title: [A mini-invasive approach to renal autotransplantation in the management of loin pain hematuria syndrome].
abstract: OBJECTIVE
  To review retrospectively our experience with laparoscopic approach to renal autotransplantation in four patients using a single iliac incision in the management of loin pain hematuria (LPH) syndrome.
  
  
  METHODS
  Four patients with LPH (all women, mean age 29.5 years, range 23-36 years) underwent four technically successful laparoscopic nephrectomies with renal autotransplantation, using a single iliac incision to both harvest and transplant the kidney. Hand assistance was used in two patients immediately before clamping the renal pedicle. All patients required narcotic analgesics preoperatively.
  
  
  RESULTS
  Mean total surgical time was 4.1 hours. For laparoscopic donor nephrectomy phase, mean operative time was 1.9 hours. The warm ischemia time was 5 minutes. The cold ischemia time was 58 minutes. The hospital stay was 6 days. None of the patients had abnormal renal function postoperatively. Three of four patients had episodes of iliac fossa pain with effort at the level of the transplantation incision. Two of four patients became Morphine-free. The other two required a significantly reduced dose of oral narcotics. None of these patients required nephrectomy. (Median follow-up 9 months).
  
  
  CONCLUSIONS
  Laparoscopic approach to renal autotransplantaion using a single extended iliac incision in the management of LPH syndrome can be considered as a less invasive treatment compared to open renal autotransplantation in selected patients. This technique may be extended to patients having other conditions requiring autotransplantation.
authors.affiliation: Service d'urologie et chirurgie de la transplantation, hôpital Édouard-Herriot, place d'Arsonval, 69437 Lyon cedex 03, France. dr_hmsm@yahoo.com
authors.forename: H
authors.initials: H
authors.lastname: Almaiman
authors.forename: J E
authors.initials: JE
authors.lastname: Serre
authors.forename: N
authors.initials: N
authors.lastname: Abid
authors.forename: D
authors.initials: D
authors.lastname: Fouque
authors.forename: X
authors.initials: X
authors.lastname: Martin
mesh_terms: D000328:Adult; D005260:Female; D006417:Hematuria / Q000601:surgery*; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures; D010146:Pain / Q000601:surgery*; D012189:Retrospective Studies; D013577:Syndrome; D014182:Transplantation, Autologous; D055815:Young Adult