Celiac Axis and Superior Mesenteric Artery: Danger Zone for Left Nephrectomy

被引：12
|
作者：
Nevoux, Pierre [1 ,2 ]
Zini, Laurent [3 ]
Villers, Arnauld [3 ]
Boleslawski, Emmanuel [1 ,2 ]
Nunes, Bertrand [1 ,2 ]
Zerbib, Philippe [1 ,2 ]
机构：
[1] Lille Reg Univ Teaching Hosp CHRU, Digest Surg & Transplantat Dept, F-59037 Lille, Nord, France
[2] Univ Lille 2, Fac Med, EA 2693, Lille, France
[3] Lille Reg Univ Teaching Hosp CHRU, Dept Urol, F-59037 Lille, France
来源：
JOURNAL OF ENDOUROLOGY | 2008年 / 22卷 / 11期
关键词：
D O I：
10.1089/end.2008.0066
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
We report two cases of iatrogenic occlusion of the superior mesenteric artery (SMA) and celiac axis (CA) during left nephrectomy. A patient with a urothelial carcinoma (open surgery) and one with coralliform calculi (laparoscopy) experienced injury to both the SMA and/or CA due to bulky perihilar adenopathy and kidney adherence to surrounding tissue. The cancer patient survived after fast repair. Repair was delayed in the second patient who subsequently died. It is essential to identify each arterial branch carefully on the preoperative CT-scan to identify any duplicate renal arteries and avoid mistaking the SMA and/or CA for the renal artery.
引用
收藏
页码：2571 / 2574
页数：4
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