• Urology · Oct 2005

    Case Reports

    Pure laparoscopic radical heminephrectomy and partial isthmusectomy for renal cell carcinoma in a horseshoe kidney: case report and technical considerations.

    • Sam B Bhayani and Gerald L Andriole.
    • Division of Urology, Washington University School of Medicine, St. Louis, Missouri 63110, USA. bhayanis@msnotes.wustl.edu
    • Urology. 2005 Oct 1; 66 (4): 880.

    AbstractLaparoscopic surgery of the horseshoe kidney has been limited to benign conditions, hand assistance, and retroperitoneal approaches for small tumors. In this case, we describe a pure transperitoneal approach to heminephrectomy for a large renal cell carcinoma. The operative considerations include identification of all arterial branches and careful isthmus dissection. Preoperative angiography may aid surgical planning. A pure transperitoneal approach to cancer surgery of the horseshoe kidney is effective.

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