The feasibility of laparoendoscopic single-site nephrectomy: initial experience using home-made single-port device

Urology. 2010 Oct;76(4):862-5. doi: 10.1016/j.urology.2009.10.038. Epub 2010 Jan 27.

Abstract

Objectives: To report our early experience with laparoendoscopic single-site (LESS) nephrectomy using home-made single-port device for benign nonfunctioning kidney.

Methods: A total of 14 patients with benign nonfunctioning kidney underwent transperitoneal LESS nephrectomy by 2 experienced laparoscopic surgeons. The indications for nephrectomy were nonfunctioning kidney associated with ectopic kidney (n = 2), ureteropelvic junction obstruction (n = 5), genitourinary tuberculosis (n = 4), ureter stone (n = 2), and ureter stricture (n = 1).

Results: All procedures were completed successfully. The mean operative time was 151 (85-230) minutes, estimated blood loss 108 (negligible-500) mL, and postoperative hospital stay 3.1 (2-6) days. There were no major complications.

Conclusions: LESS nephrectomy is a feasible and safe surgical option for benign nonfunctioning kidney.

MeSH terms

  • Adult
  • Aged
  • Blood Loss, Surgical
  • Child
  • Child, Preschool
  • Choristoma / surgery
  • Endoscopy / methods*
  • Equipment Design
  • Feasibility Studies
  • Female
  • Humans
  • Kidney / abnormalities
  • Kidney Diseases / surgery*
  • Laparoscopes*
  • Laparoscopy / methods*
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Nephrectomy / instrumentation
  • Nephrectomy / methods*
  • Tuberculosis, Renal / surgery
  • Ureteral Calculi / surgery
  • Ureteral Obstruction / surgery