with Dr. Lluis Peri, Dr. Antonio Alcaraz
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.
Living-donor left laparoscopic nephrectomy with extraction through infraumbilical midline incision
Clinical Background
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
Technique Description
2 deliveries through infraumbilical midline caesarean sections
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)
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
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