http://www.laparoscopyhospital.com - The patient is placed in the lateral flank position with elevation of the kidney bridge. Further, the table may be tilted anteriorly to allow the peritoneum and bowel to fall away from the proposed port site. The primary port is placed using a 1.5-cm incision, 2 cm below and posterior to the tip of the 12th rib in the posterior axillary line, deepened down to the thoracolumbar fascia. A retroperitoneal space is created using a self made baloon. Two or three secondary ports are inserted under laparoscopic vision or finger guided to avoid transgression of the peritoneum. The hilar vessels are dissected first and divided. The ureter is dissected and divided. The kidney is mobilized all round and delivered intact by extending a port or by joining two ports. Alternatively, the specimen may be removed piecemeal after morcellation within a plastic bag. A 14-F tube drain is left behind in the retroperitoneal space through the 5-mm port site at the discretion of the surgeon.