CLINICAL CASE

Laparoscopic resection of the horseshoe kidney for renal cell carcinoma

Muradyan AG1,4, Vorobyev NV2, Kostin AA3,4, Tolkachev AO2, Volchenko NN5, Popov SV4, Mamontova IS6
About authors

1 Department of Urology and Surgical Nephrology, Medical College,
Peoples’ Friendship University of Russia, Moscow, Russia

2 Oncourology Department,
Hertzen Moscow Cancer Research Institute, a branch of the Medical Radiological Research Centre, Moscow, Russia

3 Department of Urology, Oncology and Radiology, Faculty of advanced training for health workers,
Peoples’ Friendship University of Russia, Moscow, Russia

4 Medical Radiological Research Centre, Moscow, Russia

5 Department of Oncocytology,
Hertzen Moscow Cancer Research Institute, a branch of the Medical Radiological Research Centre, Moscow, Russia

6 Department of radiology,
Hertzen Moscow Cancer Research Institute, a branch of the Medical Radiological Research Centre, Moscow, Russia

Correspondence should be addressed: Avetik Muradyan
ul. Miklukho-Maklaya, d. 8, Moscow, Russia, 117997; moc.liamg@naydarumdm

Received: 2016-02-29 Accepted: 2016-04-04 Published online: 2017-01-05
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Renal fusion is one of the most common kidney anomalies. The most frequent is horseshoe kidney, characterized by a fusion of the poles (typically the lower poles) of the kidneys. We described a clinical case of a malignant tumor in the right half of the horseshoe kidney (stage 1 cancer, CT1aN0M0) in a man aged 65 years, who underwent laparoscopic resection. It was shown that laparoscopy is no less efficient than open surgery. However, in planning the operation, it is necessary to use spiral computed tomography for three-dimensional reconstruction of the organ and identification of its anatomical features caused by aberrant blood supply to horseshoe kidney.

Keywords: laparoscopy, horseshoe kidney, renal cell carcinoma, laparoscopic resection

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