title: Laparoendoscopic single-site donor nephrectomy: a single-center experience.
abstract: OBJECTIVE
  To present our experience with 13 patients undergoing laparoendoscopic single-site live donor nephrectomy.
  
  
  METHODS
  The Quadport/Triport (Advanced Surgical Concepts, Ireland) was inserted through an incision in the umbilicus. Apart from standard laparoscopic instruments, we used extra-long harmonic scalpel, suction, and bent instruments, particularly for upper pole dissection. After securing the hilum, the graft was brought near the umbilical extraction site with a grasper inserted through an extra 3- or 5-mm port and easily retrieved with the help of 2 fingers. The parameters analyzed were warm ischemia time, operative time, blood loss, postoperative visual analogue score, grafts retrieval time, and artery, vein, and ureteral length.
  
  
  RESULTS
  Mean body mass index was 22.18 +/- 3.42 kg/m(2) (range 17.9-29.78). The mean operative time, blood loss, warm ischemia time, and hospital stay were 176.9 +/- 42.47 minutes, 158 +/- 78 mL, 6.79 +/- 1.7 minutes, and 3 +/- 0.45 days (range 2-5), respectively. Graft artery, vein, and ureteral length was 3.8 +/- 0.4, 4 +/- 0.12, and 14.5 cm (range 13-16), respectively. The urine output was prompt in all cases. Visual analogue score in the donor at 2 weeks was 0/10 in all cases. Eleven patients required extra 3- or 5-mm port. Cosmesis was excellent, with the mean incision length of 5.23 +/- 0.96 cm.
  
  
  CONCLUSIONS
  The laparoendoscopic single-site donor nephrectomy in our initial experience is efficacious and a feasible, minimally invasive option for donors in renal transplantation. Further prospective studies with conventional laparoscopic donor nephrectomy are required to establish its current status.
authors.affiliation: Department of Urology, Muljibhai Patel Urological Institute, Nadiad, Gujarat, India.
authors.forename: Arvind P
authors.initials: AP
authors.lastname: Ganpule
authors.forename: Divya R
authors.initials: DR
authors.lastname: Dhawan
authors.forename: Abraham
authors.initials: A
authors.lastname: Kurien
authors.forename: Ravindra B
authors.initials: RB
authors.lastname: Sabnis
authors.forename: Shashi Kant
authors.initials: SK
authors.lastname: Mishra
authors.forename: Veeramani
authors.initials: V
authors.lastname: Muthu
authors.forename: Mahesh R
authors.initials: MR
authors.lastname: Desai
mesh_terms: D000328:Adult; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D014019:Tissue Donors