title: Laparoendoscopic Single-Site Plus One-Port Donor Nephrectomy: Analysis of 169 Cases.
abstract: OBJECTIVE
  To present our experience with laparoendoscopic single-site plus one-port donor nephrectomy (LESSOP-DN) and compare the outcomes with laparoscopic donor nephrectomy (LDN).
  
  
  METHODS
  Prospectively collected data from 169 consecutive LESSOP-DNs and 83 LDNs performed by a single surgeon in the same time period were analyzed retrospectively.
  
  
  RESULTS
  No differences in mean operative time (136 versus 130 minutes; P=.15), warm ischemia time (3.4 versus 3.5 minutes; P=.42), blood loss (50 versus 45 mL; P=.41), transfusion rates (0 versus 1 case), hospital stay (4.0 versus 3.9 days; P=.48), or overall complication rate (12.0% versus 7.7%; P=.25) were observed between the LDN and LESSOP-DN groups. The LESSOP-DN group had a shorter time to return to 100% recovery (39 versus 74 days; P<.001), a smaller surgical incision (5.5 versus 8.2 cm; P<.001), higher scar satisfaction score (8.1 versus 6.4; P=.003), and lower analgesic requirements (79.0 versus 68.5 mg; P=.03) than the LDN group. Renal function of the recipient based on estimated glomerular filtration rate at 1 and 3 months was similar between the groups. Health-related quality of life (QOL) was significantly higher in the LESSOP-DN group in four domains of the health survey than in the LDN group.
  
  
  CONCLUSIONS
  LESSOP-DN might be associated with smaller surgical incision, improved cosmetic satisfaction, less time to recovery, less analgesic requirement, improved donor QOL, and equivalent recipient graft function.
authors.affiliation: Department of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine , Seoul, Korea.
authors.forename: Hyuk Jin
authors.initials: HJ
authors.lastname: Cho
authors.affiliation: Department of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine , Seoul, Korea.
authors.forename: Sae Woong
authors.initials: SW
authors.lastname: Choi
authors.affiliation: Department of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine , Seoul, Korea.
authors.forename: Kang Sup
authors.initials: KS
authors.lastname: Kim
authors.affiliation: Department of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine , Seoul, Korea.
authors.forename: Yong Hyun
authors.initials: YH
authors.lastname: Park
authors.affiliation: Department of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine , Seoul, Korea.
authors.forename: Woong Jin
authors.initials: WJ
authors.lastname: Bae
authors.affiliation: Department of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine , Seoul, Korea.
authors.forename: Sung-Hoo
authors.initials: SH
authors.lastname: Hong
authors.affiliation: Department of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine , Seoul, Korea.
authors.forename: Ji Youl
authors.initials: JY
authors.lastname: Lee
authors.affiliation: Department of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine , Seoul, Korea.
authors.forename: Sae Woong
authors.initials: SW
authors.lastname: Kim
authors.affiliation: Department of Urology, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine , Seoul, Korea.
authors.forename: Tae-Kon
authors.initials: TK
authors.lastname: Hwang
mesh_terms: D000328:Adult; D000368:Aged; D000700:Analgesics / Q000627:therapeutic use; D016063:Blood Loss, Surgical; D002921:Cicatrix / Q000209:etiology; D003289:Convalescence; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007902:Length of Stay; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000009:adverse effects / Q000379:methods*; D061646:Operative Time; D010149:Postoperative Pain / Q000188:drug therapy / Q000209:etiology; D011788:Quality of Life; D012189:Retrospective Studies; D020858:Tissue and Organ Harvesting / Q000009:adverse effects / Q000379:methods*; D052096:Warm Ischemia; D055815:Young Adult
chemical_list: D000700:Analgesics