[Wide abdominothoracic approach for a tumor on the superior pole of a horseshoe kidney; supra and subumbilical median and anterolateral oblique thoraco-phrenic laparotomy (author's transl)].
The development of a tumor on the superior pole of a horseshoe kidney is an event which, although rare, still presents the surgeon very specific problems related to the anatomy of the malformation. The presence of a parenchymal pons, the multiplicity and anomalies in the origin of arteries are all factors to be taken into consideration in the selection of a surgical procedure. It is of particular importance that the approach be very wide in order to combine the advantages of the trans-peritoneal approach with that of the thoraco-phrenic laparotomy. One case is presented, and the surgical solution is discussed.
D000005:Abdomen; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D007680:Kidney Neoplasms / Q000601:surgery*; D007813:Laparotomy; D008722:Methods; D010791:Phrenic Nerve; D013909:Thorax
Grande voie d'abord abdomino-thoracique pour tumeur polaire supérieure sur rein en fer à cheval (R.F.C.): médiane sus-et sous-ombilicale et thoraco-phréno-laparotomie oblique antéro-latérale.