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Laparoscopic donor nephrectomy is the standard of care in donor kidney procurement for renal transplantation. Use of nonabsorbing polymer locking clips for securing the renal artery in this procedure is widely practiced. The US FDA has given instructions contraindicating the use of Hem-o-lok clips in securing renal artery in donor nephrectomy. This article reviews the modalities for securing renal artery in laparoscopic nephrectomy published in the last decade.

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