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Laparoscopic treatment of renal artery entrapment

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Presentation on theme: "Laparoscopic treatment of renal artery entrapment"— Presentation transcript:

1 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 (November 2010) DOI: /j.jvs Copyright © 2010 Society for Vascular Surgery Terms and Conditions

2 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  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

3 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  , DOI: ( /j.jvs ) Copyright © 2010 Society for Vascular Surgery Terms and Conditions

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

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

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

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