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Updated: Apr 26, 2026
Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
Laparoscopic heminephrectomy in nonfunctioning right moiety of a horseshoe kidney: Technical challenges and method to
Santosh Kumar Agrawal1, Saurabh Sudhir Chipde1, Pallavi Agrawal2
1Department of Urology and Renal Transplant, Sri Aurobindo Institute of Medical Sciences and Post Graduate Institute, Indore, Madhya Pradesh, India.
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.
