Deceased donor kidney procurement: Systematic review of the surgical technique.

Introduction: Kidney procurement procedure must be carried out following a standardized technique in order to optimize kidney grafts for their subsequent implantation.
Objectives: Review of the available literature on kidney procurement procedure.
Material and Methods: Narrative review of the available evidence on deceased donor kidney procurement technique after a search of relevant manuscripts indexed in PubMed, EMBASE and Scielo written in English and Spanish.
Results: Deceased donor kidney procurement can be divided into two groups, donation after brain death (DBD) and donation after circulatory death (DCD). Kidney procurement in DBD frequently includes other chest and/or abdominal organs, requiring multidisciplinary surgical coordination. During the harvesting procedure, the renal vascular pedicle must remain intact for subsequent implantation and reduced ischemia time.
Conclusions: Adequate execution and perfect knowledge of the technique for surgical removal and anatomy reduces the rate of graft losses associated to inadequate harvesting techniques.
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