676 Robotic Assisted Left Renal Veintransposition In Nutcracker Syndrome

Dr. Mohammed Shahid Ali

Nutcracker syndrome, caused by extrinsic compression of the left renal vein between the superior mesenteric artery and aorta, presents with hematuria, flank pain, and impaired renal venous outflow. Traditional open surgical correction, while effective, is associated with significant morbidity, prolonged recovery, and cosmetic concerns. Endovascular stenting, though minimally invasive, carries risks of stent migration, thrombosis, and long-term anticoagulation.Renal auto transplantation is a morbid procedure when transposition is not feasible. We successfully performed a robotic-assisted left renal vein transposition in a patient with symptomatic Nutcracker syndrome. The robotic platform enabled precise vascular dissection, meticulous mobilization of the renal vein & secure intracorporeal anastomosis to the inferior vena cava. This approach combines the durability of open surgery with the advantages of minimally invasive technology—magnified 3D vision, reduced blood loss, and faster recovery. Our experience highlights robotic-assisted transposition as a safe, effective, and innovative alternative for managing complex vascular compression syndromes.
Procedure Innovation, Urologic Surgery, Renal Surgery, Nutcracker syndrome

See more at: https://vattikutifoundation.com/videos/