# Same Incision for Simultaneous Laparoscopic Hand-Assisted Native Nephrectomy Contralateral to the Site of the Kidney Transplant

## TL;DR

A new surgical approach combines native nephrectomy with kidney transplant to reduce risks for patients.

## Contribution

A novel simultaneous laparoscopic hand-assisted native nephrectomy contralateral to kidney transplant is described.

## Key findings

- The procedure was performed successfully in a single surgical session.
- This approach may reduce the risks associated with separate surgeries for transplant patients.

## Abstract

Native nephrectomies in patients scheduled for a kidney transplant may represent a major challenge. The timing of the procedures as well as the magnitude of both surgical procedures require a risk mitigation strategy that may be restricted by the specific condition of the patients. We report a case of a simultaneous laparoscopic hand-assisted native nephrectomy contralateral to the site of the living donor kidney transplant.