title: Laparoscopic Left Renal Vein Transposition for Nutcracker Syndrome.
abstract: The left renal vein (LRV) reimplantation into the distal inferior vena cava is considered to be the gold standard of care for symptomatic nutcracker syndrome (NCS). The vast majority of these surgical procedures are performed by open surgery. Experiences with minimally invasive laparoscopic surgery in this field are very limited. We present a case of a 17-year-old boy with NCS in whom the transposition of the LRV was done laparoscopically. The patient suffered from left flank pain, painful left-sided varicocele, microscopic hematuria, proteinuria, and oligoasthenospermia. There were no intraoperative complications, and the postoperative course was uneventful. At 12-month follow-up, hematuria, left flank pain, and left testicular pain resolved. Duplex ultrasonography revealed patent LRV. Laparoscopic LRV transposition appears to be safe, feasible, and has favorable postoperative course.
authors.affiliation: Department of Surgery, University Hospital and Faculty of Medicine Hradec Kralove, Charles University in Prague, Hradec Kralove, Czech Republic. Electronic address: gunka@email.cz.
authors.forename: Igor
authors.initials: I
authors.lastname: Gunka
authors.affiliation: Department of Urology, University Hospital and Faculty of Medicine Hradec Kralove, Charles University in Prague, Hradec Kralove, Czech Republic.
authors.forename: Pavel
authors.initials: P
authors.lastname: Navratil
authors.affiliation: Department of Surgery, University Hospital and Faculty of Medicine Hradec Kralove, Charles University in Prague, Hradec Kralove, Czech Republic.
authors.forename: Michal
authors.initials: M
authors.lastname: Lesko
authors.affiliation: Department of Surgery, University Hospital and Faculty of Medicine Hradec Kralove, Charles University in Prague, Hradec Kralove, Czech Republic.
authors.forename: Stanislav
authors.initials: S
authors.lastname: Jiska
authors.affiliation: Department of Radiology, University Hospital and Faculty of Medicine Hradec Kralove, Charles University in Prague, Hradec Kralove, Czech Republic.
authors.forename: Jan
authors.initials: J
authors.lastname: Raupach
mesh_terms: D000293:Adolescent; D006801:Humans; D010535:Laparoscopy; D008297:Male; D010690:Phlebography / Q000379:methods; D059228:Renal Nutcracker Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D012082:Renal Veins / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D012092:Replantation; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014654:Vascular Patency; D014682:Vena Cava, Inferior / Q000601:surgery