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Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
Laparoscopic partial nephrectomy for tumour excision in a horseshoe kidney
Alexander Tsivian1, Avraham Shtricker, Shalva Benjamin
1Department of Urologic Surgery, Wolfson Medical Center, Holon, Israel. atsivian@hotmail.com
European Urology
|November 18, 2006
Summary
This study reports the first transperitoneal laparoscopic partial nephrectomy for a renal tumor in a horseshoe kidney. The minimally invasive technique successfully removed the 2-cm mass while preserving kidney function.
Area of Science:
- Urology
- Surgical Oncology
- Nephrology
Background:
- Horseshoe kidneys present unique anatomical challenges for surgical intervention.
- Renal masses in horseshoe kidneys require tailored surgical approaches to ensure oncologic and functional outcomes.
Observation:
- A 62-year-old female patient presented with a 2-cm enhancing renal mass in the right moiety of a horseshoe kidney.
- The surgical team employed a four-port transperitoneal laparoscopic approach for tumor excision.
Findings:
- The renal tumor was successfully excised using cold scissors.
- Parenchymal closure was achieved with Vicryl 1 sutures, Surgicel bolster, and Hem-o-lok clips.
- This represents the first reported case of a transperitoneal laparoscopic partial nephrectomy for a renal tumor in a horseshoe kidney.
Implications:
- Transperitoneal laparoscopic partial nephrectomy is a feasible and potentially effective minimally invasive option for treating renal masses in horseshoe kidneys.
- This approach may offer advantages in terms of reduced morbidity and faster recovery compared to open surgery.
- Further research is warranted to evaluate long-term outcomes and compare this technique with other surgical modalities.
