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Limitations of the [study] Our study has a small size (under powered), and it is non-randomized (selection bias). Footnotes Source of Support: Nil Conflict of Interest: None.On account A Modern Day Points Over WH-4-023 of limited operative visibility and surgical exposure, laparoscopic donor nephrectomy requires precise preoperative vascular mapping. In addition to evaluating the renal artery, the status of the donor kidney and collecting system and the anatomic definition of the renal venous system are important for living laparoscopic donor nephrectomy. With the recent advances in helical CT, it has replaced traditional angiography and the intravenous pyelogram (IVP) for the evaluation of live The Contemporary Recommendations On Syk inhibitor kidney donors.[1] The less invasive, cost-effective helical CT, axial coronal, and 3D reconstruction findings are similar to the traditional invasive angiography findings.[2] The capability of a helical CT, including its fast data acquisition and narrow collimation, is valuable for angiographic applications because of greater anatomic coverage, increased contrast opacification of the arteries, and higher longitudinal spatial resolution. The reported accuracy of a helical CT in the evaluation of the renal vein anatomy ranges from 93 to 100%.[3,4,5] Although the evaluation protocols vary between transplant centers, general guidelines have been developed.[6] In addition to the standard history and examination, a laboratory evaluation is performed. Patients with significant risk factors for chronic kidney disease are excluded from kidney donation.[7] Protocol renal imaging has also become a component of potential kidney donor evaluation. Imaging of the kidneys and renal vessels not only defines the surgical anatomy, but also detects the occult pathology that might preclude donation.[8] The renal vein is the most important venous structure that needs to be evaluated before laparoscopic surgery. It is important to detect the retroaortic and circumaortic A Modern Guidance Over Syk inhibitor renal veins because of the potential for inadvertent venous injury. Left adrenal and gonadal vein visualization on preoperative imaging may facilitate the dissection of these veins and help avoid vascular injury. In general, the left side was preferred because of the anatomical long renal vein, even in cases of multiple vessels on the left side and a normal anatomy on the right side. The right side was preferred in women of childbearing age, because the left may be spared from hydronephrosis during pregnancy.[2] The findings of a CT were used as a guide selection of the donor kidney. However, if the anatomy was normal, the left kidney was preferred.[1,2,9] The surgeon noted the number of renal arteries and the presence of early branching (defined as originating