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Retroperitoneal laparoscopic reimplantation of the left renal vein for nutcracker syndrome
Pengfei Shao1, Pu Li, Xiaobing Ju
1Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, PR China.
Objective:
To describe the feasibility of retroperitoneal laparoscopic reimplantation of the left renal vein (LRV) for nutcracker syndrome (NCS).
Patients And Methods:
Two patients with NCS underwent the surgery. Both patients complained of gross hematuria and flank discomfort that could not be relieved by resting. They were placed in a supine position and 5 ports were placed in the right abdominal wall. The procedures were performed with a retroperitoneal approach. The LRV was transected and then reimplanted into the distal inferior vena cava.
Results:
The procedures were performed successfully without any major complications. The total operation time was 105 and 120 min, respectively. Hematuria and flank discomfort were resolved after the surgery. Ultrasonography revealed a patent lumen without compression.
Conclusions:
Retroperitoneal laparoscopic reimplantation of the LRV appears to be a feasible procedure with satisfactory short-term outcomes.
