Video Chapters
Chapter 1: Surgical Planning
Chapter 2: Port Placement
Chapter 3: Mobilization & Dissection
Chapter 4: Extraction & Flush
Chapter 5: Closing
Case Description
- A 45-year old woman will be a living kidney donor for a 47-year old man with advanced kidney failure.
- This video will demonstrate the overall surgical plan for extraction and implantation, and laparoscopic extraction procedure for transplanting a left kidney from a living donor.
Surgical Plan
- The descending colon, spleen and pancreas will be mobilized for access to the upper pole and anterior surface of the left kidney.
- Following the left gonadal vein, the left renal vein will be exposed, followed by a lumbar vein, as well as the left adrenal vein.
- Neuro-lymphatic tissue posterior from the left renal vein will be dissected, to reveal the two renal arteries unique to the patient.
- The adrenal gland will be separated from the upper pole of the kidney, as well as its posterior attachments to the abdominal wall.
- The left gonadal vein/ureter complex, left renal vein and left renal arteries will be stapled and divided, and the graft retrieved through a Pfannenstiel incision.
- The graft is immediately flushed through the renal arteries with preservation solution on saline slush.
- An arterioplasty will be performed to join the two left renal arteries into one common trunk for anastomosis in the recipient.
CT scans