title: MDCT evaluation of potential living renal donor, prior to laparoscopic donor nephrectomy: What the transplant surgeon wants to know?
abstract: As Laparoscopic Donor Nephrectomy (LDN) offers several advantages for the donor such as lesser post-operative pain, fewer cosmetic concerns and faster recovery time, there is growing global trend towards LDN as compared to open nephrectomy. Comprehensive pre-LDN donor evaluation includes assessment of renal morphology including pelvi-calyceal and vascular system. Apart from donor selection, evaluation of the regional anatomy allows precise surgical planning. Due to limited visualization during laparoscopic renal harvesting, detailed pre-transplant evaluation of regional anatomy, including the renal venous anatomy is of utmost importance. MDCT is the modality of choice for pre-LDN evaluation of potential renal donors. Apart from appropriate scan protocol and post-processing methods, detailed understanding of surgical techniques is essential for the Radiologist for accurate image interpretation during pre-LDN MDCT evaluation of potential renal donors. This review article describes MDCT evaluation of potential living renal donor, prior to LDN with emphasis on scan protocol, post-processing methods and image interpretation. The article laid special emphasis on surgical perspectives of pre-LDN MDCT evaluation and addresses important points which transplant surgeons want to know.
authors.affiliation: Department of Radiology, Indraprastha Apollo Hospital, New Delhi, India.
authors.forename: Nitin P
authors.initials: NP
authors.lastname: Ghonge
authors.affiliation: Department of Urology, Indraprastha Apollo Hospital, New Delhi, India.
authors.forename: Satyabrat
authors.initials: S
authors.lastname: Gadanayak
authors.affiliation: Department of Renal Transplantation, Indraprastha Apollo Hospital, New Delhi, India.
authors.forename: Vijaya
authors.initials: V
authors.lastname: Rajakumari
keywords: Laparoscopic donor nephrectomy; MDCT evaluation; living renal donor