Step 5 Release of Lateral and Posterior Attachments

The lateral and posterior attachments are released while the surgeon gently retracts the kidney anteriorly. Because the posterior dissection progresses medially, the surgeon must be aware of the exact location of the renal hilum, to minimize the chance of iatrogenic injury to the renal vessels and their branches. In addition, as the allograft becomes more mobile, great care must be taken to avoid torsion of the kidney about its vascular pedicle. Now, the renal artery, renal vein, and ureter are the only attachments to the kidney.

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