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Abstract
We present the case of a living-donor nephrectomy of a horseshoe kidney. The recipient was a 33-year-old male with a history of end-stage renal disease secondary to IgA nephropathy. The donor was his 33-year-old partner who on preoperative cross-sectional imaging was found to have a horseshoe kidney with a single artery, vein and ureter. The donor operation was performed using a laparoscopic hand-assisted technique with transection of the interpolar fibrotic band using a stapler device. The backtable organ preparation was performed in a standard fashion with addition of a reinforcing hemostatic suture of the stapled fibrotic band. The donated kidney was transplanted extraperitoneally in the right iliac fossa of the recipient. The patient had an unremarkable postoperative course and was discharged home on post operative day 2 with normalizing renal function. To our knowledge, this is the first living donor nephrectomy of a horseshoe kidney performed using a laparoscopic hand-assisted technique.
Highlights
800) [1,2,3,4,5,6,7,8,9,10] that involves abnormal migration of both kidneys with concomitant polar fusion
4 fibrotic the renal vein and renal artery anastomosed to the external iliac vein and artery respecband using
The first split transplant of a HSK was performed by Politano in 1963 [3,8,10] and since successful transplantation of both en-bloc and split horseshoe kidneys from
Summary
33-year-oldmale malewith withaahistory historyofofend-stage end-stagerenal renaldisease disease. Transplant secondary to nephropathy who on hemodialysis for 33months. 33-year-old evaluation him candidate for transplantation, his evaluation deemed in him an adequate candidate with his 33-year-old partener interested interested in living living donation. She had hadfor notransplantation, previous medical medical history and was was partener donation. Previous medical medical history and was was partener donation She no previous history and partener interested in living donation. GFR on showed the leftshowed and on the right, inparenchyma addition to a HSK
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