II. Dissection A. Breda

Dissection of the ureter.

• In order to maintain ureteral vascularization, perirenal fat between the kidney and the gonadal vein (also known as “The Golden Triangle”) must be preserved.

• Creating a plane between the ureter and the perirenal fat exposes the psoas muscle.

• Following the psoas muscle plane will free the lower pole of the kidney.

• Periureteral fat should be respected and traction to the ureter should be minimal.