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

• Published in: Annals of surgical treatment and research Vol. 90; no. 2; pp. 111 - 115
• Main Authors: Jeong, Won Jun, Choi, Byung Jo, Hwang, Jeong Kye, Yuk, Seung Mo, Song, Min Jong, Lee, Sang Chul
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Surgical Society 01.02.2016; 대한외과학회
• Subjects: Technical Advance; 일반외과학; Laparoscopy; Natural orifice endoscopic surgery; Nephrectomy; Living donors
• ISSN: 2288-6575; 2288-6796
• DOI: 10.4174/astr.2016.90.2.111

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.