Superior mesenteric artery injury during laparoscopic radical nephrectomy

The authors present to your a en on a rare clinical case of complete intersec on of the superior mesenteric artery in laparoscopic radical nephrectomy. This complica on emerged in the process of learning the technique of laparoscopic radical nephrectomy, before reaching the “plateau” of the learning...

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Main Authors: E. A. Kruglov, A. I. Narkevich, A. I. Babich, Y. A. Pobedintseva, V. A. Kudlachev, E. V. Filimonov, A. N. Goncharov, V. M. Unguryan
Format: Article
Language:Russian
Published: QUASAR, LLC 2018-09-01
Series:Исследования и практика в медицине
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Online Access:https://www.rpmj.ru/rpmj/article/view/302
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author E. A. Kruglov
A. I. Narkevich
A. I. Babich
Y. A. Pobedintseva
V. A. Kudlachev
E. V. Filimonov
A. N. Goncharov
V. M. Unguryan
author_facet E. A. Kruglov
A. I. Narkevich
A. I. Babich
Y. A. Pobedintseva
V. A. Kudlachev
E. V. Filimonov
A. N. Goncharov
V. M. Unguryan
author_sort E. A. Kruglov
collection DOAJ
description The authors present to your a en on a rare clinical case of complete intersec on of the superior mesenteric artery in laparoscopic radical nephrectomy. This complica on emerged in the process of learning the technique of laparoscopic radical nephrectomy, before reaching the “plateau” of the learning curve, in condi ons of poor vision and in the interposi on of tissues due to paratumorous infitiltra on. This type of injury has a high risk of total necrosis of the small intestine. However, due to the concerted ac ons of the surgical service and the readiness of surgeons to complete the vascular suture of the main vessels, a successful reimplanta on of the superior mesenteric artery into the aorta was performed. This is confi rmed by postopera ve observa on and examina on, which included CT angiography. It should be noted that descrip ons of cases of aor c reimplanta on of the superior mesenteric artery are extremely rare in the world and national literature, except for cases of mesenteric ischemia. This case contributes to the description of rare cases of aor c reimplanta on of the superior mesenteric artery and shows the correctness of the selected surgical tactics.
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record_format Article
series Исследования и практика в медицине
spelling doaj-art-a6b2a5bcdc7f43a1819a98c73d2eb6fd2025-02-03T07:12:13ZrusQUASAR, LLCИсследования и практика в медицине2410-18932018-09-015313614110.17709/2409-2231-2018-5-3-14225Superior mesenteric artery injury during laparoscopic radical nephrectomyE. A. Kruglov0A. I. Narkevich1A. I. Babich2Y. A. Pobedintseva3V. A. Kudlachev4E. V. Filimonov5A. N. Goncharov6V. M. Unguryan7Kostroma Oncological HospitalKostroma Oncological HospitalKostroma Oncological HospitalKostroma Oncological HospitalKostroma Oncological HospitalKostroma Oncological HospitalKostroma Oncological HospitalKostroma Oncological HospitalThe authors present to your a en on a rare clinical case of complete intersec on of the superior mesenteric artery in laparoscopic radical nephrectomy. This complica on emerged in the process of learning the technique of laparoscopic radical nephrectomy, before reaching the “plateau” of the learning curve, in condi ons of poor vision and in the interposi on of tissues due to paratumorous infitiltra on. This type of injury has a high risk of total necrosis of the small intestine. However, due to the concerted ac ons of the surgical service and the readiness of surgeons to complete the vascular suture of the main vessels, a successful reimplanta on of the superior mesenteric artery into the aorta was performed. This is confi rmed by postopera ve observa on and examina on, which included CT angiography. It should be noted that descrip ons of cases of aor c reimplanta on of the superior mesenteric artery are extremely rare in the world and national literature, except for cases of mesenteric ischemia. This case contributes to the description of rare cases of aor c reimplanta on of the superior mesenteric artery and shows the correctness of the selected surgical tactics.https://www.rpmj.ru/rpmj/article/view/302laparoscopynephrectomylearning curverenal cell carcinomaiatrogenysuperior mesenteric arteryaortic reimplantation
spellingShingle E. A. Kruglov
A. I. Narkevich
A. I. Babich
Y. A. Pobedintseva
V. A. Kudlachev
E. V. Filimonov
A. N. Goncharov
V. M. Unguryan
Superior mesenteric artery injury during laparoscopic radical nephrectomy
Исследования и практика в медицине
laparoscopy
nephrectomy
learning curve
renal cell carcinoma
iatrogeny
superior mesenteric artery
aortic reimplantation
title Superior mesenteric artery injury during laparoscopic radical nephrectomy
title_full Superior mesenteric artery injury during laparoscopic radical nephrectomy
title_fullStr Superior mesenteric artery injury during laparoscopic radical nephrectomy
title_full_unstemmed Superior mesenteric artery injury during laparoscopic radical nephrectomy
title_short Superior mesenteric artery injury during laparoscopic radical nephrectomy
title_sort superior mesenteric artery injury during laparoscopic radical nephrectomy
topic laparoscopy
nephrectomy
learning curve
renal cell carcinoma
iatrogeny
superior mesenteric artery
aortic reimplantation
url https://www.rpmj.ru/rpmj/article/view/302
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AT yapobedintseva superiormesentericarteryinjuryduringlaparoscopicradicalnephrectomy
AT vakudlachev superiormesentericarteryinjuryduringlaparoscopicradicalnephrectomy
AT evfilimonov superiormesentericarteryinjuryduringlaparoscopicradicalnephrectomy
AT angoncharov superiormesentericarteryinjuryduringlaparoscopicradicalnephrectomy
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