Preparation of the anastomosis N. Doumerc

Main step 2. Preparation of the anastomosis

Video-step 2-2. Colic deflection

• To create a good space for the kidney by deflecting left colon
• Psoas muscle should be well identified
• To drop the bladder on its left side is crucial for the kidney positioning during the graft

Video-step 2-3. External illiac vessels

• Wide dissection of vessels
• To release the artery from psoas-iliac muscle
• To stay close from vessels wall
• No clips, only electro-cautery : to facilitate the clamping with bulldogs