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Inicio Actas Urológicas Españolas (English Edition) Pioneer experience in Spain with LESS nephrectomy in living donor
Journal Information
Vol. 35. Issue 9.
Pages 559-562 (October 2011)
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Vol. 35. Issue 9.
Pages 559-562 (October 2011)
Skill and talent
Pioneer experience in Spain with LESS nephrectomy in living donor
Experiencia pionera en España con nefrectomía LESS de donante vivo
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1278
M. Musquera
Corresponding author
mmusquer@clinic.ub.es

Corresponding author.
, L. Peri, L. Izquierdo, P. Campillo, M.J. Ribal, A. Alcaraz
Servicio de Urología, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain
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Abstract
Introduction

LESS surgery (Laparoendoscopic single site surgery) is a surgical technique that aims to perform intraabdominal surgery using a single site entry, allowing for reduction in the number and size of the incisions, achieving better esthetic results with at least the same functional outcomes as with the conventional laparoscopic surgery.

Materials and methods

We present the first experience of LESS living donor nephrectomy carried out by a totally European team. To perform it, a Quadport® device was placed through a 4-cm long paraumbilical incision.

Results

The nephrectomy was performed using the standards of conventional laparoscopic surgery, with the use of a precurved instrument in the left hand and straight instruments in the right. After bagging the kidney, the artery and vein were sectioned after clipping, allowing for rapid extraction of the organ through the same incision, with warm ischemia of 3.30″ and 2.47″, respectively.

Conclusion

Living donor nephrectomy using the LESS technique is feasible and can be considered a good option for obtaining live donor kidney grafts in males. The application of said surgical in living kidney donor can increase the rate of donation, by reducing morbidity and improving the esthetic results with the same outcome for the donor as for the recipient.

Keywords:
LESS
Living donor nephrectomy
Surgical technique
Resumen
Introducción

La cirugía LESS (Laparoendoscopic single site surgery) es una técnica quirúrgica que pretende realizar la cirugía intraabdominal mediante un único puerto de entrada, permitiendo una reducción del número y tamaño de las incisiones, consiguiendo mejores resultados estéticos con, al menos, los mismos resultados funcionales que la cirugía laparoscópica convencional.

Material y métodos

Presentamos la primera experiencia de nefrectomía LESS de donante vivo realizada por un equipo íntegramente europeo. Para su realización se colocó un dispositivo Quadport® a través de una incisión paraumbilical de 4 centímetros de longitud.

Resultados

La nefrectomía se realizó siguiendo los estándares de la cirugía laparoscópica convencional, con el uso de un instrumento precurvado en la mano izquierda e instrumentos rectos en la derecha. Tras el embolsado del riñón se seccionaron la arteria y la vena previo clipaje, permitiendo una extracción rápida del órgano a través de la misma incisión, con una isquemia caliente de 3,30″ y 2,47″ respectivamente.

Conclusión

La nefrectomía de donante vivo mediante la técnica LESS es factible, y puede ser considerada una buena opción para la obtención de injertos renales de vivo en varones. La aplicación de dicha técnica quirúrgica en la donación renal de vivo puede incrementar la tasa de donación, al reducir la morbilidad y mejorar los resultados estéticos, con los mismos resultados tanto para el donante como para el receptor.

Palabras clave:
LESS
Nefrectomía donante vivo
Técnica quirúrgica

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