Hand-Assisted Laparoscopic Nephrectomy and Auto-Transplantation for a Hilar Renal Artery Aneurysm: A Case Report

• Main Authors: Min Jung Kim, Kyo Won Lee, Jae Berm Park, Sung Joo Kim
• Format: Article
• Language: English
• Published: Medrang 2017-06-01
• Series: Vascular Specialist International
• Subjects: Renal artery aneurysm; Auto-transplantation; Hand-assisted laparoscopy
• Online Access: http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.2017.33.2.84

A 52-year-old man was admitted with an incidentally detected right renal artery aneurysm (RAA). Computed tomographic angiography with three-dimensional reconstruction revealed that the aneurysm was 2.2 cm in diameter and located at the renal hilum. We performed hand-assisted laparoscopic nephrectomy with ex vivo repair of the RAA and auto-transplantation with minimal elongation of Gibson incision. The operation and postoperative course were uneventful. At last follow-up, the patient was alive with a well-functioning auto-transplant. Hand-assisted laparoscopic nephrectomy and auto-transplantation is a useful treatment option for hilar RAA.