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  • Title
  • 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

Left Laparoscopic Donor Nephrectomy

21120 views

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

UrologyTransplant Surgery

Procedure Outline

Table of Contents

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

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                  Authors

                  Filmed At:

                  Massachusetts General Hospital

                  Article Information

                  Publication Date
                  Article ID170
                  Production ID0170
                  Volume2024
                  Issue170
                  DOI
                  https://doi.org/10.24296/jomi/170