Retroperitoneoscopic Left Live Donor Nephrectomy.

Abstract

Background: Retroperitoneoscopic donor nephrectomy (RDN) approach is an unfamiliar approach to the donor surgeons in Australia and New Zealand due to the background General Surgery training. The learning curve when transitioning from transperitoneal to retroperitonoscopic donor nephrectomy is relatively short with minimal morbidity.

Methods: We detail our standardized surgical approach for performing RDN, including technical tips and maneuvers as well as visual aids that ensure the procedure's safety and efficacy.

Discussion: RDN demonstrates notable advantages over traditional laparoscopic methods, including shorter operative times, less postoperative pain, and quicker recovery, thereby enhancing donor safety and graft function. Our goal is to outline our institution's RDN technique, offering valuable insights to aid donor surgeons in incorporating this method into their surgical repertoire. This approach requires a precise surgical technique and adequate training to maximize outcomes and minimize donor complications.