The supracostal, extrapleural approach for live-donor nephrectomy provides excellent exposure of the renal vessels and the upper pole of the kidney without traction on the renal pedicle or the inconvenience of rib resection and incorporates the rib cage in its sound closure. We recommend this approach to other kidney transplant teams.
Barry JM, Hodges CV. The Supracostal Approach for Live-Donor Nephrectomy. Arch Surg. 1974;109(3):448-451. doi:10.1001/archsurg.1974.01360030100027