Intraoperative management of renal vein rupture during robotic partial nephrectomy (RAPN)

Nicolò Fiorello1, Andrea Di Benedetto2, Daniele Summonti2, Andrea Mogorovich2, Marco Lencioni3, Giuseppe Silvestri1, Sandro Benvenuti2, Carlo Alberto Sepich1
  • 1 Ospedale San Luca, UOC Urologia (Lucca)
  • 2 Ospedale Versilia, UOC Urologia (Camaiore)
  • 3 Università degli studi di Pisa (Pisa)

Abstract

The video shows the case of a young patient with a totally endophytic mesorenal 5 cm lesion of the right kidney.
The patient underwent diagnostic ureterorenoscopy for suspected urothelial origin. During the procedure the minus of contrast medium, seen on the CT, was revealed by compression ab estrinseco.
She underwent a renal biopsy with evidence of oncocytoma.

In addition, CT revealed the presence of a double right renal artery.
During RAPN, an accidental rupture of the renal vein occurred while performing double clamping through buldog. Intraoperative management and suturing was completely intracorporeal. The patient completed the procedure with excision of the tumor and sparing of the kidney . She was discharged after 3 days.

This video is extremely interesting for learning how to manage severe complications.

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