Abstract

BackgroundHorseshoe kidney (HSK) has always been a challenge for urologists depending on its particular anatomy. We report a case of renal tumor in a patient with HSK, who underwent tumor resection by retroperitoneal robot-assisted laparoscopic partial nephrectomy.Case PresentationA 47-year-old man with HSK presented to our hospital with a solid renal mass. Computed tomography urography (CTU) showed a 4.3 × 4.4-cm mass in the upper pole of the right kidney. The patient received retroperitoneal robot-assisted laparoscopic partial nephrectomy on the basis of CT three-dimensional (3D) reconstructions.ConclusionThe present case report highlights the feasibility of retroperitoneal robot-assisted laparoscopic partial nephrectomy for horseshoe kidney and the advantages of preoperative CT scan with three-dimensional reconstructions.

Highlights

  • Horseshoe kidney (HSK) is an anatomical deformity, which originates from renal fusion anomaly [1]

  • CT three-dimensional reconstruction is more suitable for tumors associated with HSK because of its complex vascular anatomy

  • We describe here a case of a clear cell carcinoma located on a HSK that was successfully treated with robot-assisted partial nephrectomy

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Summary

Background

Horseshoe kidney (HSK) has always been a challenge for urologists depending on its particular anatomy. We report a case of renal tumor in a patient with HSK, who underwent tumor resection by retroperitoneal robot-assisted laparoscopic partial nephrectomy. Case Presentation: A 47-year-old man with HSK presented to our hospital with a solid renal mass. Computed tomography urography (CTU) showed a 4.3 × 4.4-cm mass in the upper pole of the right kidney. The patient received retroperitoneal robot-assisted laparoscopic partial nephrectomy on the basis of CT three-dimensional (3D) reconstructions

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