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Laparoendoscopic Single-Site Donor Nephrectomy

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Atlas of Laparoscopic and Robotic Single Site Surgery

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Living donor kidney transplantation is the best available treatment for end-stage renal disease. Unfortunately, donor burden, especially the threat of poor cosmesis, is a major impediment to living organ donation. Due to its decreased morbidity for the donor and equivalent outcomes for the recipient, laparoscopic donor nephrectomy is now accepted as a standard of care for living donor kidney procurement. The laparoendoscopic single-site (LESS) technique is the next step in further optimizing donor nephrectomy to expedite recovery and maximize cosmesis. Herein, we provide a detailed review and step-by-step surgical guide to LESS donor nephrectomy. The high degree of technical difficulty required for LESS donor nephrectomy limits its application; therefore, we also discuss current and future advances in the LESS technique, especially related to robotic technology. Owing to the improved range of motion and ergonomics afforded by robotic surgical systems, new developments in robotic technology may permit the widespread use of LESS in the future.

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Author information

Authors and Affiliations

  1. Department of Urology, Laparoscopic and Robotic Surgery, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Euclid Ave Q10-1, Cleveland, OH, 44195, USA

    Matthew J. Maurice MD & Önder Kara MD

  2. Cleveland Clinic Lerner College of Medicine, Zagarek Pollock Chair in Robotic Surgery, Center for Robotic and Image guided Surgery, Glickman Urologic Institute, Cleveland, OH, USA

    Jihad H. Kaouk MD, FACS (Professor of Surgery)

Authors
  1. Matthew J. Maurice MD
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  2. Önder Kara MD
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  3. Jihad H. Kaouk MD, FACS
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Corresponding author

Correspondence to Matthew J. Maurice MD .

Editor information

Editors and Affiliations

  1. Professor of Surgery, Department of Urology Cleveland Clinic Lerner, College of Medicine, Zagarek Pollock Chair in Robotic Surgery, Center for Robotic and Image guided Surgery, Glickman Urologic Institute, Cleveland, Ohio, USA

    Jihad H. Kaouk

  2. Associate Professor of Surgery, Department of Urology, Center for Robotic and Image Guided Surgery, Glickman Urological and Kidney Institute Cleveland Clinic, Cleveland, Ohio, USA

    Robert J. Stein

  3. Associate Staff, Department of Urology, Center for Robotic and Image Guided Surgery, Glickman Urological Institute Cleveland Clinic, Cleveland, Ohio, USA

    Georges-Pascal Haber

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Maurice, M.J., Kara, Ö., Kaouk, J.H. (2017). Laparoendoscopic Single-Site Donor Nephrectomy. In: Kaouk, J., Stein, R., Haber, GP. (eds) Atlas of Laparoscopic and Robotic Single Site Surgery. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-3575-8_10

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  • DOI: https://doi.org/10.1007/978-1-4939-3575-8_10

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  • Publisher Name: Humana Press, New York, NY

  • Print ISBN: 978-1-4939-3573-4

  • Online ISBN: 978-1-4939-3575-8

  • eBook Packages: MedicineMedicine (R0)

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