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Retroperitoneoscopic Partial Nephrectomy in a Horseshoe Kidney

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ÀÌ¿ë½Â, À¯È£¼Û, Kim Myung-Up, ÀåÈ£¼º, Lee Dae-Hun, Yeom Chan-Dong, ÇÔ¿ø½Ä, ȲÁ¾È£,
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ÀÌ¿ë½Â ( Lee Yong-Seung ) 
Yonsei University College of Medicine Department of Urology

À¯È£¼Û ( Yu Ho-Song ) 
Yonsei University College of Medicine Department of Urology
 ( Kim Myung-Up ) 
Yonsei University College of Medicine Department of Urology
ÀåÈ£¼º ( Jang Ho-Sung ) 
Yonsei University Health System Urological Science Institute Department of Urology
 ( Lee Dae-Hun ) 
Yonsei University College of Medicine Department of Urology
 ( Yeom Chan-Dong ) 
Yonsei University College of Medicine Department of Urology
ÇÔ¿ø½Ä ( Ham Won-Sik ) 
Yonsei University College of Medicine Department of Urology
ȲÁ¾È£ ( Hwang Jong-Ho ) 
Sahmyoook Medical Center Department of Urology

Abstract


A 21-year-old woman with a 4 cm enhancing cystic renal mass in the left moiety of a horseshoe kidney was treated through a retroperitoneal laparoscopic approach. The tumor was excised completely with cold scissors, and renal parenchyma suturing with a surgical bolster was done with Vicryl 2-0 sutures. Choosing the proper approach according to the location of the lesion and the surgeon¡¯s experience with both approaches are of importance in laparoscopic surgery in horseshoe kidney cases. A preoperative kidney computed tomography angiography was helpful for understanding the complex renal vasculature.

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Kidney; Laparoscopy; Nephrectomy

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