Robotic-Assisted Laparoscopic Left Donor Nephrectomy for Living Kidney Donation
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Massachusetts General Hospital
Procedure Outline
Table of Contents
- 1. Introduction
- 2. Surgical Approach
- 3. Pfannenstiel Incision and Placement of Ports
- 4. Robot Docking
- 5. Medial Rotation of the Descending Colon
- 6. Identification and Dissection of the Ureter
- 7. Further Rotation of the Colon, Spleen, and Gerota's Fascia to Enter the Retroperitoneum and Expose the Kidney and Renal Vein
- 8. Follow the Renal Vein and Identify the Gonadal and Adrenal Veins
- 9. Identification of Renal Artery
- 10. Mobilization of the Kidney
- 11. Clipping and Division of Ureter
- 12. Robot Undocking
- 13. Division of Renal Artery and Vein Through Port with Handheld GIA Stapler and Removal of the Kidney
- 14. Donor Hemostasis and Kidney Preparation on the Back Table
- 15. Closure
- 16. Post-op Remarks
- Divide Gonadal Vein
- Divide Adrenal Vein
- Identification and Division of Lumbar Vein
- TAP Block
