LESS radical nephrectomy, a new born experience

Mahmoud M. Shalaby, Mohamad A. Zarzour, Amr H. Abofaddan and Fathy G. Elanany
Department of Urology, Assiut University Hospital

This video reports our initial experience with single incision laparoscopic radical nephrectomy.

A 56 y female presented by Rt loin pain and hematuria. CT revealed a multicentric renal tumor (T1 N0 M0).

Laparoscopic radical nephrectomy was done through single site, multiport approach
Operative time was 4 h 30 min. There was no intraoperative complications.
Tube drain was removed on post operative day 3 and patient was discharged 24 h later.
The specimen harbored a grade II clear cell RCC.

LESS Radical nephrectomy is feasible. The operative time is longer compared to conventional laparoscopy but this is a very early point on the learning curve.

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