Nephrectomy

This video demonstrates the step-by-step process of removing the right kidney.
The hepatorenal ligament is dissected and the peritoneum is incised to access the kidney. The kidney is elevated and retracted medially whilst dissecting the peritoneal attachments to free the kidney from the retroperitoneal space.
The renal vessels and remaining peritoneal attachments are located and dissected. The renal artery and vein are ligated separately. The ureter is identified and double ligated at the bladder insertion. Finally, the ureter is transected, and the kidney is removed by applying gentle but firm traction. Haemostasis is ensured by ligating or cauterising any bleeding branches of the urethral vessels.