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  • 1. Introduction
  • 2. Incision and Port Placement
  • 3. Left Colon Mobilization
  • 4. Left Kidney Exposure and Mobilization
  • 5. Left Renal Hilum Dissection
  • 6. Left Kidney Extraction
  • 7. Reperfusion of Kidney
  • 8. Closure
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Left Laparoscopic Donor Nephrectomy

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Shoko Kimura, MD; Tatsuo Kawai, MD
Massachusetts General Hospital

Procedure Outline

  1. Perform Pfannestiel Incision
  2. Insert Hand Port and Create Pneumoperitoneum
  3. Mark Locations for Ports
  4. Insert Trocars Under Laparoscopic Guidance
  1. Dissect Gerota's Fascia
  2. Expose and Mobilize Lower Pole
  3. Identify and Dissect Left Ureter
  4. Mobilize Upper Pole
  1. Dissect Renal Vein
  2. Ligate and Transect Gonadal Vein
  3. Ligate and Transect Adrenal Vein
  4. Dissect Renal Artery
  5. Dissect Posterior Aspect of Renal Vein
  6. Ligate Lumbar Vein
  1. Ligate and Transect Left Ureter Distally
  2. Place Kidney in Endo Catch
  3. Staple and Transect Renal Artery Proximally
  4. Staple and Transect Renal Vein Proximally
  5. Remove Kidney
  1. Assess for and Control Bleeding
  2. Apply Precautionary Seal
  3. Reposition Colon
  4. Close Ports
  5. Close Pfannenstiel Incision