This case report highlights the successful application of a robotic-assisted surgical approach in managing Nutcracker syndrome. The patient, a 36-year-old female presented with severe symptoms and underwent robotic left renal vein transposition after failing conservative management. The procedure was performed through a minimally invasive approach utilizing the Da Vinci robotic system™ which offers enhanced visualization and precision. However, challenges arose during the renal vein anastomosis due to tension and poor flow through the transposition, requiring two revisions with a bovine pericardial patch. Ultimately, an 8 mm ringed PTFE bypass was anastomosed from the distal left renal vein to the Inferior Vena Cava. Despite these challenges, the patient experienced a successful outcome with complete symptom resolution of this complicated pathology.

中文翻译：

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机器人肾静脉旁路术：一种治疗胡桃夹综合征疑难病例的新技术

本病例报告强调了机器人辅助手术方法在治疗胡桃夹综合征中的成功应用。该患者为一名36岁女性，症状严重，保守治疗失败后接受了机器人左肾静脉转位术。该手术是通过利用达芬奇机器人系统™的微创方法进行的，该系统提供增强的可视化和精确度。然而，由于张力和转位血流不畅，肾静脉吻合过程中出现了挑战，需要使用牛心包补片进行两次修正。最终，将8毫米环形PTFE旁路从远端左肾静脉吻合至下腔静脉。尽管存在这些挑战，患者还是取得了成功的结果，这种复杂的病理症状得到了完全解决。