Robot-Assisted Radical Nephroureterectomy in a Patient With Horseshoe Kidney: A Case Report

IF 0.9 Q4 ORTHOPEDICS

Asian Journal of Endoscopic Surgery Pub Date : 2025-04-10 DOI:10.1111/ases.70054

Ryo Shiode, Ryuta Watanabe, Toshio Kakuda, Daiichiro Suzuki, Shota Nobumori, Naoya Sugihara, Maki Yamakawa, Kaori Saiki, Reina Kono, Terutaka Noda, Kenichi Nishimura, Tetsuya Fukumoto, Noriyoshi Miura, Yuki Miyauchi, Tadahiko Kikugawa, Takashi Saika

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引用次数: 0

Abstract

Renal pelvic carcinoma in a horseshoe kidney is rare, and reports on robotic surgery for this condition are limited. We present a case of a 64-year-old male diagnosed with right renal pelvic carcinoma in a horseshoe kidney. The patient underwent robot-assisted radical nephroureterectomy using the da Vinci Xi surgical system, with preoperative anatomical visualization enhanced by 3D imaging software (SYNAPSE VINCENT). The total operative time was 6 h and 31 min, with a blood loss of 185 mL. The procedure was completed without complications. Histopathological examination revealed invasive urothelial carcinoma (pT3, high-grade carcinoma with carcinoma in situ), with negative surgical margins. In conclusion, robot-assisted radical nephroureterectomy is a feasible and safe approach for managing renal pelvic carcinoma in a horseshoe kidney. Preoperative 3D imaging enhances anatomical understanding, potentially improving surgical outcomes.

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来源期刊

Asian Journal of Endoscopic Surgery ORTHOPEDICS-

CiteScore

2.00

自引率

10.00%

发文量

129