Pure laparoscopic radical heminephrectomy and partial isthmusectomy for renal cell carcinoma in a horseshoe kidney: case report and technical considerations.
Laparoscopic surgery of the horseshoe kidney has been limited to benign conditions, hand assistance, and retroperitoneal approaches for small tumors. In this case, we describe a pure transperitoneal approach to heminephrectomy for a large renal cell carcinoma. The operative considerations include identification of all arterial branches and careful isthmus dissection. Preoperative angiography may aid surgical planning. A pure transperitoneal approach to cancer surgery of the horseshoe kidney is effective.
Bhayani
Sam B
SB
Division of Urology, Washington University School of Medicine, St. Louis, Missouri 63110, USA. bhayanis@msnotes.wustl.edu
Andriole
Gerald L
GL
D002292:Carcinoma, Renal Cell / Q000150:complications / Q000601:surgery*; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery*; D007680:Kidney Neoplasms / Q000150:complications / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*