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 language | English |
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Pages (from-to) | 1104-1107 |
Number of pages | 4 |
Journal | Journal of Urology |
Volume | 146 |
Issue number | 4 |
DOIs | |
State | Published - 1991 |
Externally published | Yes |
Keywords
- Carcinoma, renal cell
- Duodenal obstruction
- Kidney neoplasms
- Superior mesenteric artery syndrome
- Wounds and injuries