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- Title
Robotic Renal Vein Bypass: A Novel Technique for Treating a Challenging Case of Nutcracker Syndrome.
- Authors
Choudhry, Asad; DeNoble, Daniel; Bratslavsky, Gennady; Feghali, Anthony
- Abstract
This case report highlights the successful application of a robotic-assisted surgical approach in managing Nutcracker syndrome. The patient, a 36-year-old female presented with severe symptoms and underwent robotic left renal vein transposition after failing conservative management. The procedure was performed through a minimally invasive approach utilizing the Da Vinci robotic system™ which offers enhanced visualization and precision. However, challenges arose during the renal vein anastomosis due to tension and poor flow through the transposition, requiring two revisions with a bovine pericardial patch. Ultimately, an 8 mm ringed PTFE bypass was anastomosed from the distal left renal vein to the Inferior Vena Cava. Despite these challenges, the patient experienced a successful outcome with complete symptom resolution of this complicated pathology.
- Subjects
ULTRASONIC imaging of the abdomen; SURGICAL robots; PHLEBOTOMY; TRANSPLANTATION of organs, tissues, etc.; COMPUTED tomography; SURGICAL anastomosis; NUTCRACKER syndrome; MINIMALLY invasive procedures; DISCHARGE planning; PAIN; DYSPAREUNIA; SUTURING
- Publication
Vascular & Endovascular Surgery, 2024, Vol 58, Issue 6, p669
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744241249291