Ann Surg Treat Res.  2015 Nov;89(5):278-283. 10.4174/astr.2015.89.5.278.

Transumbilical pure single-port laparoscopic donor nephrectomy

• Kim JM
• Jeong WJ
• Choi BJ
• Yuk SM
• Hwang JK
• Lee SC

• KMID: 2095535
• DOI: http://doi.org/10.4174/astr.2015.89.5.278

Abstract

Transumbilical single-port laparoscopic donor nephrectomy (SPLDN) is a novel, rapidly evolving, minimally invasive treatment modality for kidney transplantation. This method causes minimal parietal injury, has cosmetic advantages, and allows rapid recovery because of low postoperative pain and short hospital stay. Like other abdominal surgeries, when conducted by experienced laparoscopic surgeons, it can meet the same graft requirements as conventional laparoscopic surgery. Here, we report the first two cases of transumbilical SPLDN at Daejeon St. Mary's Hospital, The Catholic University of Korea. We used the umbilicus as a common path for laparoscopic procedures and as a route for specimen retrieval. The operating times were 230 and 265 minutes in cases 1 and 2, respectively. No intra- or postoperative complications were noted. In case 1, the wound length was 4 cm and duration of hospitalization was 2 days. In case 2, the wound length was only 2.5 cm, and the duration of hospitalization was only 1 day.

Keyword

Minimally invasive surgical procedures; Laparoscopy; Living donors; Nephrectomy

MeSH Terms

Hospitalization
Humans
Kidney Transplantation
Korea
Laparoscopy
Length of Stay
Living Donors
Nephrectomy*
Pain, Postoperative
Postoperative Complications
Rabeprazole
Surgical Procedures, Minimally Invasive
Tissue Donors*
Transplants
Umbilicus
Wounds and Injuries

Figure

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  Fig. 1 Laparoscopic view. (A) Dissection and ligation of gonadal vein. (B) Dissection and ligation of adrenal vein. (C) Dissection and ligation of ureter. (D) Kidney mobilization.

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  Fig. 2 Postoperative scar 1 week after single-port laparoscopic donor nephrectomy.

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  Fig. 3 Laparoscopic view. (A) Cutting of renal vessels. (B) Draining of blood from graft.

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  Fig. 4 Line drawing of umbilical skin incision. Actual length of incision is double of visible length after stretching of umbilical fold.

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