Robotic-Assisted Laparoscopic Left Donor Nephrectomy for Living Kidney Donation

1. Introduction

2. Surgical Approach

3. Pfannenstiel Incision and Placement of Ports

4. Robot Docking

5. Medial Rotation of the Descending Colon

6. Identification and Dissection of the Ureter

7. Further Rotation of the Colon, Spleen, and Gerota's Fascia to Enter the Retroperitoneum and Expose the Kidney and Renal Vein

8. Follow the Renal Vein and Identify the Gonadal and Adrenal Veins

1. Divide Gonadal Vein
2. Divide Adrenal Vein

9. Identification of Renal Artery

10. Mobilization of the Kidney

1. Identification and Division of Lumbar Vein

11. Clipping and Division of Ureter

12. Robot Undocking

13. Division of Renal Artery and Vein Through Port with Handheld GIA Stapler and Removal of the Kidney

14. Donor Hemostasis and Kidney Preparation on the Back Table

1. TAP Block

15. Closure

16. Post-op Remarks