Robotic Renal Vein Bypass: A Novel Technique for Treating a Challenging Case of Nutcracker Syndrome.

Autor:	Choudhry A; Division of Vascular and Endovascular Surgery, SUNY Upstate Medical University, Syracuse, NY, USA., DeNoble D; Division of Vascular and Endovascular Surgery, SUNY Upstate Medical University, Syracuse, NY, USA., Bratslavsky G; Division of Urology, SUNY Upstate Medical University, Syracuse, NY, USA., Feghali A; Division of Vascular and Endovascular Surgery, SUNY Upstate Medical University, Syracuse, NY, USA.
Jazyk:	angličtina
Zdroj:	Vascular and endovascular surgery [Vasc Endovascular Surg] 2024 Aug; Vol. 58 (6), pp. 669-675. Date of Electronic Publication: 2024 Apr 19.
DOI:	10.1177/15385744241249291
Abstrakt:	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. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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