The series published by European Urology include 30 women (who have been operated using the NOTES technique); The Hospital Clnic team has operated too four males by the technique called LESS (Laparoscopic-Endoscopic Single-Site Surgery), also known as single port transumbilical surgery. The application of the technique in women (transvaginal nephrectomy) involves two pathways (vagina and abdomen), and two minimal scars (abdomen) of 5 and 10 millimeters. In the case of men (single-port nephrectomy), the pathway is restricted to the navel (which is a scar with a very little vascularization). "The minimally invasive surgical techniques for removal of living donor kidneys have many advantages: better quality of life for the donor, minimal scarring, shorter hospital stay and less pain", says Dr. Alcaraz.
"The surgical technique is completely reproducible and can be considered a good alternative procedure that could increase the rate of living donors among women", said Dr. Alcaraz. According to Dr. Rafael Matesanz, director of the National Transplant Organization (ONT), "it is very important to further enhance this technique, 100% Spanish, because it is the best opportunity for children, young patients with diabetes or renal failure, who need a young kidney the sooner the better".
On his side, Dr. Roser Deulofeu, Director of the Catalan
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IDIBAPS - Institut d'Investigacions Biomdiques August Pi i Sunyer