Once the patient has been selected for the donor. The patient is prepared for surgery. The best approach to remove the donor kidney is by laparoscopy, since the kidney is least handled and trauma is less therefore the organ is delivered to the recipient team in the most pristine fashion.
Generally we use a five port approach to access the kidney and the organ is finally delivered by a small incision
Once the renal vessels have been disconnected the kidney has to be rapidly delivered and then cooled so that there is no nephron damage.
Generally we have been able to maintain a warm ischemia time of less than 10mins
While the donor team is preparing the kidney for harvest. The transplant recipient team prepared the bed for the donor kidney.
The kidney is best placed in the right lower part of the abdomen, where the blood supply is attached to the vessels going towards the legs of the patient.
The ureter is then attached to the bladder over a stent and therefore the procedure is completed.