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Pure laparoscopic right donor nephrectomy: step-by-step approach.

Harrison M Abrahams·Maxwell V Meng·Chris E Freise·Marshall L Stoller
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Abstract

BACKGROUND AND PURPOSE: Debate surrounds laparoscopic kidney procurement for right donor nephrectomy. We detail our pure laparoscopic technique of right kidney retrieval. TECHNIQUE: We use a four-port transperitoneal approach and extract the kidney through a low Pfannenstiel incision. Important elements include: (1) dividing the triangular ligament; (2) identifying the vena cava early; (3) minimizing ureteral dissection; (4) mobilizing the kidney within Gerota's fascia; (5) dissecting the renal artery behind the vena cava; (6) cutting the extraction incision to the peritoneum; (7) applying a Hem-o-Lok and single metal clip on the artery; (8) placing the Endo-TA stapler on the renal vein adjacent to the vena cava; (9) cutting the vessels without clips/staples on the kidney side; and (10) retrieving the kidney manually. RESULTS AND CONCLUSIONS: This is a reliable method of right pure laparoscopic donor nephrectomy that maximizes donor benefit and cost-effectiveness. Right laparoscopic nephrectomy is likely easier with this technique and should not be avoided if it is the preferred kidney for transplantation.

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HumansKidney TransplantationLaparoscopyLiving DonorsNephrectomyJournal ArticleReview

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Harrison M Abrahams, Maxwell V Meng, Chris E Freise, Marshall L Stoller. 2004. Pure laparoscopic right donor nephrectomy: step-by-step approach.. https://doi.org/10.1089/089277904773582796

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