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Revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy
INTRODUCTION: Superior mesenteric artery (SMA) injury is very peculiar to left sided renal surgery. Although it is rare only, most of it is unreported. We report a case of SMA injury during robot assisted laparoscopic nephrectomy, which was managed successfully by end to end anastomosis. CASE PRESEN...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796751/ https://www.ncbi.nlm.nih.gov/pubmed/31563056 http://dx.doi.org/10.1016/j.ijscr.2019.09.007 |
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author | Kumar, Sunil Navariya, Shiv C. Bhirud, Deepak P. Ranjan, Satish K. Mittal, Ankur Mammen, Kim J. |
author_facet | Kumar, Sunil Navariya, Shiv C. Bhirud, Deepak P. Ranjan, Satish K. Mittal, Ankur Mammen, Kim J. |
author_sort | Kumar, Sunil |
collection | PubMed |
description | INTRODUCTION: Superior mesenteric artery (SMA) injury is very peculiar to left sided renal surgery. Although it is rare only, most of it is unreported. We report a case of SMA injury during robot assisted laparoscopic nephrectomy, which was managed successfully by end to end anastomosis. CASE PRESENTATION: A 19-year-old male patient was undergoing robot assisted laparoscopic simple nephrectomy for pyelonephritic kidney. Because of dense adhesion, SMA was inadvertently clipped and cut. It was recognised intraoperatively and an end to end anastomosis was done by laparotomy. DISCUSSION: SMA injury is rarely encountered in surgical practice. Most of it occurs following trauma. Iatrogenic SMA injury occurs in case of distorted local anatomy either due to adhesion or bulky tumor in left renal fossa and vicinity. CONCLUSION: One should be cautious about proximity of SMA and its possible injury during left nephrectomy and it should be repaired as soon as possible. |
format | Online Article Text |
id | pubmed-6796751 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-67967512019-10-22 Revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy Kumar, Sunil Navariya, Shiv C. Bhirud, Deepak P. Ranjan, Satish K. Mittal, Ankur Mammen, Kim J. Int J Surg Case Rep Article INTRODUCTION: Superior mesenteric artery (SMA) injury is very peculiar to left sided renal surgery. Although it is rare only, most of it is unreported. We report a case of SMA injury during robot assisted laparoscopic nephrectomy, which was managed successfully by end to end anastomosis. CASE PRESENTATION: A 19-year-old male patient was undergoing robot assisted laparoscopic simple nephrectomy for pyelonephritic kidney. Because of dense adhesion, SMA was inadvertently clipped and cut. It was recognised intraoperatively and an end to end anastomosis was done by laparotomy. DISCUSSION: SMA injury is rarely encountered in surgical practice. Most of it occurs following trauma. Iatrogenic SMA injury occurs in case of distorted local anatomy either due to adhesion or bulky tumor in left renal fossa and vicinity. CONCLUSION: One should be cautious about proximity of SMA and its possible injury during left nephrectomy and it should be repaired as soon as possible. Elsevier 2019-09-19 /pmc/articles/PMC6796751/ /pubmed/31563056 http://dx.doi.org/10.1016/j.ijscr.2019.09.007 Text en © 2019 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kumar, Sunil Navariya, Shiv C. Bhirud, Deepak P. Ranjan, Satish K. Mittal, Ankur Mammen, Kim J. Revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy |
title | Revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy |
title_full | Revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy |
title_fullStr | Revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy |
title_full_unstemmed | Revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy |
title_short | Revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy |
title_sort | revascularisation of iatrogenic superior mesenteric artery injury by end to end anastomosis during robot assisted nephrectomy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6796751/ https://www.ncbi.nlm.nih.gov/pubmed/31563056 http://dx.doi.org/10.1016/j.ijscr.2019.09.007 |
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