With an incidence of 1/500,a horseshoe kidney is not uncommon.Tumours discovered in horseshoe kidney however are quite rare,and prove difficult to surgically manage due to complex vascular anatomy.With variable surgic...With an incidence of 1/500,a horseshoe kidney is not uncommon.Tumours discovered in horseshoe kidney however are quite rare,and prove difficult to surgically manage due to complex vascular anatomy.With variable surgical approaches previously described,only a select few robot-assisted cases have been reported.This case describes one such robot-assisted laparoscopic heminephrectomy,with the use of indocyanine green and an endovascular stapler to successfully demarcate ischemia and achieve hemostasis intraoperatively.No complications were encountered,and pathology revealed a pT1bN0 clear cell renal cell carcinoma with negative surgical margins,demonstrating the feasibility of our approach.展开更多
文摘With an incidence of 1/500,a horseshoe kidney is not uncommon.Tumours discovered in horseshoe kidney however are quite rare,and prove difficult to surgically manage due to complex vascular anatomy.With variable surgical approaches previously described,only a select few robot-assisted cases have been reported.This case describes one such robot-assisted laparoscopic heminephrectomy,with the use of indocyanine green and an endovascular stapler to successfully demarcate ischemia and achieve hemostasis intraoperatively.No complications were encountered,and pathology revealed a pT1bN0 clear cell renal cell carcinoma with negative surgical margins,demonstrating the feasibility of our approach.
