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