Open Access

CASE REPORT

Retroperitoneoscopic left nephrectomy in a horseshoe kidney with the use of the harmonic scalpel

Steven P. Lapointe, Anne-Marie Houle, Diego Barrieras

Service d'Urologie Pediatrique, Hopital Ste-Justine, Universite de Montreal, Montreal, Quebec, Canada
Address correspondence to Dr Steven P. Lapointe, Pediatric Urology, Hopital Ste-Justine, 3175, Chemin Cote-Ste­Catherine, A4, Montreal, QC H3T 1C5 Canada

Canadian Journal of Urology 2002, 9(5), 1651-1652.

Abstract

Laparoscopy has greatly evolved over the years. More recently, retroperitoneoscopy has gained wide acceptance as the preferred approach for simple and complicated nephrectomies. We report on a 12 year-old girl who underwent a left nephrectomy on a horseshoe kidney through a retroperitoneoscopic approach using the harmonic scalpel for dissection and isthmus division. The operation was successful, recovery uneventful, and the patient was discharged 24 hrs post operatively, with excellent cosmesis. Retroperitoneoscopy can be considered if ablative surgery is contemplated in a horseshoe kidney, with adequate preoperative evaluation and solid retroperitoneoscopic surgical experience. The use the harmonic scalpel was greatly beneficial for the overall success of this complicated intervention.

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