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September 1974

The Supracostal Approach for Live-Donor Nephrectomy

Author Affiliations

From the Urology Section, Veterans Administration Hospital (Dr. Barry), and the Division of Urology, Department of Surgery, University of Oregon Medical School (Drs. Barry and Hodges), Portland, Ore.

Arch Surg. 1974;109(3):448-451. doi:10.1001/archsurg.1974.01360030100027

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.

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