Urology
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Laparoscopic 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. ⋯ Preoperative angiography may aid surgical planning. A pure transperitoneal approach to cancer surgery of the horseshoe kidney is effective.