A Novel Approach for Repairing Superior Mesenteric Artery Injury During Left Nephrectomy-6-year Follow-up
Copyright © 2020 Elsevier Inc. All rights reserved..
OBJECTIVE: To describe a novel approach for reconstructing the superior mesenteric artery (SMA) during left nephrectomy and review the literature.
MATERIALS AND METHODS: The patient was a 57-year-old man with left back pain from an unknown cause for more than 3 hours. A computed tomography scan showed a 12- × 15-cm firm mass and a subcapsular hematoma in the left kidney. It was considered to be bleeding and rupture of the solid renal mass, and because of persistent pain and no documented distant metastatic disease, a transperitoneal laparoscopic nephrectomy was elected, but the procedure was converted to open surgery for SMA injury. We reconstructed the SMA with end-to-end anastomosis between the SMA and the left renal artery stump.
RESULTS: At the 6-year follow-up, the patient had no intestine-related sequelae.
CONCLUSION: Our novel approach of an end-to-end anastomosis between the SMA and the left renal artery stump is an option for SMA injury, especially when orthotopic anastomosis or repair of the SMA is not indicated.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:144 |
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| Enthalten in: |
Urology - 144(2020) vom: 15. Okt., Seite 241-244 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Zhang, Liyuan [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 24.02.2022 Date Revised 24.02.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.urology.2020.07.017 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM312930712 |
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| 100 | 1 | |a Zhang, Liyuan |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A Novel Approach for Repairing Superior Mesenteric Artery Injury During Left Nephrectomy-6-year Follow-up |
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| 500 | |a Date Completed 24.02.2022 | ||
| 500 | |a Date Revised 24.02.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVE: To describe a novel approach for reconstructing the superior mesenteric artery (SMA) during left nephrectomy and review the literature | ||
| 520 | |a MATERIALS AND METHODS: The patient was a 57-year-old man with left back pain from an unknown cause for more than 3 hours. A computed tomography scan showed a 12- × 15-cm firm mass and a subcapsular hematoma in the left kidney. It was considered to be bleeding and rupture of the solid renal mass, and because of persistent pain and no documented distant metastatic disease, a transperitoneal laparoscopic nephrectomy was elected, but the procedure was converted to open surgery for SMA injury. We reconstructed the SMA with end-to-end anastomosis between the SMA and the left renal artery stump | ||
| 520 | |a RESULTS: At the 6-year follow-up, the patient had no intestine-related sequelae | ||
| 520 | |a CONCLUSION: Our novel approach of an end-to-end anastomosis between the SMA and the left renal artery stump is an option for SMA injury, especially when orthotopic anastomosis or repair of the SMA is not indicated | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Zhang, Xiaokang |e verfasserin |4 aut | |
| 700 | 1 | |a Chang, Pengcheng |e verfasserin |4 aut | |
| 700 | 1 | |a Yang, Jie |e verfasserin |4 aut | |
| 700 | 1 | |a Zheng, Duo |e verfasserin |4 aut | |
| 700 | 1 | |a Zhang, Deng |e verfasserin |4 aut | |
| 700 | 1 | |a Wen, Siqi |e verfasserin |4 aut | |
| 700 | 1 | |a Jing, Suoshi |e verfasserin |4 aut | |
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