Renal Function Is Well Maintained after Use of Left Renal Vein Graft for Vascular Reconstruction in Hepatobiliary-Pancreatic Surgery

The effect of increased pressure in one kidney, produced by ligation of its vein, on contralateral renal function was investigated in eight anesthetized dogs. Kidney function was determined under the same experimental conditions in five dogs, but without renal vein ligation. For the latter group, renal function, on the average, remained reasonably stable. After left renal vein ligation, findings for the right kidney were as follows: a) decreased urine flow, amounting maximally to 9.5–41.4% of control flows; b) slight increase of questionable significance in creatinine clearance; c) inconstant changes in PAH clearance; d) increase in urine osmolality to hypertonic values; e) decrease in solute-free water clearance; f) slight rise of questionable significance in total solute clearance; and g) either no change or inconstant changes in excretion rates Na+ and K+. The data indicate that the oliguria resulted solely from increased renal tubular reabsorption of water, suggesting liberation of antidiuretic hormone as the possible mechanism. Direct nervous influences on tubular reabsorption of water cannot, however, be presently ruled out.

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EP980 Gonadal vein graft after retroaortic left renal vein injury during paraaortic lymphadenectomy: a case report

10.1136/ijgc-2019-esgo.1026 ◽

2019 ◽

Author(s):

S Seyfettinoglu ◽

G Khatib ◽

U Kucukgoz Gulec ◽

AB Guzel ◽

Y Bayazit ◽

...

Keyword(s):

Case Report ◽

Vein Graft ◽

Renal Vein ◽

Left Renal Vein ◽

Gonadal Vein ◽

Paraaortic Lymphadenectomy ◽

Vein Injury

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Effect of Intraoperative Division of the Left Renal Vein on the Fate of Renal Function and Left Renal Volume After Open Repair of Para- and Juxtarenal Aortic Aneurysm

Circulation Journal ◽

10.1253/circj.cj-19-0383 ◽

2019 ◽

Vol 83 (9) ◽

pp. 1844-1850

Author(s):

Masayuki Sugimoto ◽

Noriko Takahashi ◽

Kiyoaki Niimi ◽

Akio Kodama ◽

Hiroshi Banno ◽

...

Keyword(s):

Renal Function ◽

Aortic Aneurysm ◽

Renal Vein ◽

Open Repair ◽

Left Renal Vein ◽

Renal Volume

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Surgical Approach to a Large Left Adrenocortical Mass with Associated Tumour Thrombosis of the Left Renal Vein: Preservation of the Ipsilateral Kidney

Advances in Urology ◽

10.1155/2009/365805 ◽

2009 ◽

Vol 2009 ◽

pp. 1-3 ◽

Cited By ~ 1

Author(s):

Manuel Pérez Utrilla ◽

Carlos Nuñez Mora ◽

Alejandro Rojo Sebastián ◽

Pedro M. Cabrera Castillo ◽

José M. García Mediero

Keyword(s):

Renal Function ◽

Inferior Vena Cava ◽

Surgical Approach ◽

Renal Vein ◽

Adrenal Mass ◽

Inferior Vena ◽

Elective Surgery ◽

Left Renal Vein ◽

Vena Cava ◽

Tumour Thrombus

A sixty-years-old male with diagnosis of a left adrenal mass ( mm) with associated tumour thrombosis of the left renal vein with no clear signs of thrombosis of the inferior vena cava was admitted for elective surgery Finally an adrenalectomy and excision of tumour thrombus preserving the ipsilateral kidney was made. Despite of the complex vascular management, this kind of approaches allow to preserve normal renal function in patients with future nephrotoxic treatment like cisplatin.

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