title: Hand-assisted laparoscopic pyeloplasty and isthmectomy in a patient with a horseshoe kidney.
abstract: We report the laparoscopic management of ureteropelvic junction obstruction in a patient with a horseshoe kidney. We believe this to be the first reported case of isthmectomy performed with the Harmonic Scalpel. Follow-up diuretic renal scan and CT revealed improved drainage and separation of the divided horseshoe kidney.
authors.affiliation: Department of Urology, Northwestern University Feinberg School of Medicine, 303 East Chicago Avenue, Tarry Building 11-715, Chicago, IL 60610-3008, USA. r-nadler@northwestern.edu
authors.forename: Robert B
authors.initials: RB
authors.lastname: Nadler
authors.forename: C Shad
authors.initials: CS
authors.lastname: Thaxton
authors.forename: Samuel C
authors.initials: SC
authors.lastname: Kim
mesh_terms: D000328:Adult; D004869:Equipment Safety; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D007682:Kidney Pelvis / Q000601:surgery*; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D009392:Nephrectomy / Q000379:methods; D018570:Risk Assessment; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000601:surgery*; D014564:Urogenital Abnormalities / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*