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Laparoscopic Left Renal Vein Transposition for Nutcracker Syndrome
I. Gunka, P. Navratil, M. Lesko, S. Jiska, J. Raupach,
Language English Country Netherlands
Document type Case Reports, Journal Article
- MeSH
- Time Factors MeSH
- Ultrasonography, Doppler, Duplex MeSH
- Phlebography methods MeSH
- Laparoscopy * MeSH
- Humans MeSH
- Adolescent MeSH
- Tomography, X-Ray Computed MeSH
- Vascular Patency MeSH
- Renal Nutcracker Syndrome diagnosis physiopathology surgery MeSH
- Replantation MeSH
- Vena Cava, Inferior surgery MeSH
- Renal Veins physiopathology radiography surgery ultrasonography MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Adolescent MeSH
- Male MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
The left renal vein (LRV) reimplantation into the distal inferior vena cava is considered to be the gold standard of care for symptomatic nutcracker syndrome (NCS). The vast majority of these surgical procedures are performed by open surgery. Experiences with minimally invasive laparoscopic surgery in this field are very limited. We present a case of a 17-year-old boy with NCS in whom the transposition of the LRV was done laparoscopically. The patient suffered from left flank pain, painful left-sided varicocele, microscopic hematuria, proteinuria, and oligoasthenospermia. There were no intraoperative complications, and the postoperative course was uneventful. At 12-month follow-up, hematuria, left flank pain, and left testicular pain resolved. Duplex ultrasonography revealed patent LRV. Laparoscopic LRV transposition appears to be safe, feasible, and has favorable postoperative course.
References provided by Crossref.org
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- $a Gunka, Igor $u Department of Surgery, University Hospital and Faculty of Medicine Hradec Kralove, Charles University in Prague, Hradec Kralove, Czech Republic. Electronic address: gunka@email.cz.
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- $a The left renal vein (LRV) reimplantation into the distal inferior vena cava is considered to be the gold standard of care for symptomatic nutcracker syndrome (NCS). The vast majority of these surgical procedures are performed by open surgery. Experiences with minimally invasive laparoscopic surgery in this field are very limited. We present a case of a 17-year-old boy with NCS in whom the transposition of the LRV was done laparoscopically. The patient suffered from left flank pain, painful left-sided varicocele, microscopic hematuria, proteinuria, and oligoasthenospermia. There were no intraoperative complications, and the postoperative course was uneventful. At 12-month follow-up, hematuria, left flank pain, and left testicular pain resolved. Duplex ultrasonography revealed patent LRV. Laparoscopic LRV transposition appears to be safe, feasible, and has favorable postoperative course.
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