title: Laparoendoscopic single-site donor nephrectomy: a single-center initial experience.
abstract: BACKGROUND
  This study presents our initial experience with laparoendoscopic single-site donor nephrectomy. Ten patients (8 females, 2 males; mean age 45.3 ± 13.2 years) underwent LESS-DN.
  
  
  METHODS
  Transumbilical laparoscopic donor nephrectomy was performed using an SILS™ port. Standard laparoscopic instruments and a 30-degree angled camera were used during the surgery. We evaluated the following parameters: warm and cold ischemia time, duration of the operation, amount of blood loss during the operation, duration of hospitalization, creatinine level, and visual analogue scale score for pain at discharge.
  
  
  RESULTS
  The means for duration of operation, warm ischemia time, and duration of hospitalization were 140 min, 194 s, and 1.4 days, respectively. Intraoperative and/or postoperative complications were not observed. Low pain score and cosmetic advantage were remarkable. All recipients had functional grafts. The results of our initial experience with LESS-DN appeared to be positive.
  
  
  CONCLUSIONS
  Further studies on the LESS-DN technique with larger series conducted in different centers are needed.
authors.affiliation: Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey.
authors.forename: Ercument
authors.initials: E
authors.lastname: Gurluler
authors.affiliation: Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Berber
authors.affiliation: Department of Nephrology, Acibadem University School of Medicine, Istanbul, Turkey.
authors.forename: Ulkem
authors.initials: U
authors.lastname: Cakir
authors.affiliation: Department of General Surgery, Acibadem University School of Medicine, Istanbul, Turkey.
authors.forename: Alihan
authors.initials: A
authors.lastname: Gurkan
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D050377:Cold Ischemia; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D017063:Outcome Assessment, Health Care; D010149:Postoperative Pain; D052096:Warm Ischemia