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Laparoscopic Heminephrectomy in a Horseshoe Kidney Affected by Xanthogranulomatous Pyelonephritis

BACKGROUND AND OBJECTIVES: Horseshoe kidney is a relatively common renal fusion anomaly. There are increasing reports of successful laparoscopic management of surgical disease in this entity. Xanthogranulomatous pyelonephritis (XGP) is an inflammatory condition of chronically obstructed and infected...

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Autores principales: Sausville, Justin, Chason, Judd, Phelan, Michael
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015952/
https://www.ncbi.nlm.nih.gov/pubmed/19793497
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author Sausville, Justin
Chason, Judd
Phelan, Michael
author_facet Sausville, Justin
Chason, Judd
Phelan, Michael
author_sort Sausville, Justin
collection PubMed
description BACKGROUND AND OBJECTIVES: Horseshoe kidney is a relatively common renal fusion anomaly. There are increasing reports of successful laparoscopic management of surgical disease in this entity. Xanthogranulomatous pyelonephritis (XGP) is an inflammatory condition of chronically obstructed and infected kidneys that is typically refractory to medical management. XGP has been regarded as a contraindication to laparoscopic surgery. Successful laparoscopic nephrectomies have been reported, albeit with high conversion and complication rates. In this report, we describe successful laparoscopic heminephrectomy for a horseshoe kidney moiety that was subsequently shown to have pathologic features of XGP. METHODS: We report the case of a woman who underwent laparoscopic heminephrectomy for XGP of a horseshoe kidney. We discuss surgical technique and patient outcome. We also performed and report on a focused review of the relevant literature. RESULTS: Pure laparoscopic heminephrectomy was completed by a transperitoneal approach. The patient was discharged the day after surgery. CONCLUSIONS: Laparoscopy is a viable approach for the management of XGP in horseshoe kidneys. However, this is a challenging procedure that should be the domain of advanced laparoscopic surgeons.
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spelling pubmed-30159522011-02-17 Laparoscopic Heminephrectomy in a Horseshoe Kidney Affected by Xanthogranulomatous Pyelonephritis Sausville, Justin Chason, Judd Phelan, Michael JSLS Case Reports BACKGROUND AND OBJECTIVES: Horseshoe kidney is a relatively common renal fusion anomaly. There are increasing reports of successful laparoscopic management of surgical disease in this entity. Xanthogranulomatous pyelonephritis (XGP) is an inflammatory condition of chronically obstructed and infected kidneys that is typically refractory to medical management. XGP has been regarded as a contraindication to laparoscopic surgery. Successful laparoscopic nephrectomies have been reported, albeit with high conversion and complication rates. In this report, we describe successful laparoscopic heminephrectomy for a horseshoe kidney moiety that was subsequently shown to have pathologic features of XGP. METHODS: We report the case of a woman who underwent laparoscopic heminephrectomy for XGP of a horseshoe kidney. We discuss surgical technique and patient outcome. We also performed and report on a focused review of the relevant literature. RESULTS: Pure laparoscopic heminephrectomy was completed by a transperitoneal approach. The patient was discharged the day after surgery. CONCLUSIONS: Laparoscopy is a viable approach for the management of XGP in horseshoe kidneys. However, this is a challenging procedure that should be the domain of advanced laparoscopic surgeons. Society of Laparoendoscopic Surgeons 2009 /pmc/articles/PMC3015952/ /pubmed/19793497 Text en © 2009 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Case Reports
Sausville, Justin
Chason, Judd
Phelan, Michael
Laparoscopic Heminephrectomy in a Horseshoe Kidney Affected by Xanthogranulomatous Pyelonephritis
title Laparoscopic Heminephrectomy in a Horseshoe Kidney Affected by Xanthogranulomatous Pyelonephritis
title_full Laparoscopic Heminephrectomy in a Horseshoe Kidney Affected by Xanthogranulomatous Pyelonephritis
title_fullStr Laparoscopic Heminephrectomy in a Horseshoe Kidney Affected by Xanthogranulomatous Pyelonephritis
title_full_unstemmed Laparoscopic Heminephrectomy in a Horseshoe Kidney Affected by Xanthogranulomatous Pyelonephritis
title_short Laparoscopic Heminephrectomy in a Horseshoe Kidney Affected by Xanthogranulomatous Pyelonephritis
title_sort laparoscopic heminephrectomy in a horseshoe kidney affected by xanthogranulomatous pyelonephritis
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015952/
https://www.ncbi.nlm.nih.gov/pubmed/19793497
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