Robotic-assisted laparoscopic partial nephrectomies (RAPN) have come up to standard treatment for small renal tumors, with a growing indication to accomplish this procedure. Although a horseshoe kidney is one of the most common congenital renal fusion anomalies, surgical planning for tumors is considered difficult because of its poor mobility and abnormal vascular supply. We showed our experience of RAPN in combination with conventional laparoscopic kidney mobilization and dissection for a patient with renal cell carcinoma in a horseshoe kidney. The patient was an otherwise healthy 66-year-old man with 26 mm right renal mass on the lower pole of the horseshoe kidney. Robotic assistance allows for proper tissue dissection, easy to aware unconfirmed vasculatures, and meticulous fine suturing and would overcome the potential challenges involved in the minimally invasive management of such complex anomalies as shown in the patient.
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This work was supported by Grants-in-Aid for Scientific Research, Japan (Grant no.: 17K11121).
Conflict of interest
No competing financial interests exist for Kazuyuki Numakura, Yumina Muto, Ryohei Yamamoto, Atsushi Koizumi, Taketoshi Nara, Sohei Kanda, Mitsuru Saito, Shintaro Narita, Takamitsu Inoue, or Tomonori Habuchi.
Ethical approval and informed consent
In Akita University hospital, we announce that clinical studies are performed in this hospital and that their results are published. We explained him and got the written informed consent in accordance with the Declaration of Helsinki.
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Numakura, K., Muto, Y., Yamamoto, R. et al. Robotic-assisted laparoscopic partial nephrectomy for renal cell carcinoma in horseshoe kidney: a hybrid technique with conventional laparoscopic surgery. Int Canc Conf J (2020). https://doi.org/10.1007/s13691-020-00420-8
- Robotic partial nephrectomy
- Renal cell carcinoma
- Hybrid technique
- Horseshoe kidney