V50 Right-sided terminal hand assisted laparoscopic donor nephrectomy. The Halle experience

Abstract Introduction: Hand-assisted laparoscopic donor nephrectomy (HALDN) permits to combine the necessary extraction incision to manually assist the procedure. The left kidney has remained the preferred organ of choice, due to the greater vessel lengths. We describe in this video the right-side terminal HALDN with hand-assisted extension of the renal vessel, a technique that allowed the exposure of the right aortorenal junction providing maximal length of both vein and artery. In a prospective study, we compared 51 right- and 40 left-sided HALDN during a 7-year period with a 1-year follow-up. Materials and Methods: With the donor on the left flank, we performed a 5-port transperitoneal approach: 11-mm umbilical port for laparoscope, two 5-mm, and two 10-mm trocars as working ports. After superior retraction of the liver, the peritoneum was opened laterocolically and the colon mobilized. Afterward, follow the isolation of ureter, gonadal vessels, and renal hilum. Then, the ligation of the side branches ...