A case of laparoscopic high anterior resection of rectosigmoid colon cancer associated with a horseshoe kidney using preoperative 3D-CT angiography

Kubo, Naoki; Furusawa, Norihiko; Imai, Shin‐ichiro; Terada, Masaru

doi:10.1186/s40792-018-0472-x

Cited by 8 publications

(8 citation statements)

References 5 publications

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“…Many reports on surgery for colorectal cancer cases with horseshoe kidneys have described the usefulness of 3D-CT angiography to detect abnormalities in vascular supply [ 15 – 18 ]. Furthermore, the use of fluorescent ureteral catheters to detect abnormalities in the ureteral anatomy has enabled laparoscopic surgery to be performed more safely, as in this case.…”

Section: Discussionmentioning

confidence: 99%

Prevention of ureteral injury during laparoscopic colorectal cancer surgery with horseshoe kidney using fluorescent ureteral catheters: a case report

et al. 2023

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Background Horseshoe kidney is one of the most common congenital renal fusion anomalies and is characterized by abnormalities in the position, rotation, vascular supply, and ureteral anatomy of the kidney. When performing surgery for colorectal cancer in patients with horseshoe kidneys, anatomical identification is important to avoid organ injuries. Several reports on surgery for colorectal cancer with horseshoe kidneys have described the usefulness of three-dimensional (3D) computed tomography (CT) angiography for detecting abnormalities in vascular supply. However, few reports have focused on the prevention of ureteral injury in surgery for colorectal cancer with horseshoe kidney, despite abnormalities in the ureteral anatomy. Here, we report a case in which laparoscopic sigmoid colon resection for sigmoid colon cancer with a horseshoe kidney was safely performed using fluorescent ureteral catheters. Case presentation A 60-year-old Japanese man presented to our hospital testing positive for fecal occult blood. Colonoscopy revealed sigmoid colon cancer, and CT confirmed a horseshoe kidney. The 3D-CT angiography showed aberrant renal arteries from the aorta and right common iliac artery, and the left ureter passed across the front of the renal isthmus. A fluorescent ureteral catheter was placed in the left ureter before the surgery to prevent ureteral injury. Laparoscopic sigmoid colon resection with D3 lymph node dissection was performed. The fluorescent ureteral catheter enabled the identification of the left ureter that passed across the front of the renal isthmus and the safe mobilization of the descending and sigmoid colon from the retroperitoneum. The operative time was 214 min, with intraoperative bleeding of 25 mL. The patient’s postoperative course was good: no complications arose and she was discharged on the seventh postoperative day. Conclusion In patients with horseshoe kidney, the use of fluorescent ureteral catheters and 3D-CT angiography enables safer laparoscopic surgery for colorectal cancer. We recommend the placement of fluorescent ureteral catheters in such surgeries to prevent ureteral injury.

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Section: Discussionmentioning

confidence: 99%

Prevention of ureteral injury during laparoscopic colorectal cancer surgery with horseshoe kidney using fluorescent ureteral catheters: a case report

et al. 2023

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“…Even more rare is the coexistence of patients with horseshoe kidney and colorectal cancer. A literature search revealed 27 patients who underwent surgery for colon cancer with concomitant horseshoe kidney including our patient, from 1983 to 2020 [4,[8][9][10]. Only in one case was confirmed the presence of renal carcinoma arising on horseshoe kidney and colorecat cancer [9].…”

Section: Discussionmentioning

confidence: 99%

“…In these cases, injuries to the fused kidney and urinary tract would involve much more complex repair operations. In general, properly dissecting the layer behind the prehypogastric nerve fascia, while recognizing the autonomic nerves as landmarks of the retroperitoneal organs that should be preserved, is the key procedure for safe mesocolon mobilization in both open and laparoscopic surgery [4,[22][23][24].…”

Section: Discussionmentioning

confidence: 99%

“…Colorectal cancer (CRC) is the third most commonly diagnosed cancer among men and women in the United States [1]. However, association with renal cell carcinoma and other unusual alterations such as horseshoe kidney is extremely rare [2][3][4]. The horseshoe kidney is a common anomaly consisting of a renal fusion, accompanied by anomalies in the course of the ureter, renal vascularization and anomalies of relation with the inferior mesenteric artery.…”

Section: Introductionmentioning

confidence: 99%

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A Unique Case of Anal Atresia with Vestibular Anus, Colorectal Cancer and Renal Cancer in Horseshoe Kidney in Adult Woman: A Case Report and Literature Review

Gambardella¹,

Borrello²,

Caruso³

et al. 2020

GSCR

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Introduction: Colorectal cancer is a very common malignancy, however the association with kidney cancer is very unusual, even more so if kidney cancer occurs on a horseshoe kidney. Horseshoe kidney is a congenital malformation in which the kidneys appear fused. It is often accompanied by abnormalities of the ureteropelvic and vascular systems, so patients in need of surgery should be carefully evaluated. Materials and Methods: A 64-year-old woman came to our observation with abnormalities of the perineum such as the "vestibular anus", horseshoe kidney, kidney cancer and colorectal cancer. She underwent left open hemicolectomy and right polar resection of the horseshoe kidney. Results: The patient was discharged on the sixth operating day without complications. At the follow-up 54 months after surgery, she was negative for distant metastasis and local disease recovery. Conclusion: From a literature review this is the first case report in a patient with these four associated comorbidities. Preoperative evaluation in these patients by CT is important to evaluate the relation between the nervous, vascular and urinary structures to avoid iatrogenic injury.

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“…Laparoscopic management of rectal cancer in the presence of HSK is scarcely described, except for few reports in Japanese literature. [ 3 4 ]…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic resection for low rectal cancer in a patient with horseshoe kidney – Technical considerations to prevent iatrogenic injuries

Vigneshwaran

Muduly

Sultania

et al. 2021

Journal of Minimal Access Surgery

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Horseshoe kidney (HSK) is a rare congenital malformation of the kidneys and is commonly associated with other anomalies of the renovascular and ureteropelvic systems. These anomalies present a surgical challenge, especially for surgeries involving the retroperitoneum. We present the case of a 56-year-old male patient with biopsy-proven rectal cancer who had completed neoadjuvant chemoradiation and was planned for curative resection. Contrast-enhanced computed tomography (CECT) of the abdomen and pelvis revealed the presence of an HSK. Reconstructed three-dimensional (3D) images of the renal vasculature revealed the presence of an accessory renal artery originating directly from the aorta and supplying the isthmus of the HSK without any other venous or ureteral anomalies. Laparoscopic abdominoperineal resection with total mesorectal excision was done without any untoward complications. The presence of HSK per se is not a contraindication for laparoscopic operations involving the retroperitoneum. Pre-operative 3D CECT helps to identify the presence of anatomical variations and guides surgical resection.

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A case of laparoscopic high anterior resection of rectosigmoid colon cancer associated with a horseshoe kidney using preoperative 3D-CT angiography

Cited by 8 publications

References 5 publications

Prevention of ureteral injury during laparoscopic colorectal cancer surgery with horseshoe kidney using fluorescent ureteral catheters: a case report

Prevention of ureteral injury during laparoscopic colorectal cancer surgery with horseshoe kidney using fluorescent ureteral catheters: a case report

A Unique Case of Anal Atresia with Vestibular Anus, Colorectal Cancer and Renal Cancer in Horseshoe Kidney in Adult Woman: A Case Report and Literature Review

Laparoscopic resection for low rectal cancer in a patient with horseshoe kidney – Technical considerations to prevent iatrogenic injuries

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