title: Complex renal artery aneurysm managed with hand-assisted laparoscopic nephrectomy, ex vivo repair, and autotransplantation.
abstract: A 58-year-old woman had an incidentally found complex right renal artery aneurysm (RAA) during a clinical work-up for diverticulitis. The aneurysm measured 2.5 cm in diameter and was located at the right renal artery bifurcation. She was hospitalized and underwent hand-assisted laparoscopic nephrectomy with ex vivo repair of the RAA and autotransplantation into the right iliac fossa. The same incision was used to remove the kidney from the retroperitoneum as was used to transplant into the right lower quadrant. She tolerated the procedure well. Her postoperative course was uncomplicated. Hand-assisted laparoscopic nephrectomy with ex vivo repair of a complicated RAA and autotransplantation is feasible and safe.
authors: Department of Urology, University of Vermont, Burlington, VT. Electronic address: benjamin.king@vtmednet.org.
authors: Benjamin J
authors: BJ
authors: King
authors: Department of Urology, University of Vermont, Burlington, VT.
authors: Georg
authors: G
authors: Steinthorsson
authors: Department of Urology, University of Vermont, Burlington, VT.
authors: Antonio
authors: A
authors: Di Carlo
mesh_terms: D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D058733:Hand-Assisted Laparoscopy; D006801:Humans; D033162:Incidental Findings; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D012077:Renal Artery / Q000000981:diagnostic imaging / Q000601:surgery* / Q000637:transplantation; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous; D016896:Treatment Outcome