Retroperitoneal laparoendoscopic single-site donor nephrectomy using home-made single-port device:report of 11 cases

VernacularTitle:自制单孔设备经腹膜后入路腹腔镜活体供肾切取11例体会
Author: Qiang ZU ; Shengkun SUN ; Wei CAI ; Suxia YANG ; Jinshan LU ; Xu ZHANG ; Jun DONG
Publication Type:Journal Article
Keywords: Laparoscopes; Living donors; Kidney transplantation; Home-made surgical equipment; Retroperitoneum
From: Chinese Journal of Organ Transplantation 2012;(10):584-586
CountryChina
Language:Chinese
Abstract: Objective To investigate the feasibility and safety of retroperitoneal laparoendoscopic single-site (LESS) donor nephrectomy using home-made single-port device.Methods From January 2011 to June 2012,11 consecutive LESS left donor nephrectomies using home-made single-port device with conventional laparoscopic instrument were performed through retroperitoneal access in our center.Results The procedures were completed and no complications occurred in all donors.Mean operative time was 149.5 min.Estimated blood loss was 30-350 ml.Warm ischemia time was 2-4 min.The urine output was prompt in all cases.Recipient graft function was normal within 2 weeks.Donor hospital stay was 5-6 days after operation.Conclusion LESS donor nephrectomy using home-made single-port device in our initial experience is feasible and safe.It is also cost-effective and minimally invasive with conventional laparoscopic donor nephrectomy.This technique is a good option for living donor nephrectomy.