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Titolo:
Laparoscopic repair of renal artery aneurysm
Autore:
Gill, IS; Murphy, DP; Hsu, THS; Fergany, A; El Fettouh, H; Meraney, AM;
Indirizzi:
Cleveland Clin Fdn, Sect Laparoscop & Minimally Invas Surg, Inst Urol, Cleveland, OH 44195 USA Cleveland Clin Fdn Cleveland OH USA 44195 t Urol, Cleveland, OH 44195 USA
Titolo Testata:
JOURNAL OF UROLOGY
fascicolo: 1, volume: 166, anno: 2001,
pagine: 202 - 205
SICI:
0022-5347(200107)166:1<202:LRORAA>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
AORTORENAL BYPASS; PROGNOSIS; DISEASE; MODEL;
Keywords:
kidney; laparoscopy; renal artery; aneurysm;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Gill, IS Cleveland Clin Fdn, Sect Laparoscop & Minimally Invas Surg, Inst Urol, 9500 Euclid Ave,A-100, Cleveland, OH 44195 USA Cleveland Clin Fdn 9500 Euclid Ave,A-100 Cleveland OH USA 44195 A
Citazione:
I.S. Gill et al., "Laparoscopic repair of renal artery aneurysm", J UROL, 166(1), 2001, pp. 202-205

Abstract

Purpose: We describe technical considerations of the laparoscopic repair of a renal artery aneurysm. Materials and Methods: A 57-year-old woman presented with a 3 cm. aneurysmof the distal left main renal artery at its bifurcation. Using a purely laparoscopic 4-port transperitoneal technique the aneurysm was completely mobilized from its location behind the renal vein. Its 3 feeding vessels were controlled individually with bulldog clamps. The aneurysm sac was bivalved and precisely trimmed to conform with the diameter of the main renal artery. Vascular reconstruction was performed with running freehand laparoscopic suturing and intracorporeal knot tying using 4-zero polypropylene suture. Results: Warm ischemia time was 31 minutes, total operative time was 4.2 hours, blood loss was 100 cc and hospital stay was 2 days. Postoperatively renal scan showed improved perfusion and renal arteriography confirmed adequate repair of the aneurysm. Conclusions: Laparoscopic repair of the renal artery aneurysm is feasible. To our knowledge we present the initial clinical report of laparoscopic renovascular surgery in the literature.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/11/20 alle ore 18:44:54