title: Laparoscopic repair of renal artery aneurysm: a description of the technique and results in 2 cases.
abstract: OBJECTIVE
  Renal artery aneurysm is a rare occurrence. We report our experience in the management of 2 symptomatic renal artery aneurysms with laparoscopic approach.
  
  
  METHODS
  Two patients, male and female, mean age 44 years (range: 43 to 45 y), diagnosed with left renal artery aneurysms during routine hypertension work-up, underwent laparoscopic aneurysm reconstruction.
  
  
  RESULTS
  Operative time was 180 and 150 minutes with a warm ischemia time of 46 and 15 minutes and an estimated operative bleeding of 50 and 0 mL, respectively. The patients were discharged home on postoperative day 2 and 5, respectively. A selective left renal arteriography showed normal caliber of the repaired arteries in both patients. A follow-up of 45 and 7 months, respectively, has been uneventful.
  
  
  CONCLUSIONS
  In well-selected patients, vascular surgical techniques may offer excellent results. Laparoscopy provides the advantages of the minimally invasive approach while achieving adequate vascular control. However, advance training in laparoscopic reconstructive surgical techniques is required before attempting this procedure.
authors: Section of Endourology and Laparoscopic Urology, Clínica Santa María, Universidad Católica de Chile, Santiago, Chile. octaviocastillo@vtr.net
authors: Octavio A
authors: OA
authors: Castillo
authors: Gonzalo J
authors: GJ
authors: Vitagliano
authors: Rafael
authors: R
authors: Sanchez-Salas
authors: Hernán
authors: H
authors: Chamorro
authors: Mario
authors: M
authors: Fava
authors: Manuel A
authors: MA
authors: Díaz
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012077:Renal Artery; D013536:Suture Techniques