title: Minilaparoscopic-assisted laparoendoscopic single-site bilateral nephrectomies in postrenal transplant recipient: case report.
abstract: We present our first minilaparoscopic-assisted laparoendoscopic single-site bilateral nephrectomies (b-LESS-N) performed in a patient with bilateral atrophic kidney, right malignant renal tumor of 4.5 cm that developed in a native kidney after multiple bilateral renal transplantations and renovascular hypertension. The mean operative time was 233 minutes, with a mean blood loss of 180 mL. A single umbilical incision (5.5 cm) was performed to remove both kidneys. No significant difference in glomerular filtration rate was observed postoperatively. The postoperative recovery was uneventful with favorable short-term outcomes and high patient satisfaction. The 10-month follow-up showed effective arterial pressure improvement, absence of tumor relapse, and stable graft function. We believe that b-LESS-N for renal cancer after a renal transplantation can be performed without increased risks for the patients or for the transplanted kidney.
authors.affiliation: Department of Urology and Kidney Transplantation Center, University "Martin-Luther" Halle, Halle/Saale, Germany; Uroclinic, Robotic Surgery Center, Sophiahemmet Hospital, Stockholm, Sweden. Electronic address: gpini3@gmail.com.
authors.forename: G
authors.initials: G
authors.lastname: Pini
authors.affiliation: Department of Urology and Kidney Transplantation Center, University "Martin-Luther" Halle, Halle/Saale, Germany; Dipartimento Minimally Invasive Urologic Surgery, Romolo Hospital, Rocca di Neto (KR), Italy.
authors.forename: F
authors.initials: F
authors.lastname: Greco
authors.affiliation: Department of Urology and Kidney Transplantation Center, University "Martin-Luther" Halle, Halle/Saale, Germany.
authors.forename: N
authors.initials: N
authors.lastname: Mohammed
authors.affiliation: Department of Urology and Kidney Transplantation Center, University "Martin-Luther" Halle, Halle/Saale, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Fornara
mesh_terms: D005260:Female; D006801:Humans; D006978:Hypertension, Renovascular / Q000601:surgery; D007680:Kidney Neoplasms / Q000601:surgery; D016030:Kidney Transplantation; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D066027:Transplant Recipients