Robotic-assisted laparoscopic partial nephrectomy for renal cell carcinoma in horseshoe kidney: a hybrid technique with conventional laparoscopic surgery


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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  1. 1.

    Ohtake S, Kawahara T, Noguchi G et al (2018) Renal cell carcinoma in a horseshoe kidney treated with laparoscopic partial nephrectomy. Case Rep Oncol Med 2018:7135180 [Epub 2018/07/07]

    PubMed  PubMed Central  Google Scholar 

  2. 2.

    Raman A, Kuusk T, Hyde ER, Berger LU, Bex A, Mumtaz F (2018) Robotic-assisted laparoscopic partial nephrectomy in a horseshoe kidney. A case report and review of the literature. Urology 114:e3–e5 [Epub 2017/12/31]

    Article  Google Scholar 

  3. 3.

    Nikoleishvili D, Koberidze G (2017) Retroperitoneoscopic partial nephrectomy for a horseshoe kidney tumor. Urol Case Rep 13:31–33 [Epub 2017/04/25]

    Article  Google Scholar 

  4. 4.

    Kim H, Kim JR, Han Y, Kwon W, Kim SW, Jang JY (2017) Early experience of laparoscopic and robotic hybrid pancreaticoduodenectomy. Int J Med Robot 13(3). [Epub 2017/03/10]

  5. 5.

    Benidir T, Coelho de Castilho TJ, Cherubini GR, de Almeida LM (2014) Laparoscopic partial nephrectomy for renal cell carcinoma in a horseshoe kidney. Can Urol Assoc J 8(11–12):E918–E920 [Epub 2015/01/02]

    Article  Google Scholar 

  6. 6.

    Novara G, La Falce S, Kungulli A, Gandaglia G, Ficarra V, Mottrie A (2016) Robot-assisted partial nephrectomy. Int J Surg 36(Pt C):554–559 [Epub 2016/10/25]

    Article  Google Scholar 

  7. 7.

    Rogers CG, Linehan WM, Pinto PA (2008) Robotic nephrectomy for kidney cancer in a horseshoe kidney with renal vein tumor thrombus: novel technique for thrombectomy. J Endourol 22(8):1561–1563 [Epub 2008/08/30]

    Article  Google Scholar 

  8. 8.

    Kumar S, Singh S, Jain S, Bora GS, Singh SK (2015) Robot-assisted heminephrectomy for chromophobe renal cell carcinoma in L-shaped fused crossed ectopia: surgical challenge. Korean J Urol 56(10):729–732 [Epub 2015/10/27]

    Article  Google Scholar 

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This work was supported by Grants-in-Aid for Scientific Research, Japan (Grant no.: 17K11121).

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Correspondence to Tomonori Habuchi.

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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.

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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).

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  • Robotic partial nephrectomy
  • Renal cell carcinoma
  • Hybrid technique
  • Horseshoe kidney