Celiac axis and superior mesenteric artery injury associated with left radical nephrectomy for locally advanced renal cell carcinoma.

Journal Article (Journal Article)

The superior mesenteric artery and celiac axis were inadvertently ligated during left radical nephrectomy for a large upper pole renal carcinoma with massive perihilar and periaortic adenopathy. Computer-generated 3-dimensional illustrations created from the computerized tomography scan demonstrated the close proximity between these visceral branches and the adenopathy mass complex, and showed how this bulky disease may interfere with surgical anatomy. When left radical nephrectomy is performed for locally advanced and/or bulky node-positive renal neoplasms, surgeons must be cognizant of the location of the major visceral arterial branches and possible anatomical distortions.

Full Text

Duke Authors

Cited Authors

  • Moul, JW; Foley, JP; Wind, GG; Rubin, S; Coffey, JA; McLeod, DG

Published Date

  • October 1991

Published In

Volume / Issue

  • 146 / 4

Start / End Page

  • 1104 - 1107

PubMed ID

  • 1895432

International Standard Serial Number (ISSN)

  • 0022-5347

Digital Object Identifier (DOI)

  • 10.1016/s0022-5347(17)38013-8


  • eng

Conference Location

  • United States