Ureteral clipping simplifies hand-assisted laparoscopic donor nephrectomy

James A. Brown, Kamran P. Sajadi, James J. Wynn

Research output: Contribution to journalArticlepeer-review


Objectives: We describe a technique of doubly clipping the distal ureter during hand-assisted laparoscopic donor nephrectomy (HALDN) to prevent urine accumulation, thereby simplifying renal hilar division and potentially decreasing the graft warm ischemic time. Methods: A technique of placing polymer-locking clips across the distal ureter prior to division was developed to prevent urine accumulation and the need for suctioning during critical hilar vessel division. Results: We found that ureteral clipping and the elimination of urine accumulation simplified renal hilar division. Retrospective assessment of a series of 27 sequential HALDNs (15 without and 12 with clipping) demonstrated similar estimated blood loss, total operative and warm ischemic times (P=0.13 to 0.18). No adverse impact on graft viability or recipient outcome was observed. Conclusion: Distal ureter clipping to prevent urine accumulation around the renal hilum during HALDN is safe and helpful.

Original languageEnglish (US)
Pages (from-to)531-533
Number of pages3
JournalJournal of the Society of Laparoendoscopic Surgeons
Issue number4
StatePublished - Oct 2011
Externally publishedYes


  • Donor
  • Laparoscopy
  • Nephrectomy
  • Ureter

ASJC Scopus subject areas

  • Surgery


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