Ohtake Shinji, Kawahara Takashi, Noguchi Go, Nakaigawa Noboru, Chiba Kimio, Uemura Hiroji, Yao Masahiro, Makiyama Kazuhide
Department of Urology, Yokohama City University Graduate School of Medicine, Yokohama, Japan.
Department of Urology, Kawasaki Municipal Ida Hospital, Kawasaki, Japan.
Case Rep Oncol Med. 2018 Jun 7;2018:7135180. doi: 10.1155/2018/7135180. eCollection 2018.
Horseshoe kidney is one of the most common congenital renal fusion anomalies. Due to its poor mobility and abnormal vasculature form, surgeons should pay close attention to all anatomical variations.
An 83-year-old woman was referred to our hospital because of left renal tumor in a horseshoe kidney incidentally found by her previous hospital. We performed laparoscopic partial nephrectomy. The pathological diagnosis was clear cell renal cell carcinoma. G2 INF V-pT1a with a negative surgical margin. No evidence of recurrence has been noted, and the renal function is well preserved at 28 months after surgery.
When performing laparoscopic partial nephrectomy for renal carcinoma, especially a horseshoe kidney, preoperative imaging is crucial for identifying the location of the renal vessels.
马蹄肾是最常见的先天性肾融合异常之一。由于其活动度差和血管形态异常，外科医生应密切关注所有解剖变异。
一名83岁女性因先前医院偶然发现的马蹄肾左肾肿瘤转诊至我院。我们实施了腹腔镜下肾部分切除术。病理诊断为透明细胞肾细胞癌。G2 INF V-pT1a，手术切缘阴性。术后28个月未发现复发迹象，肾功能良好。
在对肾癌，尤其是马蹄肾实施腹腔镜下肾部分切除术时，术前影像学检查对于确定肾血管位置至关重要。
