Vascular Injuries During A Robotic Left Radical Nephrectomy: Case Report

M. Khalil, Benjamin Schurhamer, M. Kamel
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Abstract

A 57-year female patient presented with a solid left renal mass to the urologic oncology clinic (Figure 1). The renal mass was an incidental finding during investigation for lower back pain. Otherwise, the patient was relatively healthy. We counseled the patient on her treatment options including open versus minimally invasive radical nephrectomy. The patient felt appealed to undergo a robotic left radical nephrectomy. The counselling also involved the potential complications of left radical nephrectomy (whether open/robotic) including injuries to the superior mesenteric artery (SMA), and the potential fatal outcome of such an injury as well as any other injuries involving the Aorta.
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机器人左肾根治术中血管损伤一例报告
一名57岁的女性患者在泌尿肿瘤诊所出现左肾实性肿块(图1)。肾脏肿块是在调查下背痛时偶然发现的。除此之外,患者相对健康。我们对患者的治疗方案进行了咨询,包括开放式和微创根治性肾切除术。病人觉得有必要接受机器人左肾根治术。咨询还涉及左侧根治性肾切除术(无论是开放式还是机器人式)的潜在并发症,包括肠系膜上动脉(SMA)损伤,以及此类损伤以及涉及主动脉的任何其他损伤的潜在致命后果。
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