TY  - CHAP
M1  - Book, Section
TI  - Living Donor Nephrectomy – Open Minimal Incision Approach
A1  - Yu, Jennifer
A1  - Molmenti, Ernesto P
A1  - Shenoy, Surendra
A2  - Molmenti, Ernesto Pompeo
PY  - 2023
T2  - Molmenti’s Kidney and Pancreas Transplantation: Operative Techniques and Medical Management, 2e
AB  - Open  minimal  incision  technique6-8  cm  flank  incision  over  the  tip  of  the  12th  rib  (Figure  112-194)Tip  of  the  12th  rib  is  resectedPeritoneum  reflected  anteriorly  and  the  kidney  mobilized  starting  with  release  of  upper  poleUreter  is  mobilized  after  mobilization  of  the  lower  poleHilar  dissection  performed  once  the  entire  kidney  has  been  circumferentially  mobilizedUreter  is  clamped/clipped/tied  and  transectedArtery,  vein,  and  ureter  are  controlled  with  a  Hendren  vascular  clampKidney  is  removed  via  the  incision  used  for  dissection  (Figure  112-195)Vascular  stumps  manually  oversewn  after  the  kidney  is  removedSecure  individual-layer  muscle  closure  for  all  three  layers  of  the  abdominal  wallPreferentially  offered  for  right  donor  nephrectomies  and/or  kidneys  with  multiple  vessels  with  early  bifurcation  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1194189565
ER  -