{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T21:48:55Z","timestamp":1791668935671,"version":"4.3.4"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Iatrogenic injury to the superior mesenteric artery (SMA) represents a rare but serious complication of nephrectomy, associated with significant morbidity and mortality. Repair can be technically challenging. We describe the case of a 71-year-old patient who had an SMA injury during an open nephrectomy for a large carcinoma. Her SMA was reconstructed successfully using a deceased-donor iliac artery interposition graft. Due to her high-risk pathology and progressive disease early in the post-operative period, she was commenced on lenvatinib and pembrolizumab. Despite the vascular allograft, immunosuppression was not used due to concerns about an interaction with immunotherapy. To date, she has had an excellent treatment response with a significant reduction in metastatic burden without the development of rejection of the vascular allograft, despite no immunosuppression.<\/jats:p>","DOI":"10.1093\/jscr\/rjag876","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T11:45:10Z","timestamp":1790941510000},"source":"Crossref","is-referenced-by-count":0,"title":["Deceased donor interposition graft repair of superior mesenteric artery injury during cytoreductive nephrectomy for metastatic renal cell carcinoma"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5984-9469","authenticated-orcid":false,"given":"Nima","family":"Iranpour","sequence":"first","affiliation":[{"name":"Department of Urology, Royal Prince Alfred Hospital , 50 Missenden Road, Camperdown, NSW 2050 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O\u2019Brien Lifehouse , 119\u2013143 Missenden Road, Camperdown, NSW 2050 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Boulas","sequence":"additional","affiliation":[{"name":"Department of Urology, Royal Prince Alfred Hospital , 50 Missenden Road, Camperdown, NSW 2050 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerome","family":"Laurence","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Royal Prince Alfred Hospital , 50 Missenden Road, Camperdown, NSW 2050 ,","place":["Australia"]},{"name":"Department of Transplant Surgery, Royal Prince Alfred Hospital , 50 Missenden Road, Camperdown, NSW 2050 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Chir"},{"key":"2026101017150825200_ref10","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.critrevonc.2014.04.004","article-title":"Risk of arterial thromboembolic events with vascular endothelial growth factor receptor tyrosine kinase inhibitors: an up-to-date meta-analysis","volume":"92","author":"Qi","year":"2014","journal-title":"Crit Rev Oncol Hematol"},{"key":"2026101017150825200_ref11","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1208\/s12248-021-00574-0","article-title":"Cancer immunotherapy update: FDA-approved checkpoint inhibitors and companion diagnostics","volume":"23","author":"Twomey","year":"2021","journal-title":"AAPS J"}],"container-title":["Journal of Surgical Case 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