomy.


How to cite this article:
Dubey D, Shrinivas R P, Srikanth G. Transumbilical laparoendoscopic single-site donor nephrectomy: Without the use of a single port access device.Indian J Urol 2011;27:180-184


How to cite this URL:
Dubey D, Shrinivas R P, Srikanth G. Transumbilical laparoendoscopic single-site donor nephrectomy: Without the use of a single port access device. Indian J Urol [serial online] 2011 [cited 2019 Dec 14 ];27:180-184
Available from: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2011;volume=27;issue=2;spage=180;epage=184;aulast=Dubey;type=0