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Oshiro Y.,University of Ryukyus | Miyagi R.,University of Ryukyus | Kiyuna A.,University of Ryukyus | Tamaki M.,University of Ryukyus | And 9 more authors.
Nishinihon Journal of Urology | Year: 2010

In Japan, the number of cadaver donations from brain-dead donors is very small despite the promulgation of the Organ Transplantation Law in 1997. When cadaver kidney transplantation is performed, more than 90% of the kidneys are obtained from non-heart-beating donors. Thus, it is extremely important to establish and improve the techniques for harvesting kidneys from such non-heart-beating cadaver donors. During this process, regional in situ cooling after cardiac arrest is useful to minimize ischemic injury to the kidneys. When the retrieval operation is performed, a long midline skin incision is made from the sternal notch to the pubis to obtain wide surgical exposure. A retroperitoneal incision lateral to the ascending colon is extended from the right colic flexure to the cecum, and then upward to the ligament of Treiz. The ascending colon and small intestine are moved, thereby exposing the bilateral kidneys and the great vessels. Subsequently, the kidneys are removed with Gerota's fascia intact en bloc with the abdominal aorta and inferior vena cava. Source

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