V06-05 ROBOTIC RENAL ANEURYSM REPAIR: USC EXPERIENCE

Abstract

You have accessJournal of UrologyAdrenal, Testis, UTUC Oncology & More1 Apr 2018V06-05 ROBOTIC RENAL ANEURYSM REPAIR: USC EXPERIENCE Luis Medina, Giovanni Cacciamani, Andre Abreu, Akbar Ashrafi, Matthew Winters, Sameer Chopra, Carlos Fay, Karan Gill, Hannah Landsberger, Rene Sotelo, and Inderbir Gill Luis MedinaLuis Medina More articles by this author , Giovanni CacciamaniGiovanni Cacciamani More articles by this author , Andre AbreuAndre Abreu More articles by this author , Akbar AshrafiAkbar Ashrafi More articles by this author , Matthew WintersMatthew Winters More articles by this author , Sameer ChopraSameer Chopra More articles by this author , Carlos FayCarlos Fay More articles by this author , Karan GillKaran Gill More articles by this author , Hannah LandsbergerHannah Landsberger More articles by this author , Rene SoteloRene Sotelo More articles by this author , and Inderbir GillInderbir Gill More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.1584AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Renal artery aneurysm (RAA) is a rare clinical condition and is traditionally managed with endovascular techniques when treatment is indicated. There are few reports within the literature demonstrating minimally-invasive techniques for surgical intervention. We previously described the initial case of laparoscopic RAA repair. Herein, we report our experience of minimally-invasive RAA repair in six patients. METHODS Five patients had a complex RAA involving the main renal artery, and one patient had multiple aneurysms. Five patients underwent reconstruction robotically with one patient undergoing a robotic graft repair. RESULTS Median (range) aneurysm size was 2.4 cm (1.8-3.0). Median (range) operative time was 4.0 hours (3.5-6.0) with a median (range) warm ischemia time of 31.0 min (3-32). Median (range) estimated blood loss was 125 (50-400) and no patient required an intra-operative blood transfusion. Median (range) length of hospital stay was 3 days (2-6). At a median (range) follow up of 31.5 months (1-67), all patients report to be doing well with no post-operative complications. CONCLUSIONS Our experience demonstrates that minimally-invasive techniques can be utilized to treat such rare cases as RAA. This study further advances the field. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e662 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Luis Medina More articles by this author Giovanni Cacciamani More articles by this author Andre Abreu More articles by this author Akbar Ashrafi More articles by this author Matthew Winters More articles by this author Sameer Chopra More articles by this author Carlos Fay More articles by this author Karan Gill More articles by this author Hannah Landsberger More articles by this author Rene Sotelo More articles by this author Inderbir Gill More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...