Treatment of six cases of left renal nutcracker phenomenon: surgery and endografting  

作　　者：张鸿坤 张楠 李鸣 金炜 潘松龄 汪忠镐 封华 

机构地区：[1]Department of Vascular Surgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China [2]Department of Vascular Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, China

出　　处：《Chinese Medical Journal》2003年第11期1782-1784,共3页中华医学杂志（英文版）

摘　　要：Objective A retrospective study was undertaken to examine therapeutic strategies used in 6 patients with left renal venal nutcracker phenomenon.Methods Three patients underwent surgical transposition of the superior mesenteric artery. Three patients underwent endograft stent implantations with intervention.Results All 6 cases were completely relieved of left renal vein compression after the operations, leading to improved clinical symptoms and normal urine tests.Conclusions Transposition of the superior mesenteric artery is a feasible method, but leads to complications and great trauma. Treating left renal venal nutcracker phenomenon with endografting techniques is minimally invasive in certain cases, and seems to have a prospective future.Objective A retrospective study was undertaken to examine therapeutic strategies used in 6 patients with left renal venal nutcracker phenomenon.Methods Three patients underwent surgical transposition of the superior mesenteric artery. Three patients underwent endograft stent implantations with intervention.Results All 6 cases were completely relieved of left renal vein compression after the operations, leading to improved clinical symptoms and normal urine tests.Conclusions Transposition of the superior mesenteric artery is a feasible method, but leads to complications and great trauma. Treating left renal venal nutcracker phenomenon with endografting techniques is minimally invasive in certain cases, and seems to have a prospective future.

关 键 词：nutcracker phenomenon ·surgery · endograft 

分 类 号：R699.2[医药卫生—泌尿科学]