Summary
The unilateral or bilateral approach for nephrectomy in horseshoe kidney by minimally
invasive surgery has been described. A total binephrectomy by a unilateral retroperitoneoscopic
approach was performed for congenital nephrotic syndrome.
A unilateral retroperitoneoscopic approach was planned in a 3-year-old boy (13 kg)
with congenital nephrotic syndrome resistant to steroids with massive protein loss.
The operative time was 160 min. The postoperative course was uneventful with continued
hemodialysis until renal transplant 18 months later.
The unilateral retroperitoneal approach allows total nephrectomy to be completed safely
in horseshoe kidney for benign disease.
The retroperitoneal access preserves the abdominal cavity, should peritoneal dialysis
be required.
Keywords
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References
- Retroperitoneoscopic nephrectomy of a horseshoe kidney in a child.Surg Endosc. 2003; 17: 1156
- Bilateral laparoscopic transperitoneal nephrectomy with early peritoneal dialysis in an infant with the nephrotic syndrome.J Urol. 2003; 170: 1962
- En bloc retroperitoneoscopic removal of horseshoe kidney for end-stage renal disease.Urology. 2015; 86: 814-816
- Native nephrectomy prior to pediatric kidney transplantation: biological and clinical aspects.Pediatr Nephrol. 2012; 27: 1179-1188
- The horseshoe kidney: surgical anatomy and embryology.J Pediatr Urol. 2016; 12: 276-280
Article info
Publication history
Published online: August 07, 2019
Accepted:
July 31,
2019
Received:
June 12,
2019
Identification
Copyright
© 2019 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
