Vasc Spec Int.  2017 Jun;33(2):84-87. 10.5758/vsi.2017.33.2.84.

Hand-Assisted Laparoscopic Nephrectomy and Auto-Transplantation for a Hilar Renal Artery Aneurysm: A Case Report

Affiliations
  • 1Department of Surgery, National Police Hospital, Seoul, Korea.
  • 2Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jbparkmd@gmail.com

Abstract

A 52-year-old man was admitted with an incidentally detected right renal artery aneurysm (RAA). Computed tomographic angiography with three-dimensional reconstruction revealed that the aneurysm was 2.2 cm in diameter and located at the renal hilum. We performed hand-assisted laparoscopic nephrectomy with ex vivo repair of the RAA and auto-transplantation with minimal elongation of Gibson incision. The operation and postoperative course were uneventful. At last follow-up, the patient was alive with a well-functioning auto-transplant. Hand-assisted laparoscopic nephrectomy and auto-transplantation is a useful treatment option for hilar RAA.

Keyword

Renal artery aneurysm; Auto-transplantation; Hand-assisted laparoscopy

MeSH Terms

Aneurysm*
Angiography
Follow-Up Studies
Hand-Assisted Laparoscopy
Humans
Middle Aged
Nephrectomy*
Renal Artery*
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