The Endourological Management of Complications Associated with Horseshoe Kidney

Yohannes, Paulos; Smith, Arthur D.

doi:10.1016/s0022-5347(05)64819-7

Cited by 122 publications

(38 citation statements)

References 60 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The first description of a patient with horseshoe kidney was by Berengario da Carpi in 1522 (see [1]). Horseshoe kidney is characterized by the aggregation, usually at the lower pole, of the two kidneys over the spine across the midline.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic robotic‐assisted management of pelvi‐ureteric junction obstruction in patients with horseshoe kidneys: technique and 1‐year follow‐up

et al. 2006

View full text Add to dashboard Cite

Authors from France describe their experience, in a small series of patients with pelvi‐ureteric junction obstruction, of laparoscopic robotic‐assisted pyeloplasty, and present their operative results with a 1‐year follow‐up. The accuracy of MRI renal angiography and venography in predicting vascular anatomy before donor nephrectomy is presented by authors from the UK. They present evidence suggesting that this technique has the advantage over CT of having virtually no side‐effects, and felt it was a good investigation. OBJECTIVE To report our experience with laparoscopic robotic‐assisted management of pelvi‐ureteric junction obstruction (PUJO) in patients with horseshoe kidneys. PATIENTS AND METHODS Between January 2002 and May 2003, two men and a woman with horseshoe kidneys (mean age 44.6 years) had laparoscopic dismembered pyeloplasty with robotic assistance for PUJO with no division of the isthmus. Two patients had renal stones which were extracted during surgery. None of the patients had had previous abdominal surgery. RESULTS The mean operative duration was 148.3 min, the mean estimated blood loss was <100 mL and the mean hospital stay was 7.6 days. Renal function was preserved in all three patients during the immediate and long‐term follow‐up as measured by intravenous urography. The three patients had durable clinical and radiographic success during a mean follow‐up of 21 months. One patient needed complementary extracorporeal shockwave lithotripsy, and one had an episode of pyelonephritis, which was treated successfully. There were no other significant complications before or after surgery. CONCLUSION Laparoscopic robotic‐assisted pyeloplasty for horseshoe kidney is safe and feasible, offering the advantages of minimally invasive surgical procedures with enhanced laparoscopic skills related to the use of the robot.

show abstract

Section: Discussionmentioning

confidence: 99%

“…PUJ obstruction (PUJO) occurs in 15–33% of patients with horseshoe kidneys [1]. Conventional management of these patients involves open dismembered pyeloplasty, but in recent years alternative curative techniques with minimally invasive methods have been proposed, with variable long‐term results.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic robotic‐assisted management of pelvi‐ureteric junction obstruction in patients with horseshoe kidneys: technique and 1‐year follow‐up

et al. 2006

View full text Add to dashboard Cite

show abstract

“…Urolithiasis is the most common complication of horseshoe kidney, with a reported incidence of 21–60%[2]. The surgical treatment of stones in horseshoe kidneys has developed endourologically, just as for stones in anatomically normal kidneys, with open surgery now practically obsolete.…”

Section: Introductionmentioning

confidence: 99%

Urolithiasis in the horseshoe kidney: a single‐centre experience

et al. 2008

View full text Add to dashboard Cite

OBJECTIVE To report the operative management and subsequent stone‐free rates of patients with urolithiasis in a horseshoe kidney and treated at one centre. PATIENTS AND METHODS We retrospectively reviewed all patients presenting to our centre with a horseshoe kidney and urolithiasis over a 15‐year period. The stone burden, surgical management, complications and stone clearance rates were recorded. RESULTS In all, 55 patients with urolithiasis in horseshoe kidney were treated. Percutaneous nephrolithotomy (PCNL) was used in 60 renal units in 47 patients. Five patients had extracorporeal shock wave lithotripsy (ESWL), two had flexible ureteroscopy and one had a laparoscopic pyelolithotomy for a stone extending into the isthmus. PCNL was used for large stones (mean digitized surface area = 614.32 mm2) and required one to four stages to achieve an overall stone clearance rate of 88%. Stones were cleared at one sitting in 77% of PCNL procedures, completely cleared in two‐thirds of patients treated by ESWL, and in both who had flexible ureteroscopy and the one treated with laparoscopic pyelolithotomy. Complications were minimal, with 15% minor and 3% major complications in the PCNL group only. CONCLUSION Appropriate management of urolithiasis within the horseshoe kidney depends not only on stone burden, but also on stone location, calyceal configuration and malrotation. Stones can be cleared successfully in almost all patients providing that all techniques are available to the operating surgeon.

show abstract

“…Otherwise its blood supply may arise from the common iliac or inferior mesenteric arteries 14 . The axis of the collecting system of a horseshoe kidney is deviated inwards at the lower poles because of the poles’ connection with the isthmus 15 . The ureter often has a high insertion point into the renal pelvis and may cross anteriorly over the isthmus as it descends into the bladder.…”

Section: Anatomy Of the Horseshoe Kidneymentioning

confidence: 99%

Imaging of horseshoe kidneys and their complications

O’Brien¹,

Buckley²,

Doody³

et al. 2008

J Med Imag Rad Onc

View full text Add to dashboard Cite

Horseshoe kidney is the most common renal fusion anomaly and the patients are prone to a variety of complications, such as stone disease, pelviureteric junction (PUJ) obstruction, trauma, infections and tumours. As result of the abnormal anatomy of a horseshoe kidney, imaging and treatment pathways vary substantially from the normal kidney. In this review, we describe the role of modern imaging in depicting horseshoe kidneys and their complications, in tandem with the role the interventional radiologist plays in treating these patients.

show abstract

The Endourological Management of Complications Associated with Horseshoe Kidney

Abstract: Endourological techniques can be safe and effective for treating complications secondary to horseshoe kidney.

Cited by 122 publications

References 60 publications

Laparoscopic robotic‐assisted management of pelvi‐ureteric junction obstruction in patients with horseshoe kidneys: technique and 1‐year follow‐up

Laparoscopic robotic‐assisted management of pelvi‐ureteric junction obstruction in patients with horseshoe kidneys: technique and 1‐year follow‐up

Urolithiasis in the horseshoe kidney: a single‐centre experience

Imaging of horseshoe kidneys and their complications

Contact Info

Product

Resources

About