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Kidney Transplant II: Surgical Procedure

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

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Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Published on: July 8, 2025

Retroperitoneoscopic partial nephrectomy in a horseshoe kidney.

Yong Seung Lee¹, Ho Song Yu, Myung Up Kim

¹Department of Urology and Urological Science Institute, Yonsei University College of Medicine, Seoul, Korea.

Korean Journal of Urology

|December 24, 2011

Summary

Laparoscopic surgery successfully removed a renal mass in a horseshoe kidney. Preoperative imaging is crucial for complex renal vasculature and surgical planning in these cases.

Keywords:

Kidney Laparoscopy Nephrectomy

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Published on: March 12, 2011

Area of Science:

Urology
Surgical Oncology
Nephrology

Background:

Horseshoe kidneys present unique anatomical challenges for surgical interventions.
Renal masses in horseshoe kidneys require careful consideration of surgical approach.
Minimally invasive techniques are increasingly utilized for renal tumor excision.

Purpose of the Study:

To describe the successful laparoscopic management of a renal mass in a horseshoe kidney.
To highlight the importance of preoperative imaging in complex renal anatomy.
To discuss the considerations for surgical approach in laparoscopic surgery for horseshoe kidneys.

Main Methods:

A retroperitoneal laparoscopic approach was used for tumor excision.
A 4 cm enhancing cystic renal mass in the left moiety was completely excised.
Renal parenchyma was sutured using Vicryl 2-0 sutures with a surgical bolster.
Preoperative kidney computed tomography angiography was performed to assess renal vasculature.

Main Results:

Complete excision of the renal mass was achieved.
The laparoscopic approach facilitated successful management of the complex anatomy.
Preoperative CT angiography provided critical insights into the vascular structures.

Conclusions:

Laparoscopic surgery is a viable option for treating renal masses in horseshoe kidneys.
Careful preoperative planning, including detailed vascular imaging, is essential for successful outcomes.
Surgeon experience and lesion location are key factors in selecting the optimal surgical approach.