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Laparoscopic transposition of the left renal vein into the inferior vena cava for nutcracker syndrome  Olivier Hartung, MD, Amine Azghari, MD, Pierre.

Published byEloi Rochon Modified over 5 years ago

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Presentation on theme: "Laparoscopic transposition of the left renal vein into the inferior vena cava for nutcracker syndrome  Olivier Hartung, MD, Amine Azghari, MD, Pierre."— Presentation transcript:

1 Laparoscopic transposition of the left renal vein into the inferior vena cava for nutcracker syndrome  Olivier Hartung, MD, Amine Azghari, MD, Pierre Barthelemy, MD, PhD, Mourad Boufi, MD, Yves S. Alimi, MD, PhD  Journal of Vascular Surgery  Volume 52, Issue 3, Pages (September 2010) DOI: /j.jvs Copyright © 2010 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Preoperative selective phlebography. A, Left renal vein phlebography showing a tight stenosis with left ovarian vein reflux. B, Reflux in the left gonadic vein while injecting into the left renal vein; the left ovarian plexus drains into the left internal iliac vein. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Laparoscopic approach. A, Trocar positioning. 1, suction; 2 and 3, instruments; 4, camera; R, point of insertion of the retractor (Retis, Protomed, Marseille, France); C, point of insertion of the laparoscopic clamp (B/Braun-Aesculap, Tuttlingen, Germany). B, View after placement of the laparoscopic retractor (Retis, Protomed, Marseille, France) and opening of the retroperitoneal space. C, View after dissection of the left renal vein and the inferior vena cava. D, Section of the left adrenal vein. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Operative view. A, Section of the LRV on the IVC. B, Laparoscopic reimplantation of the LRV into the infra-renal IVC using 6/0 PTFE running suture. C, Result after unclamping. D, Perioperative completion angiography. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

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