A 46-year-old woman was approved as a living kidney donor in our center for paired donation working with the National Kidney Registry. The imaging revealed a malrotated right kidney with the hilum oriented cephalad. We selected that kidney for donation, and an uneventful laparoscopic donor nephrectomy was performed. To our knowledge, this is the first case of laparoscopic living donor nephrectomy using a sagittally malrotated kidney.
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