Laparoscopic repair of renal artery aneurysm - A description of the technique and results in 2 cases

Background and Purpose: Renal artery aneurysm is a rare occurrence. We report Our experience in the management of 2 symptomatic renal artery aneurysms with laparoscopic approach. Material and Methods: Two patients, male and female, mean age 44 years (range: 43 to 45 y), diagnosed with left renal artery aneurysms during routine hypertension work-Up, underwent laparoscopic aneurysm reconstruction. Results: Operative time was 180 and 150 minutes with a warm ischemia titne of 46 and 15 Minutes and an estimated operative bleeding of 50 and 0 mL, respectively. The patients were discharged home on postoperative clay 2 and 5, respectively. A selective left renal arteriography showed normal caliber of the repaired arteries in both patients. A follow-up of 45 and 7 months, respectively, has been uneventful. Conclusions: In well-selected patients, vascular surgical techniques may offer excellent results. Laparoscopy provides the advantages of the minimally invasive approach while achieving adequate vascular control. However, advance training in laparoscopic reconstructive Surgical techniques is required before attempting this procedure.