Laparoscopic Heminephrectomy of a Horseshoe Kidney
نویسندگان
چکیده
Minimally invasive surgery has revolutionized surgery for urologic disorders, and laparoscopic procedures have become widely available for several different ablative and reconstructive operations. Laparoscopic heminephrectomy in patients with horseshoe kidney can be a technically challenging procedure due to aberrant vessels, functional parenchyma in the isthmus, and abnormal location. We report the management of a case of symptomatic nonfunctioning left moiety of a horseshoe kidney with emphasis on its surgical technique combined with a review of the literature. Laparoscopic heminephrectomy is a feasible option in the surgical management of benign and malignant conditions of the horseshoe kidney and can be performed safely using a transperitoneal or a retroperitoneal approach.
منابع مشابه
Laparoscopic Heminephrectomy in a Horseshoe Kidney Affected by Xanthogranulomatous Pyelonephritis
BACKGROUND AND OBJECTIVES Horseshoe kidney is a relatively common renal fusion anomaly. There are increasing reports of successful laparoscopic management of surgical disease in this entity. Xanthogranulomatous pyelonephritis (XGP) is an inflammatory condition of chronically obstructed and infected kidneys that is typically refractory to medical management. XGP has been regarded as a contraindi...
متن کاملLaparoscopic heminephrectomy for benign and malignant diseases of the horseshoe kidney.
OBJECTIVES In the current study, we present our pure laparoscopic heminephrectomy experience in 13 patients with horseshoe kidney (HK). MATERIAL AND METHODS A total of 13 patients with HK underwent pure laparoscopic heminephrectomy (Transperitoneal= 7, Retroperitoneal = 6) due to benign and malign renal conditions (non-functional hydronephrotic and/or infected kidney = 12, kidney mass = 1). ...
متن کاملLaparoscopic heminephrectomy of a horseshoe kidney with giant renal cell carcinoma: A case report
A 72-year-old male was diagnosed incidentally with a 7-cm renal tumor in the right moiety of a horseshoe kidney during a routine physical examination, and was treated with laparoscopic radical heminephrectomy. The surgical time was 153 min and the estimated blood loss was 150 ml. The patient was discharged on post-operative day eight with no complications. Computed tomography angiography is des...
متن کاملLaparoscopic Heminephrectomy for Benign Disease of the Horseshoe Kidney
BACKGROUND AND OBJECTIVE Minimally invasive surgery plays a definitive role in the management of complications associated with the horseshoe kidney (HK). Aberrant vessels, the renal isthmus, and renal ectopia are all unique features of this anomaly that make the laparoscopic approach a challenge. We report our experience with this technique in 2 patients. METHODS Two patients with an HK were ...
متن کاملLaparoscopic heminephrectomy for benign renal anomalies.
BACKGROUND AND PURPOSE Benign renal conditions, such as duplication and fusion anomalies, are relatively common and may lead to problems such as chronic flank pain or urinary tract infection. Traditional management of these conditions has been open surgical removal of the affected moiety. As an alternative, we report on our experience with laparoscopic heminephrectomy for benign renal anomalies...
متن کامل