En Bloc Retroperitoneoscopic Removal of Horseshoe Kidney for End-stage Renal Disease

Weatherly, David L.; Budzyn, Brian; Steinhardt, George F.; Barber, Theodore

doi:10.1016/j.urology.2015.07.016

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…Nonetheless, the published operative times exceeding 10 hours until completion and the surgeons' high technical expertise on retroperitoneal surgical anatomy make this option limited and not widely applicable. 5 The benefit of our transperitoneal approach, in which the patient remains in supine position for the entire procedure, is the reduction in the non-surgical operative time required for patient repositioning and in the associated costs of redraping if needed. Moreover, performing the entire procedure using the same port placements is beneficial regarding the postoperative time and possible port-placement complications.…”

Section: Discussionmentioning

confidence: 99%

Bilateral En-Block Horseshoe Kidney Laparoscopic Nephrectomy

Fernández

Rickard

Escobar

et al. 2022

Revista Urología Colombiana / Colombian Urology Journal

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Horseshoe kidney (HSK) has a prevalence of 1 in every 500 individuals. The management of patients with HSK is usually conservative, except in the presence of symptoms such as obstruction, stones, glomerulopathies, and tumors. In the following case report, we describe how a bilateral en-block transmesenteric laparoscopic nephrectomy in supine position was performed.A 5-year-old boy, with proximal hypospadias and early onset of chronic kidney disease due to focal segmental glomerulosclerosis on biopsy, underwent a genetic molecular evaluation that confirmed a pathogenic mutation at the WT-1 gene. Due to the increased risk of developing Wilms tumor, he underwent a bilateral transmesenteric nephrectomy.In a five-minute video, we describe how we performed an en-block transperitoneal and transmesenteric laparoscopic nephrectomy with special attention to patient positioning, including the feasibility of performing the dissection of the left renal hilum and isthmus with the patient in supine with no need for repositioning, and then moving to the dissection of the right renal hilum and completion of the procedure.The case herein reported enables us to describe the technical key-points to perform a bilateral en-block laparoscopic nephrectomy with shorter operative time and reduction of blood loss by preserving the entire specimen, without the need for an isthmus transection.

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Section: Discussionmentioning

confidence: 99%

Bilateral En-Block Horseshoe Kidney Laparoscopic Nephrectomy

Fernández

Rickard

Escobar

et al. 2022

Revista Urología Colombiana / Colombian Urology Journal

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“…ANB'de çocuklarda laparoskopik nefrektomi ve parsiyel nefrektomi de uygulanabilir (13,14) . Laparoskopi, tecrübesi yeterli olan cerrahlar için açık cerrahi yaklaşıma göre daha zorlayıcı nitelikte değildir.…”

Section: Füzyon Anomalileri Ve Laparoskopiunclassified

Laparoscopy in rarely seen urinary system anomalies

Tokar¹

2016

tcdd

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“…Unilateral or bilateral approach for nephrectomy in horseshoe kidney by minimally invasive surgery has been previously described [1,2,3]. We present a case of total binephrectomy by a unilateral retroperitoneoscopic approach.…”

Section: Introductionmentioning

confidence: 96%