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Urol Int. 2014;92(4):396-9. doi: 10.1159/000353349. Epub 2014 Feb 26.

Retroperitoneal laparoscopic extravascular stent placement for renal nutcracker syndrome: initial experience.

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  • 1Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Abstract

OBJECTIVE:

To report our initial experience in treating renal nutcracker syndrome by retroperitoneal laparoscopic extravascular stenting.

PATIENTS AND METHODS:

Two male patients, aged 13 and 16 years, were diagnosed with nutcracker syndrome and received retroperitoneal laparoscopic extravascular stent placement. The perioperative data were collected and evaluated. The follow-up was 10 and 18 months.

RESULTS:

Both procedures were successful without obvious complications. Total operative time was 65 and 50 min, estimated blood loss was 110 and 70 ml, and postoperative hospital stay was 4 and 6 days. The symptom of gross hematuria ceased 3 and 6 days after surgery. Both patients had normal findings during follow-up.

CONCLUSIONS:

Treatment of nutcracker syndrome by retroperitoneal laparoscopic extravascular stent placement is a safe and feasible procedure, especially for youngsters in the period of physical development. Longer follow-up and further experience are needed to evaluate the efficacy of this procedure.

PMID:
24576978
DOI:
10.1159/000353349
[PubMed - indexed for MEDLINE]
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