title: [Laparoscopic management of complex lithiasis in horseshoe kidneys].
abstract: Based on the fact that the results obtained with extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy are uncertain in cases of complex lithiasis in horseshoe kidney, and counting on a wide laparoscopic experience as the most suitable solution in these cases, the authors present their initial experience in two cases of double lithiasis in right hemikidney. Approach was done through transperitoneal laparoscopy, after placement of a stent catheter and under the support of a radiological C-arc. After removal of the stones, the renal pelvis was closed with loose 4 zero reabsorbable suture with kots done intracorporeally. The post-operative had no complications with the exception of a transient leak of urine (5 days) that cause no further complications or subsequent sequelae. Monitoring at 6 months showed absence of residual lithiasis and good morphology and renal function of the sides operated.
authors.affiliation: Servicio de Urología, Hospital Clínico Universitario, Zaragoza.
authors.forename: J G
authors.initials: JG
authors.lastname: Valdivia-Uria
authors.forename: G
authors.initials: G
authors.lastname: Abril Baquero
authors.forename: F
authors.initials: F
authors.lastname: Monzón Alebesque
authors.forename: J A
authors.initials: JA
authors.lastname: López López
authors.forename: E
authors.initials: E
authors.lastname: Lanchares Santamaría
mesh_terms: D000368:Aged; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery*; D007669:Kidney Calculi / Q000150:complications / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged
vernacular_title: Abordaje laparoscópico de la litiasis compleja en riñones en herradura.