Bhayani Sam B, Andriole Gerald L
Division of Urology, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
Urology. 2005 Oct;66(4):880. doi: 10.1016/j.urology.2005.03.056.
Laparoscopic surgery of the horseshoe kidney has been limited to benign conditions, hand assistance, and retroperitoneal approaches for small tumors. In this case, we describe a pure transperitoneal approach to heminephrectomy for a large renal cell carcinoma. The operative considerations include identification of all arterial branches and careful isthmus dissection. Preoperative angiography may aid surgical planning. A pure transperitoneal approach to cancer surgery of the horseshoe kidney is effective.
马蹄肾的腹腔镜手术一直局限于良性疾病、手辅助以及针对小肿瘤的腹膜后入路。在本病例中，我们描述了一种针对大的肾细胞癌进行半肾切除术的单纯经腹入路。手术要点包括识别所有动脉分支以及仔细分离峡部。术前血管造影可能有助于手术规划。马蹄肾癌症手术的单纯经腹入路是有效的。
