scholarly journals PS70. A Contemporary Experience of Open Surgical Treatment of Renal Artery Aneurysms

2011 ◽  
Vol 53 (6) ◽  
pp. 48S ◽  
Author(s):  
Paul J. Foley ◽  
Grace J. Wang ◽  
Benjamin M. Jackson ◽  
Ali Naji ◽  
Jeffrey Carpenter ◽  
...  
2018 ◽  
Vol 99 (4) ◽  
pp. 722-729
Author(s):  
S B Imamverdiev ◽  
T A Talibov ◽  
I F Makhmudov

Aim. To determine the status and to increase the effectiveness of open surgical treatment of bilateral staghorn nephrolithiasis. Methods. We studied the results of surgical treatment of 250 patients who underwent open surgery for severe forms of bilateral staghorn nephrolithiasis. The patients were divided into four groups according to the features of changes in both kidneys and ureters - group 1 included 125 (50.0%) patients with bilateral staghorn nephrolithiasis, group 2 - 35 (14.0%) patients with staghorn nephrolithiasis of solitary or the only functioning kidney, 70 (28.0%) patients with unilateral staghorn nephrolithiasis and solitary or multiple kidney or ureter stones on the other side were included into group 3, and group 4 inlcuded 20 (8.0%) patients with unilateral staghorn nephrolithiasis and nonobstructive hydronephrosis and other diseases on the other side. The age of patients ranged from 7 to 76 years old, ranging among children from 7 to 18 years (average age 12.1±0.4 years) and among adults from 19 to 76 years (average age 46.4±0.6 years). Among patients, 121 (48.4%) were males and 129 (51.6%) were females. Results. Surgical tactics and the results of performed surgeries in certain groups were studied. Overall, 127 (50.8±3.8%) of 250 patients underwent surgery on the right kidney, and 123 (49.2±3.2%) - on the left kidney. To achieve minimal blood loss during the surgery, in 20% of cases renal artery was clamped. To protect kidneys from ischemia, 3 mg/kg of furosemide, 0.2 mg/kg of verapamil and 1 mg/kg of methylethylpiridinol were used before and after clamping of the renal artery. Open surgical treatment of 250 patients with bilateral staghorn nephrolithiasis was successful in 246 (98.4±0.8%) patients. In case of residual stones, extracorporeal or ureterorenoscopic shock wave lithotripsy was performed. Conclusion. Despite the wide application of modern endoscopic methods of therapy in the treatment of this group of patients, in complex forms of staghorn nephrolithiasis open surgery is more effective.


2018 ◽  
Vol 19 ◽  
pp. e34
Author(s):  
M.L.S. Matteucci ◽  
M. Cefarelli ◽  
M. Pierri ◽  
F. Capestro ◽  
P. Berretta ◽  
...  

2020 ◽  
Vol 55 (12) ◽  
pp. 2777-2782
Author(s):  
Aurélien Scalabre ◽  
Igor Duquesne ◽  
Jérome Deheppe ◽  
Guillaume Rossignol ◽  
Sabine Irtan ◽  
...  

Open Medicine ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 898-904
Author(s):  
Bruno Amato ◽  
Renato Patrone ◽  
Gennaro Quarto ◽  
Rita Compagna ◽  
Roberto Cirocchi ◽  
...  

AbstractIntroductionHepatic artery aneurysms are rare, and their treatment represents a challenge for the surgeons.Materials and methodsA new technique is presented for common hepatic artery (CHA) aneurysm: it requires minimal vascular surgical dissection and only one linear vascular stapler is applied at the bottom of aneurysm. Aneurysm exclusion is easily obtained, which allowed retrograde thrombosis. Liver blood supply is ensured to the right and left hepatic artery, through the gastroduodenal artery, and can be previously monitored, with temporary clamping of the section area, by visual control, enzyme evaluation and intraoperative ultrasound examination. We reported an open surgical treatment, with simultaneous removal of hepatic and adrenal metastases, secondary to colon cancer.ResultsThe duration of vascular surgery was 30 min and did not involve complications. Postoperative controls confirmed the efficacy of the procedure.DiscussionThis original technique can be added to the various open and endovascular techniques so far described for the treatment of a CHA aneurysm. It is advisable as open surgery, mostly in case of associated pathologies.ConclusionsThe authors believe that this “one shot” technique by vascular staple of the distal part of CHA is minimally invasive and effective to obtain the exclusion of the aneurysm.


2017 ◽  
Vol 65 (6) ◽  
pp. 207S
Author(s):  
Jeffrey J. Siracuse ◽  
Justin Gillis ◽  
Alik Farber

2000 ◽  
Vol 9 (2) ◽  
pp. 89-92 ◽  
Author(s):  
Etsuji Shiota ◽  
Yoshihiro Matsumoto ◽  
Masahiko Nakamoto

2012 ◽  
Vol 26 (2) ◽  
pp. 276.e11-276.e16 ◽  
Author(s):  
Xiaojun Song ◽  
Qi Liu ◽  
Yuehong Zheng ◽  
Changwei Liu ◽  
Dawei Liu ◽  
...  

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