Ann Surg Treat Res.  2016 Feb;90(2):111-115. 10.4174/astr.2016.90.2.111.

Novel method of laparoendoscopic single-site and natural orifice specimen extraction for live donor nephrectomy: single-port laparoscopic donor nephrectomy and transvaginal graft extraction

• Jeong WJ
• Choi BJ
• Hwang JK
• Yuk SM
• Song MJ
• Lee SC

• KMID: 2166831
• DOI: http://doi.org/10.4174/astr.2016.90.2.111

Abstract

Laparoscopic live donor nephrectomy (DN) has been established as a useful alternative to the traditional open methods of procuring kidneys. To maximize the advantages of the laparoendoscopic single-site (LESS) method, we applied natural orifice specimen extraction to LESS-DN. A 46-year-old woman with no previous abdominal surgery history volunteered to donate her left kidney to her husband and underwent single-port laparoscopic DN with transvaginal extraction. The procedure was completed without intraoperative complications. The kidney functioned well immediately after transplantation, and the donor and recipient were respectively discharged 2 days and 2 weeks postoperatively. Single-port laparoscopic DN and transvaginal graft extraction is feasible and safe.

Keyword

Laparoscopy; Living donors; Nephrectomy; Natural orifice endoscopic surgery

MeSH Terms

Female
Humans
Intraoperative Complications
Kidney
Laparoscopy
Living Donors
Middle Aged
Natural Orifice Endoscopic Surgery
Nephrectomy*
Spouses
Tissue Donors*
Transplants*

Figure

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  Fig. 1 Dual wound retractor.

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  Fig. 2 Renal vein resection.

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  Fig. 3 Postoperative scar.

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