Pure laparoscopic unilateral nephrectomy for a patient with a polycystic horseshoe kidney

Authors

  • Shawn Dason Division of Urology, McMaster University, Hamilton, ON, Canada
  • Christopher B Allard Division of Urology, McMaster University, Hamilton, ON, Canada
  • Bobby Shayegan Division of Urology, McMaster University, Hamilton, ON, Canada
  • Kevin Piercey Division of Urology, McMaster University, Hamilton, ON, Canada

DOI:

https://doi.org/10.5489/cuaj.1919

Keywords:

nephrectomy, horseshoe kidney, polycystic kidney disease

Abstract

A 45-year-old female patient with autosomal dominant polycystic kidney disease (ADPKD) and a horseshoe kidney underwent right laparoscopic nephrectomy. The indication for nephrectomy was to create space within the right iliac fossa for renal transplantation. The operation proceeded as routine for laparoscopic nephrectomy for ADPKD, but was uniquely challenging due to the large size and extensive vasculature of the polycystic horseshoe kidney. In addition to documenting the feasibility of the pure laparoscopic approach for nephrectomy in patients with ADPKD and horseshoe kidney, this case highlights the abnormal location and vasculature encountered when operating on horseshoe kidneys.

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Published

2014-11-24

How to Cite

Dason, S., Allard, C. B., Shayegan, B., & Piercey, K. (2014). Pure laparoscopic unilateral nephrectomy for a patient with a polycystic horseshoe kidney. Canadian Urological Association Journal, 8(11-12), e881–3. https://doi.org/10.5489/cuaj.1919