Background/Objectives: Laparoscopic living donor ne-phrectomy (LLDN) of the right kidney is currently considered as part of standard of care; however, dealing with the renal hilum when performing ligation/division of its renal vessels is still a main concern. Here, we describe a simple-to-perform technique, i.e., flipping the fully mobilized right kidney to the midline so that the renal artery becomes ante-riorly, which offers better visualization and easier dissection of the renal vessels (achieving maximized lengths) when performing hand-assisted LLDN of the right kidney. Methods: Living donors who underwent hand-assisted LLDN of the right kidney, along with their respective renal transplant recipients, were included in this report. Donor characteristics included renal artery and vein lengths; recipient characteristics included creatinine at months 12 – 36. Graft vein and arterial anastomosis data were also reported. Results: Nineteen living donors and 19 recipients, with median donor and recipient ages being 39 (24 – 60) and 53 (3 – 81) years, respectively, were included. None of the 38 patients had intra-or postoperative complications. Donor renal vein was anastomosed to the right external iliac vein (n = 16), right common iliac vein (n = 2), and inferior vena cava (n = 1). Gonadal vein (n = 1) and deceased donor iliac vein (n = 2) were used to increase the right renal vein length in 3 cases. Four donor kidneys had 2 arteries recon-structed side by side. None of the recipients developed any vascular or urological complications. Conclusions: The laparoscopic technique described is safe and allows better visualization of the right hilum, mainly the renal artery, and helps in stapling the renal vein and renal artery.
|Original language||English (US)|
|Journal||Journal of the Society of Laparoendoscopic Surgeons|
|State||Published - Apr 1 2021|
- Living donor
- Renal artery
ASJC Scopus subject areas