Introduction/Background*Renal vein injury is a rare but dangerous complication of paraaortic lymphadenectomy, and if happens during laparoscopic procedure; oftenly requires conversion to urgent laparotomy. In this video case, we report a circumaortic left renal vein injury and its laparoscopically repair.

Methodology In our case, there was a circumaortic left renal vein. A normal left renal vein passing anterior to the aorta and an accessory left renal vein passing posterior to the aorta. This retroaortic arm injured during paraaortic lymphadenectomy. The injured area was repaired laparoscopically with buldog clamp and polypropylene sutures. The patient was 63 year old female with endometrial carcinosarcoma.

Result(s)*Our procedure was completed succesfully after the repair as planned. There was no bleeding after repair. The patient was discharged postoperative day 3.

Conclusion*Major vessel injuries during laparoscopic paraaortic lymphadenectomy are a common cause of urgent laparotomy. In this report, we managed the injury laparoscopically.