title: Three-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction: The first case.
abstract: BACKGROUND
  Two-dimensional laparoscopy for living donor nephrectomy is the current standard of care. We report the first case of three-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction.
  
  
  METHODS
  The procedure was performed in a 66-year-old woman donating his left kidney to her son with the HD S 3D column (Karl Storz, Tuttlingen, Germany). Preoperative computed tomography showed one left renal artery. The warm ischemic time was 2min 20s and the operative time was 200min. There was no loss of blood and no intraoperative or postoperative complications.
  
  
  CONCLUSIONS
  This report demonstrates the feasibility of using 3D laparoscopy which allows for a more in-depth vision, greater overall definition of planes, better accuracy of dissection and reduced operative times, for nephrectomy with vaginal extraction for kidney donation.
  
  
  CONCLUSIONS
  Three-dimensional laparoscopy for living-donor nephrectomy with vaginal extraction is feasible and could become a new standard.
authors.affiliation: Département d'Urologie, Transplantation Rénale et Andrologie, CHU Rangueil, Toulouse, France. Electronic address: game.x@chu-toulouse.fr.
authors.forename: Xavier
authors.initials: X
authors.lastname: Gamé
authors.affiliation: Département d'Urologie, Transplantation Rénale et Andrologie, CHU Rangueil, Toulouse, France.
authors.forename: Mouath
authors.initials: M
authors.lastname: Binhazzaa
authors.affiliation: Département d'Urologie, Transplantation Rénale et Andrologie, CHU Rangueil, Toulouse, France.
authors.forename: Michel
authors.initials: M
authors.lastname: Soulié
authors.affiliation: Département de Néphrologie et Transplantation d'Organes, CHU Rangueil, Toulouse, France.
authors.forename: Nassim
authors.initials: N
authors.lastname: Kamar
authors.affiliation: Département d'Urologie, Transplantation Rénale et Andrologie, CHU Rangueil, Toulouse, France.
authors.forename: Fédérico
authors.initials: F
authors.lastname: Sallusto
keywords: 3-dimensional; Laparoscopy; Living-donor; Nephrectomy; Vagina