Abstract
The purpose of this chapter is to describe the surgical techniques for kidney procurement. Preserve long ureters. Keep the ureters away from the operating field when not working on them. It is easy to damage the ureters when dissecting the anatomical structures close to them. Preserve the left renal vein carefully. Before splitting the aorta, suspend, cut and retract the left venal vein. It is easy to damage the left renal vein when splitting the aorta if the vein is not dissected and retracted sufficiently. Preserve the renal pedicles carefully. When dissecting the great vessel after perfusion, stay close to the prevertebral muscular plane. It is easy to damage the renal pedicles when dissecting them from the posterior plane. Preserve polar arteries. Explore the aorta and the iliac vessels for any polar arteries. It is easy to cut polar arteries: try to not dissect the plane between the aorta and vena cava and the kidneys. Mobilize medially the kidneys from the perinephric tissue preserving the Gerota’s fascia. When examining the kidney after its procurement, find the right plane to dissect in order to avoid damage to the kidney capsule. Especially in old donors, the perirenal fat may not be dissociable from the kidney capsule.
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Aseni, P., Ferla, F., Tracanelli, P., Poli, C., Giacomoni, A. (2016). Kidney Procurement. In: Aseni, P., Grande, A., De Carlis, L. (eds) Multiorgan Procurement for Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-28416-3_16
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