Laparoscopic treatment of renal artery entrapment

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Presentation transcript:

Laparoscopic treatment of renal artery entrapment Carsten Michael Bünger, MD, Wolfgang Schareck, MD, PhD, Ernst Klar, MD, PhD, Jens-Christian Kröger, MD Journal of Vascular Surgery Volume 52, Issue 5, Pages 1357-1361 (November 2010) DOI: 10.1016/j.jvs.2010.05.114 Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 1 Reconstruction of a magnetic resonance angiography shows near total occlusion of the celiac artery and severe stenosis of the left renal artery. Journal of Vascular Surgery 2010 52, 1357-1361DOI: (10.1016/j.jvs.2010.05.114) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 2 Drawing shows the patient position for operation 1 (OP1, decompression of celiac artery entrapment) and operation 2 (OP2, decompression of renal artery entrapment), and sites of trocar insertion for the 45° laparoscope, 1; operator instruments, 2 and 3; and endoretractor, 4. Journal of Vascular Surgery 2010 52, 1357-1361DOI: (10.1016/j.jvs.2010.05.114) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 3 The celiac artery (⇒) has been completely skeletonized and decompressed laparoscopically. *, left gastric artery; **, common hepatic artery; ***, splenic artery. Journal of Vascular Surgery 2010 52, 1357-1361DOI: (10.1016/j.jvs.2010.05.114) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 4 Drawing of transperitoneal retrorenal laparoscopic decompression of the left renal artery by division of left diaphragmatic crus. Journal of Vascular Surgery 2010 52, 1357-1361DOI: (10.1016/j.jvs.2010.05.114) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

Fig 5 Complete release of the left renal artery from diaphragmatic crural (*) compression. **, aorta; ***, spleen. Journal of Vascular Surgery 2010 52, 1357-1361DOI: (10.1016/j.jvs.2010.05.114) Copyright © 2010 Society for Vascular Surgery Terms and Conditions