Surgical Ex Vivo Repair and Renal Autotransplantation

Clarà, Albert Benet i; Ysa, August; Fuente, Natalia de la; Roig, Lluis; Miralles, Manuel; Santiso, A.; Martínez-Cercós, Román; Castro, Ferrari de; Martorell, MP; Vidal-Barraquer, F.

doi:10.1097/00004872-200406002-00691

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2017

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“…A proximal RAA can be endovascularly repaired using coil or stent graft. However, an RAA located at the renal hilum may require extracorporeal arterial reconstruction and auto-transplantation [4,5]. With recent advances in laparoscopic surgical techniques, cases of RAA treatment via laparoscopic nephrectomy and auto-transplantation have been reported [6,7].…”

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confidence: 99%

Hand-Assisted Laparoscopic Nephrectomy and Auto-Transplantation for a Hilar Renal Artery Aneurysm: A Case Report

Kim

Lee

Park

et al. 2017

VSI

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A 52-year-old man was admitted with an incidentally detected right renal artery aneurysm (RAA). Computed tomographic angiography with three-dimensional reconstruction revealed that the aneurysm was 2.2 cm in diameter and located at the renal hilum. We performed hand-assisted laparoscopic nephrectomy with ex vivo repair of the RAA and auto-transplantation with minimal elongation of Gibson incision. The operation and postoperative course were uneventful. At last follow-up, the patient was alive with a well-functioning auto-transplant. Hand-assisted laparoscopic nephrectomy and auto-transplantation is a useful treatment option for hilar RAA.

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