Retroperitoneal robot-assisted single-port laparoscopic treatment of the horseshoe kidney with renal cell carcinoma: Report of two cases

Wei, Yong; Shen, Luming; Ji, Qianying; Zhu, Quing

doi:10.1016/j.asjsur.2022.01.136

Cited by 2 publications

(2 citation statements)

References 4 publications

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“…Wei et al reported a method using a vascular blocking band to oppressively block the isthmus of the horseshoe kidney. 4 Mancuso et al also reported using indocyanine green (ICG) for visualizing the blood ow dominant area and endovascular stapler for dissection of the isthmus. 5 In our case, we did not use an endovascular stapler because the isthmus was too thick.…”

Section: Discussionmentioning

confidence: 99%

A case of robot-assisted radical nephroureterectomy (RANU) in a patient with horseshoe kidney

Shiode

Watanabe

Kakuda

et al. 2023

Preprint

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Background: Renal pelvic carcinoma occurring in a horseshoe kidney is rare. Further, there are few reports on robotic surgery in horseshoe kidneys. We report the case of a patient who underwent a robotic nephroureterectomy for right renal pelvic carcinoma in a horseshoe kidney. Case presentation: A 64-year-old male patient was diagnosed with right renal pelvic carcinoma (cT1N0M0) in a horseshoe kidney. Robot-assisted radical nephroureterectomy was performed using the da Vinci Xi® surgical system with imaging of the anatomical structures using 3D constructed imaging software (SYNAPSE VINCENT®). The isthmus was dissected using monopolar curved scissors, and the edge was coagulated using ball electrodes. The operating time was 6 h 31 min, and console time was 5 h 2 min. Blood loss was 185 mL. The surgery was performed without complications, and the patient was discharged after 8 days. The pathological diagnosis was invasive urothelial carcinoma (pT3, high-grade carcinoma with CIS) with a negative surgical margin. Conclusion: Robotic surgical procedures are safe in radical nephroureterectomy in a horseshoe kidney, and preoperative 3D construction images provide anatomical perception.

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Section: Discussionmentioning

confidence: 99%

A case of robot-assisted radical nephroureterectomy (RANU) in a patient with horseshoe kidney

Shiode

Watanabe

Kakuda

et al. 2023

Preprint

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“…Herein, we report a case of a 77 year old Vietnamese woman diagnosed with a renal cell carcinoma in a horseshoe kidney treated by retroperitoneal laparoscopy heminephrectomy. There have been only a few case reports on laparoscopic heminephrectomy in horseshoe kidneys using a retroperitoneal approach [ 8 , 9 ]. This case is presented in line with the Consensus Surgical Case Report (SCARE) guidelines [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic retroperitoneal heminephrectomy for renal cell carcinoma in horseshoe kidney: a case report and review of the literature

Ngo,

El-Achkar,

Dobbs

et al. 2023

J Med Case Reports

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Introduction In this case report, we demonstrate our technique of a retroperitoneal laparoscopic heminephrectomy for a T1b right hilar tumor in a horseshoe kidney. Case presentation A 77-year-old Vietnamese woman presented to the hospital because of right flank pain. On presentation, her serum creatinine was 0.86 mg/dL and glomerular filtration rate was 65.2 mL/minute/1.73 m2. According to her renal scintigraphy, glomerular filtration rates of the right and left moieties were 24.2 and 35.5 mL/minute, respectively. Computed tomography imaging demonstrated a 5.5 × 5.0 cm solid hilar mass with a cT1bN0M0 tumor stage was in the right moiety. After discussion, the patient elected a minimally invasive surgery to treat her malignancy. The patient was placed in a flank position. We used Gaur’s balloon technique to create the retroperitoneal working space, and four trocar ports were planned for operation. Three arteries were dissected, including two arteries feeding the right moiety, one artery feeding the isthmus, and one vein, which was clipped and divided by Hem-o-lok. The isthmusectomy was performed with an Endostapler. Consequently, the ureter was clipped and divided. Finally, the whole right segment of the horseshoe kidney was mobilized and taken out via the flank incision. Results The total operative time was 250 min with an estimated blood loss of 200 mL. The patient's serum creatinine after surgery was 1.08 mg/dL, and glomerular filtration rate was 49.47 mL/minute/1.73 m2. The patient was discharged on postoperative day #4 without complication. Final pathologic examination of the tumor specimen revealed a Fuhrman grade II clear cell renal cell carcinoma, capsular invasion, with negative surgical margins. After a three-month follow-up, the serum creatinine was 0.95 mg/dL, and glomerular filtration rate was 57.7 mL/minute/1.73 m2. Local recurrence or metastasis was not detected by follow-up computed tomography imaging. Conclusions Retroperitoneal laparoscopic heminephrectomy is a safe and feasible technique for patients with renal cell carcinoma in a horseshoe kidney and may be particularly useful in low income settings without access to robotic technology.

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Retroperitoneal robot-assisted single-port laparoscopic treatment of the horseshoe kidney with renal cell carcinoma: Report of two cases

Cited by 2 publications

References 4 publications

A case of robot-assisted radical nephroureterectomy (RANU) in a patient with horseshoe kidney

A case of robot-assisted radical nephroureterectomy (RANU) in a patient with horseshoe kidney

Laparoscopic retroperitoneal heminephrectomy for renal cell carcinoma in horseshoe kidney: a case report and review of the literature

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