*Purpose: Minimally invasive kidney transplantation (MIKT) has recently been introduced, however, an effective but inexpensive method to balance a minimal incision and reduced ischemia injury has been poorly investigated.

*Methods: Eight kidney grafts from brain dead donors were successfully transplanted into eight adult recipients with body mass indices (BMIs) ranging from 18.25 to 34.25 in a single center. The kidney graft was placed on the surface of a novel intraoperative cryogenic circulatory cooling device (ICCCD) in the iliac fossa and then anastomosed to the recipient’s iliac vessels.

*Results: Using this novel ICCCD which only costs about 5 dollars but can control the temperature of kidney graft surfaces to be 4-10 °C, the incisions lengths were decreased to 4.0-5.8 cm (average 4.9 cm). The average operative, vein and artery anastomosis time was 142.63, 17.13 and 15.44 minutes, respectively. No surgical complication occurred following the transplants. All patients have good outcomes with normal renal function and cosmetic appearances (Figure 1) during the first 1-3 month follow-up.

*Conclusions: This novel device is inexpensive but effective and safe for MIKT surgery. Additionally, the learning curve of this minimally invasive surgery is short for transplant surgeons who are familiar with open surgery.

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