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Habuchi T et al. – In laparoscopic nephrectomy complicated by anomalies of the renal vein and inferior vena cava, surgical staff should be alert for the potential presence of aberrant veins and multiple renal arteries that may not be visualized in preoperative imaging. An anterior transperitoneal approach is well–suited in the understanding of positional relationships of vessels and anatomical landmarks in cases of vascular anomalies. However, intraoperative observation and assessment remain important and mandatory in the management of smaller anomalous vessels accompanied by major anomalies.

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