Laparoscopic repair of renal artery aneurysm: a description of the technique and results in 2 cases.
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.
Castillo
Octavio A
OA
Section of Endourology and Laparoscopic Urology, Clínica Santa María, Universidad Católica de Chile, Santiago, Chile. octaviocastillo@vtr.net
Vitagliano
Gonzalo J
GJ
Sanchez-Salas
Rafael
R
Chamorro
Hernán
H
Fava
Mario
M
Díaz
Manuel A
MA
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