Laparoendoscopic Single-Site Surgery Donor Nephrectomy (LESS DN)

Laparoscopic donor nephrectomy is now the gold standard in retrieving grafts from living donors. LESS DN is not much different from the standard laparoscopic technique. The surgical view and steps of both surgeries are the same. The main difference would be the singular skin incision and its consequence. The consequence to the patient is lesser pain, faster return to normal activity, and improved cosmesis. The consequence to the surgeon is the challenge of the learning curve. If eating with hands and eating with fork and spoon were open donor nephrectomy and laparoscopic donor nephrectomy, respectively, then eating with chopsticks is LESS DN! The learning curve is in understanding and overcoming the restriction in hand movements. The chapter takes the reader through the challenges and technique of LESS DN.