In the paper "Two Hundred One Consecutive Living-Donor Nephrectomies," Shaffer et al1 present their experience with living-donor nephrectomies performed through a standard flank approach. The authors should be congratulated for the excellent results in their series. The low complication rate achieved with the open operation should be viewed as the standard by which all other operative techniques are judged.
Ratner LE, Montgomery RA, Kavoussi LR. Living-Donor Nephrectomies: Laparoscopy and Open Techniques. Arch Surg. 1998;133(11):1253. doi: