Hand-assisted laparoscopic right donor nephrectomy: surgical technique

Journal of Endourology
David S WangStephen Rayhill

Abstract

Many centers have adopted laparoscopic and hand-assisted laparoscopic (HAL) techniques for live donor nephrectomy. Currently, the majority of laparoscopic living donor kidneys are procured from the left side because of the longer renal vein and improved transplantation. However, indications exist for right donor nephrectomy. We present our technique of HAL right-sided donor nephrectomy. A key feature of our dissection is wide mobilization of adjacent structures to achieve good exposure of the right kidney and inferior vena cava. In addition, the use of the hand permits optimal positioning of the kidney for division of the renal vessels with the vascular stapler. At the time of division of the renal vein, the stapler is placed on the wall of the inferior vena cava in order to gain maximal length. This technique has allowed HAL right-sided donor nephrectomy to be performed safely when indicated.

References

Nov 14, 1997·Annals of Surgery·J L FlowersS T Bartlett
May 19, 2001·Seminars in Laparoscopic Surgery·J A CadedduL R Kavoussi
Dec 17, 2002·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Joseph F BuellE Steve Woodle

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Citations

May 27, 2006·Journal of Endourology·Surendran SudhindranC S Sayeed
Dec 1, 2012·Transplantation Proceedings·A CiudinA Alcaraz
Dec 22, 2004·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Anibal W BrancoRafael F Maciel
Nov 1, 2005·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Anibal W BrancoMariana J Garcia
Apr 24, 2010·Korean journal of urology·Moon-Soo ChungTae Kon Hwang

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