Laparoscopic renal dissection and left side nephroureterectomy for ureteral tumour in a horseshoe kidney – Case report
Csicsenkov Péter dr., Domján Zsolt dr.
Szent János Kórház és Észak-budai Egyesített Kórházak, Urológiai osztály, Budapest (osztályvezető: Domján Zsolt dr.))
Introduction: Horseshoe kidney is the most common renal fusion anomaly. The incidence of horseshoe kidney is approximately 1 in 500 in the normal population with a male preponderance of 2:1. Upper urinary tract urothelial carcinoma is relatively uncommon, accounting for less than 5% of all urothelial carcinomas. It is associated with high mortality and morbidity.
Case report: The authors would like to present a single case of a laparoscopic dissection and left side nephroureterectomy in a patient who was investigated for painless haematuria and later on diagnosed for left side ureteral cancer.
The case was considered worth of presentation because a full thickness renal parenchyma was successfully dissected with minimal invasive way, but the authors had to work out a special safe technique.
Conclusion: There are only a few publications about laparoscopic horseshoe kidney dissections due to cancer, and this article can be considered as the first case reported in Hungary.