Skip to main content
SpringerLink
Log in

LESS: Extirpative Renal Surgery Including Donor

  • Chapter
  • First Online:
Scar-Less Surgery

  • 1101 Accesses

Abstract

Since the first laparoscopic nephrectomy by Clayman et al. in 1991, there has been a progressive development of minimally invasive urologic procedures. Upper and lower urinary tract procedures can be performed laparoscopically through the use of three to five laparoscopic ports. However, there are well-recognized complications related to port placement. These include risk of bleeding, infection, organ damage, and scar formation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Abbreviations

BMI:

Body mass index

DN:

Donor nephrectomy

EBL:

Estimated blood loss

LDN:

Laparoscopic donor nephrectomy

LESS:

Laparoendoscopic single-site surgery

LOS:

Hospital length of stay

ORT:

Operative time

PN:

Partial nephrectomy

R-LESS:

Robotic laparoendoscopic single-site surgery

VAS:

Visual analog pain score

WIT:

Warm ischemia time

References

  1. Clayman R, Kavoussi LR, Soper N, et al. Laparoscopic nephrectomy: initial case report. J Urol. 1991;146:278.

    PubMed  CAS  Google Scholar 

  2. Raybourn III JH, Rane A, Sundaram CP. Laparoendoscopic single-site surgery for nephrectomy as a feasible alternative to traditional laparoscopy. Urology. 2010;75:100.

    Article  PubMed  Google Scholar 

  3. Gill I, Advincula A, Aron M, et al. Consensus statement of the consortium for laparoendoscopic single-site surgery. Surg Endosc. 2010;24:762.

    Article  PubMed  Google Scholar 

  4. Rane A, Rao P, Rao P. Single-port-access nephrectomy and other laparoscopic urologic procedures using a novel laparoscopic port (R-port). Urology. 2008;72:260.

    Article  PubMed  Google Scholar 

  5. Raman JD, Bensalah K, Bagrodia A, et al. Laboratory and clinical development of single keyhole umbilical nephrectomy. Urology. 2007;70:1039.

    Article  PubMed  Google Scholar 

  6. Eisenberg MS, Cadeddu JA, Desai MM. Laparoendoscopic single-site surgery in urology. Curr Opin Urol. 2010;20:141.

    Article  PubMed  Google Scholar 

  7. Greco, F., Veneziano, D., Wagner, S. et al.: Laparoendoscopic Single-Site Radical Nephrectomy for Renal Cancer: Technique and Surgical Outcomes. European Urology, 2012;62:168.

    Article  PubMed  Google Scholar 

  8. Autorino R, Cadeddu JA, Desai MM, et al. Laparoendoscopic single-site and natural orifice transluminal endoscopic surgery in urology: a critical analysis of the literature. Eur Urol. 2011;59:26.

    Article  PubMed  Google Scholar 

  9. Seo I, Lee J, Rim J. Laparoendoscopic single-site radical nephrectomy: a comparison with conventional laparoscopy. J Endourol. 2011;25:465.

    Article  PubMed  Google Scholar 

  10. Desai MM, Berger AK, Brandina R, et al. Laparoendoscopic single-site surgery: initial hundred patients. Urology. 2009;74:805.

    Article  PubMed  Google Scholar 

  11. Haber G-P, White MA, Autorino R, et al. Novel robotic da Vinci instruments for laparoendoscopic single-site surgery. Urology. 2010;76:1279.

    Article  PubMed  Google Scholar 

  12. Joseph R, Goh A, Cuevas S, et al. “Chopstick” surgery: a novel technique improves surgeon performance and eliminates arm collision in robotic single-incision laparoscopic surgery. Surg Endosc. 2010;24:1331.

    Article  PubMed  Google Scholar 

  13. Raman JD, Bagrodia A, Cadeddu JA. Single-incision, umbilical laparoscopic versus conventional laparoscopic nephrectomy: a comparison of perioperative outcomes and short-term measures of convalescence. Eur Urol. 2009;55:1198.

    Article  PubMed  Google Scholar 

  14. Tugcu V, Ilbey Y, Mutlu B, et al. Laparoendoscopic single-site surgery versus standard laparoscopic simple nephrectomy: a prospective randomized study. J Endourol. 2010;24:1315.

    Article  PubMed  Google Scholar 

  15. Stolzenburg J-U, Kallidonis P, Ragavan N, et al. Clinical outcomes of laparo-endoscopic single-site surgery radical nephrectomy. World J Urol. 2011. doi:10.1007/s00345-011-0765-1 [Epub ahead of print].

  16. Stein RJ, White WM, Goel RK, et al. Robotic laparoendoscopic single-site surgery using GelPort as the access platform. Eur Urol. 2010;57:132.

    Article  PubMed  Google Scholar 

  17. Khanna R, Stein R, White M, et al. Single institution experience with robotic laparoendoscopic single site renal procedures. J Endourol. 2012;26(3):230–4.

    Article  PubMed  Google Scholar 

  18. Hemal A. Laparoscopic retroperitoneal extirpative and reconstructive renal surgery. J Endourol. 2011;25:209.

    Article  PubMed  Google Scholar 

  19. Chueh S-CJ, Sankari BR, Chung S-D, et al. Feasibility and safety of retroperitoneoscopic laparoendoscopic single-site nephrectomy: technique and early outcomes. BJU Int. 2011;108:1879.

    Article  PubMed  Google Scholar 

  20. Chung S-D, Huang C-Y, Tsai Y-C, et al. Retroperitoneoscopic laparo-endoscopic single-site radical nephrectomy (RLESS-RN): initial experience with a homemade port. World J Surg Oncol. 2011;9:138.

    Article  PubMed  Google Scholar 

  21. Pak C-H, Baik S, Kim CS. Initial experience with retroperitoneal laparoendoscopic single-site surgery for upper urinary tract surgery. Korean J Urol. 2011;52:842.

    Article  PubMed  Google Scholar 

  22. White, M.A., Autorino, R., Spana, G. et al.: Robotic Laparoendoscopic Single-Site Radical Nephrectomy: Surgical Technique and Comparative Outcomes. European Urology, 2011;59: 815.

    Article  PubMed  Google Scholar 

  23. Chen, Z., Chen, X., Luo, Y. et al.: Retroperitoneal Laparoscopic Single-Site Simple Nephrectomy: Initial Experience. J Endourol, 2012;26:647.

    Google Scholar 

  24. Patil MB, Lee DJ, Gill IS. Eliminating global renal ischemia during partial nephrectomy: an anatomical approach. Curr Opin Urol. 2012;22:83–7.

    Article  PubMed  Google Scholar 

  25. Aron M, Canes D, Desai MM, et al. Transumbilical single-port laparoscopic partial nephrectomy. BJU Int. 2009;103:516.

    Article  PubMed  Google Scholar 

  26. Kaouk JH, Goel RK. Single-port laparoscopic and robotic partial nephrectomy. Eur Urol. 2009;55:1163.

    Article  PubMed  Google Scholar 

  27. Cindolo L, Berardinelli F, Gidaro S, et al. Laparoendoscopic single-site partial nephrectomy without ischemia. J Endourol. 2010;24:1997.

    Article  PubMed  Google Scholar 

  28. Han WK, Kim DS, Jeon HG, et al. Robot-assisted laparoendoscopic single-site surgery: partial nephrectomy for renal malignancy. Urology. 2011;77:612.

    Article  PubMed  Google Scholar 

  29. Ponsky LE, Steinway ML, Lengu IJ, et al. A Pfannenstiel single-site nephrectomy and nephroureterectomy: a practical application of laparoendoscopic single-site surgery. Urology. 2009;74:482.

    Article  PubMed  Google Scholar 

  30. Lee J, Kim S, Moon H, et al. Initial experience of laparoendoscopic single-site nephroureterectomy with bladder cuff excision for upper urinary tract urothelial carcinoma performed by a single surgeon. J Endourol. 2011;25:1763.

    Article  PubMed  Google Scholar 

  31. Ratner L, Ciseck L, Moore R, et al. Laparoscopic live donor nephrectomy. Transplantation. 1995;60:1047.

    PubMed  CAS  Google Scholar 

  32. Nicholson ML, Kaushik M, Lewis GRR, et al. Randomized clinical trial of laparoscopic versus open donor nephrectomy. Br J Surg. 2010;97:21.

    Article  PubMed  CAS  Google Scholar 

  33. Afaneh C, Aull MJ, Gimenez E, et al. Comparison of laparoendoscopic single-site donor ­nephrectomy and conventional laparoscopic donor nephrectomy: donor and recipient outcomes. Urology. 2011;78:1332.

    Article  PubMed  Google Scholar 

  34. Ramasamy R, Afaneh C, Katz M, et al. Comparison of complications of laparoscopic versus laparoendoscopic single site donor nephrectomy using the modified Clavien grading system. J Urol. 2011;186:1386.

    Article  PubMed  Google Scholar 

  35. Gill IS, Canes D, Aron M, et al. Single port transumbilical (E-NOTES) donor nephrectomy. J Urol. 2008;180:637.

    Article  PubMed  Google Scholar 

  36. Canes D, Berger A, Aron M, et al. Laparo-endoscopic single site (LESS) versus standard ­laparoscopic left donor nephrectomy: matched-pair comparison. Eur Urol. 2010;57:95.

    Article  PubMed  Google Scholar 

  37. Kurien A, Rajapurkar S, Sinha L, et al. Standard laparoscopic donor nephrectomy versus ­laparoendoscopic single-site donor nephrectomy: a randomized comparative study. J Endourol. 2011;25:365.

    Article  PubMed  Google Scholar 

  38. Desai M. Single-port surgery for donor nephrectomy: a new era in laparoscopic surgery? Nat Clin Pract Urol. 2009;6:1.

    Article  PubMed  Google Scholar 

  39. Lee DJ, Kim PH, Koh CJ. Current trends in pediatric minimally invasive urologic surgery. Korean J Urol. 2010;51:80.

    Article  PubMed  Google Scholar 

  40. Kocherov S, Lev G, Shenfeld OZ, et al. Laparoscopic single site surgery: initial experience and description of techniques in the pediatric population. J Urol. 2011;186:1653.

    Article  PubMed  Google Scholar 

  41. Koh CJ, De Filippo RE, Chang AY, et al. Laparoendoscopic single-site nephrectomy in ­pediatric patients: initial clinical series of infants to adolescents. Urology. 2010;76:1457.

    Article  PubMed  Google Scholar 

  42. Cabezalí Barbancho D, Gómez Fraile A, López Vázquez F, et al. Single-port nephrectomy in infants: initial experience. J Pediatr Urol. 2011;7:396.

    Article  PubMed  Google Scholar 

  43. Bucher P, Pugin F, Ostermann S, et al. Population perception of surgical safety and body image trauma: a plea for scarless surgery? Surg Endosc. 2011;25:408.

    Article  PubMed  Google Scholar 

  44. Gettman MT, White WM, Aron M, et al. Where do we really stand with LESS and NOTES? Eur Urol. 2011;59:231.

    Article  PubMed  Google Scholar 

  45. Greco F, Cindolo L, Autorino R, et al. Laparoendoscopic single-site upper urinary tract ­surgery: assessment of postoperative complications and analysis of risk factors. Eur Urol. 2012;61(3):510–6.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, University of Southern California Institute of Urology, 1441 Eastlake Avenue, Suite 7416, Los Angeles, CA, 90089, USA

    Dennis J. Lee M.D. & Mihir M. Desai M.D.

Authors
  1. Dennis J. Lee M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mihir M. Desai M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dennis J. Lee M.D. .

Editor information

Editors and Affiliations

  1. , Department of Urology, East Surrey Hospital, Canada Avenue, Redhill, RH1 5RH, United Kingdom

    Abhay Rane

  2. , Department of Urology, University of Texas Southwestern Medical, Harry Hines Boulevard, Dallas, 75390, Texas, USA

    Jeffrey A. Cadeddu

  3. , Department of Urology, USC Institute of Urology, San Pablo Street, Los Angeles, 90089, California, USA

    Mihir M. Desai

  4. USC Institute of Urology, San Pablo Street, Los Angeles, 90089, California, USA

    Inderbir S. Gill

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag London

About this chapter

Cite this chapter

Lee, D.J., Desai, M.M. (2013). LESS: Extirpative Renal Surgery Including Donor. In: Rane, A., Cadeddu, J., Desai, M., Gill, I. (eds) Scar-Less Surgery. Springer, London. https://doi.org/10.1007/978-1-84800-360-6_21

Download citation

  • DOI: https://doi.org/10.1007/978-1-84800-360-6_21

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84800-359-0

  • Online ISBN: 978-1-84800-360-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation