Laparoscopic Partial Nephrectomy for Tumour Excision in a Horseshoe Kidney

Tsivian, Alexander; Shtricker, Avraham; Benjamin, Shalva; Sidi, Avner

doi:10.1016/j.eururo.2006.10.052

Cited by 18 publications

(13 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To our knowledge, only four cases of laparoscopic partial nephrectomy for horseshoe kidney tumors have been published in the literature, first by Molina and Gill in 2003 5 . Two of them reported the surgery performed transperitoneally and the other two via a retroperitoneal approach2, 3, 4, 5 (Table 1). …”

Section: Discussionmentioning

confidence: 99%

“…To our knowledge, only four cases of laparoscopic nephron-sparing surgery for tumors in the horseshoe kidney have been published; two of them performed transperitoneally and the other two via a retroperitoneal approach. In this report, we describe the case of retroperitoneal laparoscopic partial nephrectomy for a solid renal mass in the left moiety of a horseshoe kidney 2, 3, 4, 5…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Retroperitoneoscopic Partial Nephrectomy for a Horseshoe Kidney Tumor

Nikoleishvili¹,

Koberidze²

2017

Urology Case Reports

View full text Add to dashboard Cite

Horseshoe kidney is the most common renal fusion anomaly found in about 0.15% to 0.25% of the population. Renal cell carcinoma associated with a horseshoe kidney has been described in fewer than 200 cases. Its incidence and prognosis seems to be not different from those of the general population, but surgical management may be challenging due to unique anatomic features of horseshoe kidneys, such as highly variable vasculature. We report a case of a 69-year-old male with an incidental 48-mm solid mass in the left moiety of a horseshoe kidney, successfully treated by retroperitoneoscopic partial nephrectomy.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Retroperitoneoscopic Partial Nephrectomy for a Horseshoe Kidney Tumor

Nikoleishvili¹,

Koberidze²

2017

Urology Case Reports

View full text Add to dashboard Cite

show abstract

“…11,13 Recently, Yecies et al reported a series of 8 patients with tumors involving HKs, who were treated with either heminephrectomy or partial nephrectomy. All operations but 1 were performed with an open surgical approach.…”

Section: Commentmentioning

confidence: 99%

Surgical Treatment of Tumors Involving Kidneys With Fusion Anomalies: A Contemporary Series

Hakimi

Sankin

Sternberg

et al. 2016

Urology

View full text Add to dashboard Cite

OBJECTIVE To report a contemporary series of surgically treated patients with tumors involving kidneys with fusion anomalies. MATERIALS AND METHODS We retrospectively reviewed the medical records of all 10 patients treated at a single tertiary care institution for tumors involving kidneys with fusion anomalies between the years 2000 and 2015. One patient, diagnosed with lymphoma, did not undergo surgical treatment and was therefore excluded. Data regarding patient, tumor, and treatment characteristics were collected and described. RESULTS The study cohort included 7 male and 2 female patients, at a median age of 52 years. Seven patients underwent open partial nephrectomy. Nephroureterectomy was performed on 2 patients; 1 open and 1 laparoscopic. All patients had localized disease at diagnosis. Tumor histologies were renal cell carcinoma in 5 patients, renal oncocytoma in 1 patient, urothelial carcinoma in 2 patients, and a well-differentiated liposarcoma involving the kidney in 1 patient. Accessory blood vessels were identified in 8 of 9 patients. Median estimated blood loss was 300 mL (interquartile range: 150–1000). Four patients had postoperative complications, including 3 major (Clavien grade ≥ 3) and 3 minor (Clavien grade ≤ 2) complications. During a median follow-up of 19.2 months (interquartile range: 3–34.8), 1 patient with urothelial carcinoma developed a bladder recurrence. None of the patients developed new-onset chronic kidney disease during the early postoperative period. CONCLUSION Localized renal cortical tumors in kidneys with fusion anomalies may be treated with partial nephrectomy; however, complication rates are relatively high. Preoperative imaging of the blood vessels is necessary, as most patients have an accessory blood supply.

show abstract

“…However, several authors have reported that they do not use sealants during LPn and have equally satisfactory results (2,5,6). To date, the advantages of such sealants have yet to be clarified.…”

Section: Commentsmentioning

confidence: 99%

“…The standard transperitoneal approach is used with 3-4 trocars as described elsewhere (2). Briefly, once the tumor has been identified and the incision track marked by cautery, the renal artery is clamped and the tumor excised in a standard fashion using cold scissors and suction.…”

Section: Surgical Techniquementioning

confidence: 99%