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Left lateral retroperitoneoscopic total nephrectomy of a horseshoe kidney in a 3-year-old boy

  • H. Lottmann
    Affiliations
    Department of Pediatric Surgery and Urology, Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France
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  • L. Pio
    Affiliations
    Department of Pediatric Surgery and Urology, Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France

    Paris Descartes University, Université Sorbonne Paris Cité, Paris, France
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  • Y. Heloury
    Affiliations
    Pediatric Urology Department, The Royal Children Hospital, Melbourne, Victoria, Australia
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  • O. Boyer
    Affiliations
    Pediatric Department of Nephrology and Transplantation, Assistance Publique-Hôpitaux de Paris, Hôpital Necker, Paris, France
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  • Y. Aigrain
    Affiliations
    Department of Pediatric Surgery and Urology, Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France

    Paris Descartes University, Université Sorbonne Paris Cité, Paris, France
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  • T. Blanc
    Correspondence
    Corresponding author. Service de chirurgie viscérale et urologique, Hôpital Necker enfants-malades, 149 Rue de sèvres, 75743 Paris cedex 15, France.
    Affiliations
    Department of Pediatric Surgery and Urology, Hôpital Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris, Paris, France

    Paris Descartes University, Université Sorbonne Paris Cité, Paris, France
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      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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