Anterior Extraperitoneal Donor Nephrectomy

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Abstract
The anterior extraperitoneal approach was compared to the flank approach for living donor nephrectomy in a series of 36 familial donors. The former procedure (23 cases) afforded superior visualization of renal vessels and was probably at least as safe as the latter (13 cases) for donors with risk factors of obesity, age more than 45 yr and pulmonary disease. Anterior extraperitoneal nephrectomy appears to be indicated for donors with multiple renal arteries and skeletal deformities, including thoracolumbar arthritis.