Further experience with division of the left renal vein.

Abstract:

:The left renal vein (LRV) has numerous tributaries including, but not limited to, the inferior phrenic, suprarenal, and gonadal veins. The resultant potential for collateral LRV outflow through these tributaries in instances of LRV division is obvious. One of us has previously reported 10 such cases of LRV division (close to its confluence with the inferior vena cava and without reanastomosis) for the purpose of facilitating proximal abdominal aortic exposure for reconstructive procedures. One of the 10 patients had moderate renal insufficiency at follow-up. We present herein an additional 19 patients who underwent LRV division predominantly for aneurysmal disease of the abdominal aorta. Sixteen patients were available for follow-up. Three patients died in the intraoperative and early postoperative periods. Multivariate analysis of variance of preoperative, postoperative, and follow-up laboratory data--serum creatinine and BUN--showed no significant change in renal function as assessed.

journal_name

Surgery

journal_title

Surgery

authors

Dearing PD,James EC,Siegel MB,Swenson WM,Slotnick HB,Schmidt MJ

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

105-9

issue

1

eissn

0039-6060

issn

1532-7361

journal_volume

107

pub_type

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