Nishikimi Toshinori, Ohashi Tomoyoshi, Yamada Hiroshi, Morikami Hiroko, Nagasaka Yuriko, Mizuno Hideki
Department of Urology Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital Nagoya Aichi Japan.
IJU Case Rep. 2024 Sep 2;7(6):442-447. doi: 10.1002/iju5.12774. eCollection 2024 Nov.
Horseshoe kidney is characterized by midline fusion of the lower poles of both kidneys. We report a case where robot-assisted pyeloplasty was performed for hydronephrosis complicating horseshoe kidney.
A 31-year-old man repeatedly developed fever since childhood. He visited a local clinic for fever and left back pain, where he was diagnosed and treated for acute pyelonephritis. Abdominal computed tomography led to a diagnosis of horseshoe kidney and associated left ureteropelvic junction obstruction. He was referred to our hospital for pyeloplasty because of persistent left back pain. Robot-assisted left pyeloplasty was performed using the Anderson-Hynes technique with four ports because crossing vessels were discovered intraoperatively. Isthmusectomy was not performed. The postoperative course was favorable. Computed tomography performed approximately 2 years post-surgery showed improvement in hydronephrosis. No left back pain was reported.
Our case experience suggests the utility of robot-assisted pyeloplasty for patients with horseshoe kidney.
马蹄肾的特征是双肾下极在中线融合。我们报告了一例因马蹄肾并发肾积水而进行机器人辅助肾盂成形术的病例。
一名31岁男性自童年起反复发热。他因发热和左背部疼痛前往当地诊所就诊，在那里被诊断为急性肾盂肾炎并接受治疗。腹部计算机断层扫描诊断为马蹄肾并伴有左肾盂输尿管连接部梗阻。由于持续的左背部疼痛，他被转诊至我院进行肾盂成形术。术中发现有交叉血管，遂采用安德森-海因斯技术通过四个端口进行机器人辅助左肾盂成形术。未进行峡部切除术。术后病程顺利。术后约2年进行的计算机断层扫描显示肾积水有所改善。未再报告左背部疼痛。
我们的病例经验表明机器人辅助肾盂成形术对马蹄肾患者有用。
