ABSTRACT
The renal vein has to be prepared on the right side from the inferior vena cava. Until the renal hilum, the inferior vena cava must be mobilized 2 cm above the renal vein and down to the gonadal vein. Normally the right-sided renal artery is long enough and the inferior vena cava can be rotated as in a right-sided retroperitoneal lymphadenectomy. In these cases the renal artery can be clipped under the inferior vena cava. The authors routinely put two central clips and leave the kidney side unclipped regarding reducing warm ischemia time, because this allows easier access to the artery for perfusion intubation and crushing the arterial intima. Then the endo-bag is closed, the peritoneum incised, and the bag removed with the kidney and provided to the perfusion team. The kidney has to be mobilized completely until the kidney is only attached to the vessels.
