title: Laparoscopic heminephrectomy in nonfunctioning right moiety of a horseshoe kidney: Technical challenges and method to deal with.
abstract: Laparoscopic heminephrectomy in patients with horseshoe kidney is technically challenging procedure and only few cases have been reported in the literature. Various approaches have been described for handling the isthmus. We report the management of a case of symptomatic nonfunctioning right moiety of a horseshoe kidney secondary to ureteropelvic junction (UPJ) obstruction using Ligasure™ for vessel sealing and division of isthmus. We discuss here the various challenges during laparoscopic heminephrectomy and ways and tricks to deal with.
authors.affiliation: Department of Urology and Renal Transplant, Sri Aurobindo Institute of Medical Sciences and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Santosh Kumar
authors.initials: SK
authors.lastname: Agrawal
authors.affiliation: Department of Urology and Renal Transplant, Sri Aurobindo Institute of Medical Sciences and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Saurabh Sudhir
authors.initials: SS
authors.lastname: Chipde
authors.affiliation: Department of Gynecology and Obstretics, Sri Aurobindo Institute of Medical Sciences and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Pallavi
authors.initials: P
authors.lastname: Agrawal
keywords: Horseshoe kidney; laparoscopy; nephrectomy
references.citation: N Engl J Med. 1959 Oct 1;261:684-7
references.pmid: 13828436
references.citation: JSLS. 2011 Jul-Sep;15(3):415-20
references.pmid: 21985738
references.citation: J Endourol. 1997 Jun;11(3):181-4
references.pmid: 9181447
references.citation: Br J Urol. 1995 Jul;76(1):140-1
references.pmid: 7648052
references.citation: Am J Roentgenol Radium Ther Nucl Med. 1971 Nov;113(3):447-51
references.pmid: 5127705
references.citation: Ir Med J. 1983 Jul;76(7):315-7
references.pmid: 6885329