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The navel: A single, safe surgical access route for kidney extraction
Date:3/12/2009

seen, inside the vagina. Since then, Dr. Alcaraz and his team have carried out a total of 12 kidney extractions via the vagina a route that is also being proposed as an alternative for transplants involving live organ donors.

But the star of today's new milestone operation is the navel, an embryonic legacy that paves the way to a new generation of minimally invasive surgery. This procedure is another step forward in laparoscopic surgery as, instead of using the natural orifices of the body to operate (the technique of the NOTES [Natural Orifice Transluminal Endoscopy Surgery] program), it uses the embryonic orifice to extract affected organs, such as the kidney in this case. This new port of entry presents several advantages besides the esthetic advantage of not leaving scars, as patient recovery times are cut by half, there is very little risk of hemorrhage as the area is poorly vascularized, and pain is minimal as there are few nerve endings in the surrounding area. Furthermore, it is a technique that can be used on both men and women, unlike transvaginal nephrectomy, which is only possible in women.

The single-port transumbilical nephrectomy (the technical name for this operation) was carried out using a single trocar made by the company Olympus. This laparoscopic instrument requires considerable control and precision to be used correctly, as the surgeon has to use 3 instruments through a single point in order to manipulate the organ remotely and extract it once it has been entrapped inside the body. Accessing the kidney via this route means no visible marks are left as the minimal incision made by the surgeons is hidden by the natural folds of the umbilical scar. Nevertheless, as with laparoscopic surgery or the NOTES approach, the transumbilical route is not completely risk-free and must always be performed by an experienced team of surgeons who are permanently trained in the use of the instruments.

The umbilical route currently
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Contact: Marc de Semir
mdesemir@clinic.ub.es
34-932-275-700
IDIBAPS - Institut d'Investigacions Biomdiques August Pi i Sunyer
Source:Eurekalert  

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The navel: A single, safe surgical access route for kidney extraction
The navel: A single, safe surgical access route for kidney extraction
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