title: Laparoscopic heminephrectomy for benign and malignant diseases of the horseshoe kidney.
abstract: OBJECTIVE
  In the current study, we present our pure laparoscopic heminephrectomy experience in 13 patients with horseshoe kidney (HK).
  
  
  METHODS
  A total of 13 patients with HK underwent pure laparoscopic heminephrectomy (Transperitoneal= 7, Retroperitoneal = 6) due to benign and malign renal conditions (non-functional hydronephrotic and/or infected kidney = 12, kidney mass = 1).
  
  
  RESULTS
  The mean age of the patients was 45.8 years. The mean operating time was 140 minutes, and estimated blood loss was 131 ml. The mean hospital stay was 2.3 days. Division of istmus was performed with stapler in 5 patients, ultrasonic scalpel in 3, 15 mm Hem-o-lok clip in 3, 10 mm LigaSure vessel seal system in one and endoscopic suture by 0 polyglactin in one patient without bleeding. Twelve patients underwent pure laparoscopic heminephrectomy due to nonfunctional hydronephrotic and or infected kidney. One patient underwent transperitoneal laparoscopic right heminephrectomy due to kidney mass. According to modifies Clavien classification, Grade I complication (wound infection) occurred in one patient (7.7%) who underwent heminephrectomy due to non-functional kidney.
  
  
  CONCLUSIONS
  Laparoscopic heminephrectomy seems to be technically feasible and safe for benign and malignant diseases in patients with HK.
authors.affiliation: Third Department of Urology, Ministry of Health, Ankara Numune Research and Training Hospital, Ankara. tuncelaltug@yahoo.com.
authors.forename: Altug
authors.initials: A
authors.lastname: Tuncel
authors.forename: Anil
authors.initials: A
authors.lastname: Erkan
authors.forename: Mustafa
authors.initials: M
authors.lastname: Sofikerim
authors.forename: Murat
authors.initials: M
authors.lastname: Arslan
authors.forename: Yakup
authors.initials: Y
authors.lastname: Kordan
authors.forename: Yigit
authors.initials: Y
authors.lastname: Akin
authors.forename: Yilmaz
authors.initials: Y
authors.lastname: Aslan
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D000069337:Fused Kidney / Q000150:complications*; D006801:Humans; D007674:Kidney Diseases / Q000150:complications* / Q000601:surgery*; D007680:Kidney Neoplasms / Q000150:complications* / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*