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Review
. 2011 Jul-Sep;15(3):415-20.
doi: 10.4293/108680811X13125733356512.

Laparoscopic heminephrectomy of a horseshoe kidney

Atif Khan  1 , Andrew Myatt, Victor Palit, Chandra Shekhar Biyani, D Urol
Affiliations
Review

Laparoscopic heminephrectomy of a horseshoe kidney

Atif Khan et al. JSLS. 2011 Jul-Sep.

Abstract

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.

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Figures

Figure 1.
Figure 1.
Computed tomography demonstrates the large hydronephrotic left moiety (arrow) of the horseshoe kidney.
Figure 2.
Figure 2.
The isthmus (arrow) of the horseshoe kidney is clipped with a 15-mmHem-o-lok and transacted with a Harmonic scalpel.
See this image and copyright information in PMC

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