V12-06: RETROPERITONEAL LAPAROSCOPIC REIMPLANTATION OF THE LEFT RENAL VEIN FOR NUTCRACKER SYNDROME

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Introductions and Objectives
To describe the feasibility of retroperitoneal laparoscopic reimplantation of the left renal vein (LRV) for nutcracker syndrome (NCS).

Methods
One patient with NCS underwent the surgery. He complained of gross hematuria and flank discomfort that could not be relieved by resting. He was placed in a supine position and 5 ports were placed in the right abdominal wall. The procedures were performed with a retroperitoneal approach. The LRV was transected and then reimplanted into the distal inferior vena cava.

Results
The procedures were performed successfully without any major complications. The total operation time was 110 min. Hematuria and flank discomfort were resolved after the surgery. Ultrasonography revealed a patent lumen without compression.

Conclusions
Retroperitoneal laparoscopic reimplantation of the LRV appears to be a feasible procedure with minimal invasion, rapid recovery and satisfactory short-term outcomes.

Funding: none