Sorokin Igor, Stevens Sharnae L, Cadeddu Jeffrey A
Department of Urology, UT Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX, 75390, USA.
Department of Pharmacy, Baylor University Medical Center, Dallas, TX, USA.
J Robot Surg. 2018 Mar;12(1):189-191. doi: 10.1007/s11701-017-0710-4. Epub 2017 Apr 28.
Renal artery vasospasm can be a troublesome complication during robot-assisted laparoscopic partial nephrectomy. Urologists performing this procedure, especially if utilizing selective arterial vascular microdissection, should be aware of using papaverine for both prevention and treatment of renal artery vasospasm. We present a 33-year-old male who developed severe renal artery vasospasm just with hilar dissection causing the kidney to become ischemic. Papaverine was topically applied on the renal arteries resulting in vasodilation and reperfusion of the kidney. Our objective of this report is to raise awareness of this complication as well as to review the literature on periarterial papaverine use and the dosing for topical applications.
肾动脉痉挛可能是机器人辅助腹腔镜肾部分切除术期间一个棘手的并发症。实施该手术的泌尿外科医生，尤其是在采用选择性动脉血管显微解剖时，应知晓使用罂粟碱来预防和治疗肾动脉痉挛。我们报告一名33岁男性，其仅在肾门解剖时就发生了严重的肾动脉痉挛，导致肾脏缺血。将罂粟碱局部应用于肾动脉，结果使肾脏血管扩张并实现再灌注。本报告的目的是提高对这一并发症的认识，并回顾有关动脉周围使用罂粟碱及局部应用剂量的文献。
