Retroperitoneal laparoscopic reimplantation of the left renal vein for nutcracker syndrome

Urol Int. 2015;94(1):74-8. doi: 10.1159/000362423. Epub 2014 Aug 14.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Blood Loss, Surgical
  • Female
  • Flank Pain / etiology
  • Hematuria / etiology
  • Humans
  • Laparoscopy*
  • Length of Stay
  • Male
  • Operative Time
  • Patient Positioning
  • Phlebography / methods
  • Renal Nutcracker Syndrome / complications
  • Renal Nutcracker Syndrome / diagnosis
  • Renal Nutcracker Syndrome / surgery*
  • Renal Veins / diagnostic imaging
  • Renal Veins / surgery*
  • Replantation*
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography
  • Vascular Surgical Procedures / methods*
  • Vena Cava, Inferior / surgery*
  • Young Adult