Duplicated inferior vena cava in a patient undergoing right transumbilical laparoendoscopic single-site (LESS) radical nephrectomy

LaparoEndoscopic Single-site (LESS) renal surgery emerging as a potential alternative to conventional laparoscopy, is technically challenging and the major vascular anomaly may increase the risk of intraoperative haemorrhage. Herein, we present a case of right transumbilical LESS radical nephrectomy which was successfully performed in the presence of double inferior vena cava and duplicated the standard laparoscopic techniques. Most importantly, to bring such an aberrant vascular anatomy to the attention of laparoscopic, especially LESS surgeons with high resolution pictorial illustrations.