Abstract：Objective:To investigate a new technique of retroperitoneal laparoscopic left renal vein extravascular stenting for treatment of nutcracker syndrome (NCS) and share initial surgical experience. Methods:In one case of NCS treated by retroperitoneal anterior laparoscopic left renal vein extravascular stenting, the operational process and effects were recorded and observed. Results:The operation was performed successfully without surgical complications. The operative time was 80 min and the blood loss was 50 mL. The gross hematuria was vanished and no lymphatic fistula occurred. Conclusions:The retroperitoneal anterior laparoscopic extravascular stent of the renal vein could be a feasible approach for the treatment of NCS. It has a superiority of quickly arriving at kidney pedicle and exposing renal vein easily.
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