Celiac axis and superior mesenteric artery injury associated with left radical nephrectomy for locally advanced renal cell carcinoma

J. W. Moul*, J. P. Foley, G. G. Wind, S. Rubin, J. A. Coffey, D. G. McLeod

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

20 Scopus citations

Abstract

The superior mesenteric artery and celiac axis were inadvertently ligated during left radical nephrectomy for a large upper pole renal carcinoma with massive perihilar and periaortic adenopathy. Computer-generated 3-dimensional illustrations created from the computerized tomography scan demonstrated the close proximity between these visceral branches and the adenopathy-mass complex, and showed how this bulky disease may interfere with surgical anatomy. When left radical nephrectomy is performed for locally advanced and/or bulky node-positive renal neoplasms, surgeons must be cognizant of the location of the major visceral arterial branches and possible anatomical distortions.

Original languageEnglish
Pages (from-to)1104-1107
Number of pages4
JournalJournal of Urology
Volume146
Issue number4
DOIs
StatePublished - 1991
Externally publishedYes

Keywords

  • Carcinoma, renal cell
  • Duodenal obstruction
  • Kidney neoplasms
  • Superior mesenteric artery syndrome
  • Wounds and injuries

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