Nutcracker Syndrome New Surgery Is Out...Using Da Vinci Single Ball (SP) Robot

Dec 19, 2024

A team of urologists at Catholic University of Korea's Seoul St. Mary's Hospital (first author Abuzenada Mohammed Adnan M, corresponding author Professor Hong Seong-hoo) has announced a new surgical approach for the treatment of left renal vein compression syndrome (Left Renal Vein Compression Syndrome).

The disease is a symptom that causes left side abdominal pain, pelvic pain, and hematuria as the left renal vein is pressed between the superior mesenteric artery and the abdominal aorta. The way the renal vein is pressed between blood vessels is similar to the way 'nutcracker' presses a walnut to break it, so it has the nickname 'Nutcracker Syndrome'.

The study, which attempted an innovative approach using a non-invasive da Vinci single-hole (SP) robot to treat nutcracker syndrome, was published as a case report in the international journal 『Cureus" under the title 『The Da Vinci Single-Port (SP) Treatment of Nutcracker Syndrome: A Case Report of a Novel Approach』.




Existing treatments include left renal vein bypass, left renal vein bypass, and intravascular stent insertion, but there were disadvantages of leaving a big scar or having to take antithrombotic drugs for life. In young patients, these treatments can have a huge impact.

Professor Hong's research team proposed a surgical method to improve symptoms by lowering the pressure of the renal vein by surrounding artificial blood vessels outside the renal vein pressed between the aorta and superior hepatic arteries by supplementing the shortcomings of existing surgical methods. This surgical method used a single-hole robot to produce excellent results cosmetically, but also showed excellent effects in the treatment of Nutcracker Syndrome. This study is expected to contribute to the development of safe and minimizing side effects.

Professor Hong Sung-hoo said, "Surgical treatment of Nutcracker Syndrome was very dangerous and required long-term treatment, but we are very happy to be able to present safe and efficient treatment using a single-hole robot for the first time in the world." Based on our experience in the Asia-Pacific region's largest single-hole surgery for urinary single-hole robots, we will use single-hole robots not only for benign diseases but also for malignant diseases such as kidney and prostate cancer."




Abuzenada Mohammed Adnan M, a trainee who conducted the study together, said, `I am pleased to be able to present the possibility of increasing the effectiveness of Nutcracker Syndrome under the guidance of Professor Hong Sung-hoo'````````````````````````````````````````````````.

Nutcracker Syndrome New Surgery Is Out...Using Da Vinci Single Ball (SP) Robot
홍성후 교수(왼쪽)와 Abuzenada Mohammed Adnan M





This article was translated by Naver AI translator.