Retroperitoneoscopic Partial Nephrectomy in a Horseshoe Kidney
Yong Seung Lee ; Ho Song Yu ; Myung Up Kim ; Ho Sung Jang ; Dae Hun Lee ; Chan Dong Yeom ; Jong Ho Hwang ; Won Sik Ham
Korean Journal of Urology, Vol.52(11) : 795~797, 2011
Korean Journal of Urology
A 21-year-old woman with a 4 cm enhancing cystic renal mass in the left moiety of a horseshoe kidney was treated through a retroperitoneal laparoscopic approach. The tumor was excised completely with cold scissors, and renal parenchyma suturing with a surgical bolster was done with Vicryl 2-0 sutures. Choosing the proper approach according to the location of the lesion and the surgeon's experience with both approaches are of importance in laparoscopic surgery in horseshoe kidney cases. A preoperative kidney computed tomography angiography was helpful for understanding the complex renal vasculature.