Laparoscopic nephrectomy with laparoscopically assisted transvaginal extraction of intact kidney.
OBJECTIVE
Describe the first laparoscopic transperitoneal nephroureterectomy followed by laparoscopically assisted transvaginal extraction of the intact kidney performed in Puerto Rico.
A 39 year-old female patient consulted her urologist regarding chronic urinary tract infection. A diagnosis of a non-functioning left kidney was made, secondary to long standing obstruction due to a distal ureteral stone. Laparoscopic nephroureterectomy procedure was performed and the intact specimen was removed through a transverse posterior colpotomy. Patient was discharged home the next day without intraoperative or post-operative complications.


CONCLUSIONS
Laparoscopic nephrec-tomy with transvaginal extraction of the intact specimen provides a surgical option as a minimally invasive technique with very few functional and cosmetic compromises and with low post-operative morbidity when performed in appropriate female patients.
Serrano-Ysern
Alfonso
A
Department of Obstetrics and Gynecology, Hospital Interamericano de Medicina Avanzada, Caguas, Puerto Rico. aserrano@pol.net
Lopez
Alvin
A
Mendez
Freddie
F
Perez
Lianette
L
Acosta
Jaime
J