Literature DB >> 18973431

Celiac axis and superior mesenteric artery: danger zone for left nephrectomy.

Pierre Nevoux1, Laurent Zini, Arnauld Villers, Emmanuel Boleslawski, Bertrand Nunes, Philippe Zerbib.   

Abstract

We report two cases of iatrogenic occlusion of the superior mesenteric artery (SMA) and celiac axis (CA) during left nephrectomy. A patient with a urothelial carcinoma (open surgery) and one with coralliform calculi (laparoscopy) experienced injury to both the SMA and/or CA due to bulky perihilar adenopathy and kidney adherence to surrounding tissue. The cancer patient survived after fast repair. Repair was delayed in the second patient who subsequently died. It is essential to identify each arterial branch carefully on the preoperative CT-scan to identify any duplicate renal arteries and avoid mistaking the SMA and/or CA for the renal artery.

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Year:  2008        PMID: 18973431     DOI: 10.1089/end.2008.0066

Source DB:  PubMed          Journal:  J Endourol        ISSN: 0892-7790            Impact factor:   2.942


  5 in total

1.  Splenomesenteric bypass as revascularisation technique after iatrogenic injury of the superior mesenteric artery during radical nephrectomy: A case report.

Authors:  Catarina Afonso; Jorge Pereira; Pedro Eufrásio; Júlio Constantino; Paulo Rebelo
Journal:  Int J Surg Case Rep       Date:  2019-05-30

2.  Revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy.

Authors:  Sunil Kumar; Shiv C Navariya; Deepak P Bhirud; Satish K Ranjan; Ankur Mittal; Kim J Mammen
Journal:  Int J Surg Case Rep       Date:  2019-09-19

3.  Superior Mesenteric Artery Injury During Robot-assisted Laparoscopic Nephrectomy: A Robotic Nightmare.

Authors:  Nikhil Mayor; Nikhil Sapre; Becky Sandford; Ben Challacombe
Journal:  Eur Urol Open Sci       Date:  2022-02-26

4.  Superior Mesenteric Artery Injury during Radical Nephrectomy in an Infant: Delayed Diagnosis and Successful Management.

Authors:  Mainak Deb; Harish Jayaram; Jamir Arlikar
Journal:  J Indian Assoc Pediatr Surg       Date:  2021-05-17

5.  Laparoscopic nephrectomy simplified - A "two-window technique" for safer approach to hilum for a novice.

Authors:  Mallikarjuna Chiruvella; Ashwin Sunil Tamhankar; Syed Mohammed Ghouse; Mohammed Taif Bendigeri; Purna Chandra Reddy Kondakindi; Deepak Ragoori
Journal:  Indian J Urol       Date:  2018 Oct-Dec
  5 in total

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