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Published in: Journal of Robotic Surgery 2/2017

01-06-2017 | Case Report

Delayed renal artery pseudoaneurysm after robotic partial nephrectomy

Authors: Daniel P. Verges, Andrew Margules, Samuel Weprin, Basil Ferenczi, Costas D. Lallas

Published in: Journal of Robotic Surgery | Issue 2/2017

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Excerpt

Renal artery pseudoaneurysm (RAP) is a rare complication of partial nephrectomy occurring with a frequency of 2% [9, 11]. While most RAPs occur within 2 weeks post-operatively, there are a limited number of reports in the literature describing delayed presentation (>25 days). We report two cases of delayed RAP after robot-assisted laparoscopic partial nephrectomy (RPN) and propose changes in surgical technique to decrease this complication. …
Literature
1.
go back to reference Netsch C, Brüning R, Bach T, Gross AJ (2010) Management of renal artery pseudoaneurysm after partial nephrectomy. World J Urol 28(4):519–524CrossRefPubMed Netsch C, Brüning R, Bach T, Gross AJ (2010) Management of renal artery pseudoaneurysm after partial nephrectomy. World J Urol 28(4):519–524CrossRefPubMed
2.
go back to reference Albani JM, Novick AC (2003) Renal artery pseudoaneurysm after partial nephrectomy: three case reports and a literature review. Urology 62(2):227–231CrossRefPubMed Albani JM, Novick AC (2003) Renal artery pseudoaneurysm after partial nephrectomy: three case reports and a literature review. Urology 62(2):227–231CrossRefPubMed
3.
go back to reference Heye S, Maleux G, Van Poppel H, Oyen R, Wilms G (2005) Hemorrhagic complications after nephron-sparing surgery: angiographic diagnosis and management by transcatheter embolization. Am J Roentgenol 184(5):1661–1664CrossRef Heye S, Maleux G, Van Poppel H, Oyen R, Wilms G (2005) Hemorrhagic complications after nephron-sparing surgery: angiographic diagnosis and management by transcatheter embolization. Am J Roentgenol 184(5):1661–1664CrossRef
4.
go back to reference Cohenpour M, Strauss S, Gottlieb P, Peer A, Rimon U, Stav K, Gayer G (2007) Pseudoaneurysm of the renal artery following partial nephrectomy: imaging findings and coil embolization. Clin Radiol 62(11):1104–1109CrossRefPubMed Cohenpour M, Strauss S, Gottlieb P, Peer A, Rimon U, Stav K, Gayer G (2007) Pseudoaneurysm of the renal artery following partial nephrectomy: imaging findings and coil embolization. Clin Radiol 62(11):1104–1109CrossRefPubMed
5.
go back to reference Rezvani Abas, Ward Joseph N, Lavengood Russell W (1973) Intrarenal aneurysm following partial nephrectomy. Urology 2(3):286–288CrossRefPubMed Rezvani Abas, Ward Joseph N, Lavengood Russell W (1973) Intrarenal aneurysm following partial nephrectomy. Urology 2(3):286–288CrossRefPubMed
6.
go back to reference Lee Richard S, Porter James R (2003) Traumatic renal artery pseudoaneurysm: diagnosis and management techniques. J Trauma Acute Care Surg 55(5):972–978CrossRef Lee Richard S, Porter James R (2003) Traumatic renal artery pseudoaneurysm: diagnosis and management techniques. J Trauma Acute Care Surg 55(5):972–978CrossRef
7.
go back to reference Singh Dinesh, Gill Inderbir S (2005) Renal artery pseudoaneurysm following laparoscopic partial nephrectomy. J Urol 174(6):2256–2259CrossRefPubMed Singh Dinesh, Gill Inderbir S (2005) Renal artery pseudoaneurysm following laparoscopic partial nephrectomy. J Urol 174(6):2256–2259CrossRefPubMed
8.
9.
go back to reference Darbyshire D, Dukic I, Ali Z, Shackley D (2014) Conservative management of renal artery pseudoaneurysm following partial nephrectomy. Ann R Coll Surg Engl 96:e17–e18CrossRefPubMedPubMedCentral Darbyshire D, Dukic I, Ali Z, Shackley D (2014) Conservative management of renal artery pseudoaneurysm following partial nephrectomy. Ann R Coll Surg Engl 96:e17–e18CrossRefPubMedPubMedCentral
10.
go back to reference Hyams ES et al (2011) Iatrogenic vascular lesions after minimally invasive partial nephrectomy: a multi-institutional study of clinical and renal functional outcomes. Urology 78:820–826CrossRefPubMed Hyams ES et al (2011) Iatrogenic vascular lesions after minimally invasive partial nephrectomy: a multi-institutional study of clinical and renal functional outcomes. Urology 78:820–826CrossRefPubMed
11.
go back to reference Montag et al (2011) Delayed haemorrhage after laparoscopic partial nephrectomy. BJU Int 107:1460–1466CrossRefPubMed Montag et al (2011) Delayed haemorrhage after laparoscopic partial nephrectomy. BJU Int 107:1460–1466CrossRefPubMed
12.
go back to reference Strobl FF et al (2016) Renal pseudoaneurysms and arteriovenous fistulas as a complication of nephron-sparing partial nephrectomy: technical and functional outcomes of patients treated with selective microcoil embolization during a ten-year period. Fortschr Rontgenstr 188:188–194CrossRef Strobl FF et al (2016) Renal pseudoaneurysms and arteriovenous fistulas as a complication of nephron-sparing partial nephrectomy: technical and functional outcomes of patients treated with selective microcoil embolization during a ten-year period. Fortschr Rontgenstr 188:188–194CrossRef
13.
go back to reference Omae K et al (2015) Renal sinus exposure as an independent factor predicting asymptomatic unruptured pseudoaneurysm formation detected in the early postoperative period after minimally invasive partial nephrectomy. Int J Urol 22(4):356–361CrossRefPubMed Omae K et al (2015) Renal sinus exposure as an independent factor predicting asymptomatic unruptured pseudoaneurysm formation detected in the early postoperative period after minimally invasive partial nephrectomy. Int J Urol 22(4):356–361CrossRefPubMed
14.
go back to reference Ghoneim TP et al (2011) Selective arterial embolization for pseudoaneurysms and arteriovenous fistula of renal artery branches following partial nephrectomy. J Urol 185:2061–2065CrossRefPubMed Ghoneim TP et al (2011) Selective arterial embolization for pseudoaneurysms and arteriovenous fistula of renal artery branches following partial nephrectomy. J Urol 185:2061–2065CrossRefPubMed
15.
go back to reference Nadu A et al (2009) Laparoscopic partial nephrectomy for central tumors: analysis of perioperative outcomes and complications. J Urol 181:42CrossRefPubMed Nadu A et al (2009) Laparoscopic partial nephrectomy for central tumors: analysis of perioperative outcomes and complications. J Urol 181:42CrossRefPubMed
Metadata
Title
Delayed renal artery pseudoaneurysm after robotic partial nephrectomy
Authors
Daniel P. Verges
Andrew Margules
Samuel Weprin
Basil Ferenczi
Costas D. Lallas
Publication date
01-06-2017
Publisher
Springer London
Published in
Journal of Robotic Surgery / Issue 2/2017
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-017-0676-2

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