Dr. Antonio Alcaraz performs a Living-Donor Nephrectomy surgery to a 51 years old female, a candidate for living-doner nephrectomy from her son. It consists of a living-donor left laparoscopic nephrectomy with extraction through infraumbilical midline incision.
Technique Description:
Living-donor left laparoscopic nephrectomy with extraction through infraumbilical midline incision
Clinical History:
- 51 y.o. female. Candidate for living-donor nephrectomy from her son
- ANGIO-CT scan: single artery and vein in both renal vascular pedicles
- BMO 28,1
Other History:
2 deliveries through infraumbilical midline caesarean sections
Procedure Steps:
- 1) Adequate trocar placement
- 2) Colon release and identification and section of the ureter
- 3) Lifting of the renal lower pole and identification of the vascular pedicle
- 4) Careful dissection of renal vascular pedicle
- 5) Complete liberation of the kidney
- 6) Hand-assisted section of the vascular pedicle with hem-o-locks
- 7) Kidney perfusion with Celsior and bench surgery (preparation for robotic kidney transplantation)
Learning Points:
- Identification of the ureter
- Luxation of the renal lower pole
- Identification and dissection of the vascular pedicle
- Section of the renal vessels
- Bench surgery of the renal graft
