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November 20, 1972

Medical News

JAMA. 1972;222(8):889-898. doi:10.1001/jama.1972.03210080003002

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Temporary removal of kidneys makes microsurgery easier  One of the inherent limitations of surgery—you can't repair what you can't reach—is being overcome. Two groups of West Coast surgeons recently reported removing damaged kidneys for delicate microsurgery and then reimplanting them.This "workbench" approach allows the surgeon time and elbow room to do some fine sewing that would probably be impossible with the kidney in place. The technique depends on perfusing and chilling the kidney in much the same way that cadaver kidneys are preserved for transplantation. The two groups of surgeons used similar methods of kidney preservation and surgical techniques.Robert C. Lim, MD, and his co-workers at the University of California, San Francisco (San Francisco General Hospital), told the International Cardiovascular Society about three cases in which a kidney was removed for repair. In two, the surgeons were able to leave the ureter intact—the perfusion and repair work took place with the