Revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy

Kumar, Sunil; Navariya, Shiv C; Bhirud, Deepak Prakash; Ranjan, Satish; Mittal, Ankur; Mammen, Kim J

doi:10.1016/j.ijscr.2019.09.007

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…Tumour size and location are the main tumour factors that predispose to SMA injury . Left-sided, large, upper pole, medial/hilar tumours are the main predictors of SMA injury during renal surgery [5] , [10] , [14] . Large tumours are likely to lead to significant distortion of the vasculature; therefore, meticulous dissection and mobilisation of the kidney and hilum can minimise the risk of injury.…”

Section: Discussionmentioning

confidence: 99%

Superior Mesenteric Artery Injury During Robot-assisted Laparoscopic Nephrectomy: A Robotic Nightmare

Mayor

Sapre

Sandford

et al. 2022

European Urology Open Science

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Section: Discussionmentioning

confidence: 99%

Superior Mesenteric Artery Injury During Robot-assisted Laparoscopic Nephrectomy: A Robotic Nightmare

Mayor

Sapre

Sandford

et al. 2022

European Urology Open Science

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“…If the SMA is transected, vascular surgery should be immediately consulted, and the repair can be performed using several options: (1) end-to-end re-anastomosis, (2) GORE-TEX ® Vascular Graft, (3) end-to-end SMA to renal artery stump anastomosis, or (4) splenic-to-SMA transposition [ 16 , 17 , 21 , 22 , 23 , 24 ]. Surgeons should choose the option with which they are more comfortable and best suits the type of vascular injury ( Figure 4 ).…”

Section: Systematic Workup Algorithm Management Of Sma Injurymentioning

confidence: 99%

Superior Mesenteric Artery Injury during Robotic Radical Nephrectomy: Scenarios and Management Strategies

Sayegh

Medina

Riva

et al. 2023

JCM

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Injury to the superior mesenteric artery (SMA) is a rare, underreported, and potentially devastating complication. This study aims to propose a systematic workup to describe how to prevent and manage SMA injury in a standardized stepwise manner. Three different instances of intraoperative injury to the SMA are described in an accompanying video. All three occurred when the SMA was misidentified as the left renal artery during left robotic radical nephrectomy. In the first case, the SMA was mistakenly identified as the renal artery, but after further dissection, the real renal artery was identified and SMA injury was prevented. In the second case, the SMA was clipped and the real left renal artery was subsequently identified, requiring clip removal. In the third case, the SMA was clipped and completely transected, requiring prompt repair by vascular surgery with a successful outcome. This study aims to propose a systematic workup to describe how to prevent and manage SMA injury in a standardized stepwise manner. The proper anatomic recognition of the SMA may prevent its injury. Intraoperative SMA injury should be promptly identified and repaired to avoid its devastating consequences.

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Extrarenal Visceral Arteries Injuries during Left Radical Nephrectomy: A 50-Year Continuing Problem

Catarci,

Montemurro,

Benedetti

et al. 2024

JCM

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Due to their proximity to the left renal hilum, injuries to the superior mesenteric artery and celiac trunk are still reported during left radical nephrectomy, whether performed via open, laparoscopic, or robotic methods. The aim of this 50-year narrative review is to emphasize the anatomical and pathophysiological bases, risk factors, and strategies for the prevention, diagnosis, and treatment of such injuries.

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Revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy

Cited by 3 publications

References 12 publications

Superior Mesenteric Artery Injury During Robot-assisted Laparoscopic Nephrectomy: A Robotic Nightmare

Superior Mesenteric Artery Injury During Robot-assisted Laparoscopic Nephrectomy: A Robotic Nightmare

Superior Mesenteric Artery Injury during Robotic Radical Nephrectomy: Scenarios and Management Strategies

Extrarenal Visceral Arteries Injuries during Left Radical Nephrectomy: A 50-Year Continuing Problem

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