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Figure 3: Left side laparoscopic nephrectomy steps continued. (a) Dissection in lower window exposing lumbar vein draining into renal vein (LV, RV). (b) Incision of Gerota in the trough between adrenal gland and kidney in adrenal sparing dissection of upper window (A, K). (c) Dissection of upper window to expose adrenal vein draining into renal vein (AV, RV). (d) Clipped adrenal vein with completed dissection in upper pole (adrenal vein is usually spared unless it is too lateral to create a space lateral to it)

Figure 3: Left side laparoscopic nephrectomy steps continued. (a) Dissection in lower window exposing lumbar vein draining into renal vein (LV, RV). (b) Incision of Gerota in the trough between adrenal gland and kidney in adrenal sparing dissection of upper window (A, K). (c) Dissection of upper window to expose adrenal vein draining into renal vein (AV, RV). (d) Clipped adrenal vein with completed dissection in upper pole (adrenal vein is usually spared unless it is too lateral to create a space lateral to it)