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Updated: Nov 4, 2025

Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
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Retroperitoneoscopic single-instrument horseshoe nephrectomy for dilated non-functioning right moiety.

Clara Chong1, Pankaj Mishra1, Anu Paul1

  • 1Paediatric Urology, Evelina London Children's Hospital, London, United Kingdom.

Journal of Pediatric Urology
|May 24, 2021
PubMed
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Retroperitoneoscopic horseshoe nephrectomy, a rare pediatric procedure, was successfully performed using a posterior approach in a 20-month-old boy. This minimally invasive technique offers safe and effective renal management while preserving the abdominal cavity.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Nephrology

Background:

  • Retroperitoneoscopic horseshoe nephrectomy is infrequently performed in pediatric patients.
  • Horseshoe kidney anomalies present unique surgical challenges.

Purpose of the Study:

  • To present a case of retroperitoneoscopic horseshoe nephrectomy in a pediatric patient.
  • To detail the technical aspects and critical steps of the posterior approach with a single working port.

Main Methods:

  • A retroperitoneoscopic horseshoe nephrectomy was performed via a posterior approach.
  • A single working port was utilized in a 20-month-old boy.
  • Key technical steps included patient positioning, port insertion, fascial dissection, and renal vein ligation.
Keywords:
Horseshoe nephrectomyMinimal access surgeryRetroperitoneal laparoscopic nephrectomy

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Main Results:

  • The procedure was completed successfully with an operative time of 90 minutes.
  • The postoperative course was uneventful.
  • The retroperitoneal approach provided excellent visualization of the renal hilum and surrounding structures.

Conclusions:

  • Retroperitoneoscopic horseshoe nephrectomy via a posterior approach is a safe and feasible option in pediatric patients.
  • This technique preserves the abdominal cavity and offers advantages in visualizing critical structures.
  • The described approach is safe and effective for managing horseshoe kidney anomalies.