The feasibility of laparoendoscopic single-site nephrectomy: initial experience using home-made single-port device.
OBJECTIVE
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.
Han
Woong Kyu
WK
Department of Urology, Yonsei University College of Medicine, Urological Science Institute, Seoul, Korea.
Park
Yong Hyun
YH
Jeon
Hwang Gyun
HG
Jeong
Wooju
W
Rha
Koon Ho
KH
Choi
Hwang
H
Kim
Hyeon Hoe
HH
D000328:Adult; D000368:Aged; D016063:Blood Loss, Surgical; D002648:Child; D002675:Child, Preschool; D002828:Choristoma / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D004867:Equipment Design; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D007674:Kidney Diseases / Q000601:surgery*; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000295:instrumentation / Q000379:methods*; D014398:Tuberculosis, Renal / Q000601:surgery; D014514:Ureteral Calculi / Q000601:surgery; D014517:Ureteral Obstruction / Q000601:surgery