Ligation of an anatomic variant of renal vasculature during laparoscopic periaortic lymph node dissection: A cause of postoperative renal infarction Journal Article


Authors: Eitan, R.; Abu-Rustum, N. R.; Walker, J. L.; Barakat, R. R.
Article Title: Ligation of an anatomic variant of renal vasculature during laparoscopic periaortic lymph node dissection: A cause of postoperative renal infarction
Abstract: Background. Minimally invasive surgical techniques are becoming more sophisticated as complex procedures are being incorporated into gynecologic oncology in routine and investigative settings. Case. We present a case of an aberrant supernumerary right renal artery ligation during periaortic laparoscopic lymph node dissection for endometrial cancer. This injury resulted in infarction of the lower pole of the right kidney, with no late sequela. Conclusion. The gynecologic oncologist should be aware of the possibility of aberrant renal vasculature, and special care should be taken to avoid accidental ligation of supernumerary renal arteries during dissection of the periaortic lymph nodes. © 2003 Elsevier Inc. All rights reserved.
Keywords: adult; human tissue; treatment outcome; cancer surgery; surgical technique; clinical feature; disease course; histopathology; case report; preoperative care; cancer diagnosis; endometrium carcinoma; lymph node dissection; paraaortic lymph node; endometrial neoplasms; neoplasm staging; laparoscopy; lymph node excision; clinical protocol; cancer hormone therapy; postoperative complication; kidney; intraoperative period; kidney infarction; laboratory test; blood analysis; thorax radiography; physical examination; urinalysis; hormone; ligation; endometrium biopsy; infarction; clinical examination; renal artery; vascular surgery; kidney blood vessel; humans; human; female; priority journal; article
Journal Title: Gynecologic Oncology
Volume: 91
Issue: 2
ISSN: 0090-8258
Publisher: Elsevier Inc.  
Date Published: 2003-11-01
Start Page: 416
End Page: 420
Language: English
DOI: 10.1016/s0090-8258(03)00508-0
PUBMED: 14599875
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 12 September 2014 -- Source: Scopus
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  1. Richard R Barakat
    629 Barakat
  2. Rami Eitan
    7 Eitan