As the worldwide demand for donor kidneys soars, kidney donation via less i
nvasive and minimally invasive laparoscopic techniques is emerging rapidly
as a new and viable option to traditional, open-surgical harvesting techniq
ues. Generally, this method of donation has been feasible by using the tran
speritoneal approach, but, more recently, it also has been accomplished thr
ough retroperitoneal access. The authors describe their modified, cost-redu
ctive technique of live retroperitoneoscopic donor nephrectomy and its very
good results. Laparoscopic donor nephrectomy appears to be promising; it r
educes donor pain and suffering while maintaining excellent graft results.