Laparoscopic repair of renal artery aneurysm: a description of the technique and results in 2 cases

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Octavio A CastilloManuel A Díaz

Abstract

Renal artery aneurysm is a rare occurrence. We report our experience in the management of 2 symptomatic renal artery aneurysms with laparoscopic approach. Two patients, male and female, mean age 44 years (range: 43 to 45 y), diagnosed with left renal artery aneurysms during routine hypertension work-up, underwent laparoscopic aneurysm reconstruction. Operative time was 180 and 150 minutes with a warm ischemia time of 46 and 15 minutes and an estimated operative bleeding of 50 and 0 mL, respectively. The patients were discharged home on postoperative day 2 and 5, respectively. A selective left renal arteriography showed normal caliber of the repaired arteries in both patients. A follow-up of 45 and 7 months, respectively, has been uneventful. In well-selected patients, vascular surgical techniques may offer excellent results. Laparoscopy provides the advantages of the minimally invasive approach while achieving adequate vascular control. However, advance training in laparoscopic reconstructive surgical techniques is required before attempting this procedure.

References

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Citations

Oct 25, 2012·Surgical Endoscopy·Federico GhezaPier Cristoforo Giulianotti
Jul 14, 2009·European Urology·Antonio RosalesHumberto Villavicencio
May 23, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Dinesh SamarasekeraJihad H Kaouk
Apr 14, 2011·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·P ModiH Trivedi

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