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Case Reports
. 2002 Oct-Dec;6(4):381-4.

Laparoscopic heminephrectomy for benign disease of the horseshoe kidney

Paulos Yohannes  1 , Caner Dinlenc, Evangelos Liatsikos, Paul Rotariu, Peter Pinto, Arthur D Smith
Affiliations
Case Reports

Laparoscopic heminephrectomy for benign disease of the horseshoe kidney

Paulos Yohannes et al. JSLS. 2002 Oct-Dec.

Abstract

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 evaluated for recurrent urinary tract infection. In both cases, the nonfunctioning renal moiety was demonstrated by renal scan. A transperitoneal laparoscopic heminephrectomy was performed. The Endostapler device was used to divide the renal isthmus.

Results: The operative time was less than 3 hours. Blood loss was negligible. No intraoperative complications occurred. The hospital stay was 48 hours. Postoperative discomfort was minimal.

Conclusion: Laparoscopic heminephrectomy is a safe and feasible approach for benign diseases of the HK. The Endostapler is a useful adjunct in the division of the renal isthmus.

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Figures

Figure 1.
Figure 1.
Hydronephrotic moiety of the horseshoe kidney.
Figure 2.
Figure 2.
Radioisotope scan consistent with nonfunctioning moiety.
Figure 3.
Figure 3.
A. Laparoscopic view of the renal isthmus. B. Laparoscopic application of the Endostapler to divide the isthmus.
See this image and copyright information in PMC

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References

    1. Clayman RV, Kavoussi L, Soper NJ, et al. Laparoscopic nephrectomy: initial case report. J Urol. 1991;146:278–282 - PubMed
    1. Winfield HN, Donovan JF, Lund GO, et al. Laparoscopic partial nephrectomy: initial experience and comparison to the open surgical approach. J Urol. 1995;153:1409–1414 - PubMed
    1. Stanley KE, Winfield HN, Donovan JF, et al. Laparoscopic nephrectomy in the setting of crossed fused renal ectopia. Urology. 1993;42:375–373 - PubMed
    1. Reidl CR, Huebner O, Schramek P, et al. Laparoscopic heminephrectomy in a horseshoe kidney. Brit J Urol. 1995;76:131–144 - PubMed
    1. Hayakawa K, Baba S, Aoyagi T, et al. Laparoscopic heminephrectomy of a horseshoe kidney using microwave coagulator. J Urol. 1997;11:181–184 - PubMed

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