Renal Autotransplantation as Savior in Hybrid Surgery for Aortic Aneurysm Repair

Rana, Yajvender Pratap Singh; Gupta, Sharad; Singh, Dharam Raj; Bedi, Varinder Singh; Pathak, Kunal; Pradhan, Aditya; Talwar, Rajnish

doi:10.1159/000336466

Cited by 4 publications

(2 citation statements)

References 15 publications

(12 reference statements)

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“…Renal autotransplantation is a safe and effective procedure to reconstruct the urinary tract. The current indications for autotransplantation include renal vascular disease, severe ureteral damage, tumors of the kidney and ureter, complex nephrolithiasis and retroperitoneal fibrosis [21]. This approach has become the treatment of first choice in the option of extracorporeal repair of the kidney, if necessary.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal Laparoscopic Nephrectomy Combined with Bench Surgery and Autotransplantation for Renal Cell Carcinoma in the Solitary Kidney or Tumor Involving Bilateral Kidneys: Experience at a Single Center and Technical Considerations

Li²,

Shao³

et al. 2016

Urol Int

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Objective: To assess the feasibility of retroperitoneal laparoscopic nephrectomy combined with bench surgery and autotransplantation in treating complex renal tumor. Patients and Methods: Six patients with complex renal tumor were seen in our institution between 2010 and 2014. Three patients with bilateral renal cell carcinoma underwent retroperitoneal laparoscopic nephrectomy on both sides. Extracorporeal tumorectomy and renal reconstruction were performed on the side of the smaller tumor and then kidney autotransplantation was performed. The other 3 patients with tumor involving the solitary kidney underwent laparoscopic nephrectomy combined with bench surgery and autotransplantation. Result: The total time of the operation was 287 ± 25 min; warm ischemia time 3.1 ± 0.7 min; cold ischemia time 47 ± 8.1 min; and kidney autotransplantation required time 86 ± 8.6 min. Estimated blood loss was 232 ± 45.8 ml. Serum creatinine levels were 179 ± 44.7 µmol/l upon hospital discharge. Two patients received temporary hemodialysis. No patient needed further hemodialysis during follow-up. One patient died of multiple metastases 18 months after surgery. The other 5 patients survived without recurrence or metastasis during follow-up. Conclusions: Retroperitoneal laparoscopic radical nephrectomy combined with bench surgery and autotransplantation is a feasible choice for patients with complex renal cell carcinoma in bilateral kidneys and tumor involving the solitary kidney.

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Section: Discussionmentioning

confidence: 99%

Retroperitoneal Laparoscopic Nephrectomy Combined with Bench Surgery and Autotransplantation for Renal Cell Carcinoma in the Solitary Kidney or Tumor Involving Bilateral Kidneys: Experience at a Single Center and Technical Considerations

Li²,

Shao³

et al. 2016

Urol Int

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show abstract

“…More common indications to perform renal autotransplantation include renovascular hypertension, extensive ureteral damage and tumours of the kidney and ureter. But autotransplantation can also be used to treat diverse other urological or even vascular conditions, as Rana et al demonstrated successfully in hybrid surgery for aortic aneurysm repair [10] . The renal nutcracker syndrome, a compression of the left renal vein between the aorta and proximal superior mesenteric artery leading to similar symptoms as the LPHS, can also effectively be treated by renal autotransplantation, although, recently a newer method using retroperitoneal laparoscopic extravascular stent placement has been described [11] .…”

Section: Discussionmentioning

confidence: 99%