Asian journal of endoscopic surgery · 2025
Robot-Assisted Radical Nephroureterectomy in a Patient With Horseshoe Kidney: A Case Report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Shiode Ryo, Watanabe Ryuta, Kakuda Toshio, Suzuki Daiichiro, Nobumori Shota, Sugihara Naoya, Yamakawa Maki, Saiki Kaori, Kono Reina, Noda Terutaka, Nishimura Kenichi, Fukumoto Tetsuya, Miura Noriyoshi, Miyauchi Yuki, Kikugawa Tadahiko, Saika Takashi
Аннотация
Renal pelvic carcinoma in a horseshoe kidney is rare, and reports on robotic surgery for this condition are limited. We present a case of a 64-year-old male diagnosed with right renal pelvic carcinoma in a horseshoe kidney. The patient underwent robot-assisted radical nephroureterectomy using the da Vinci Xi surgical system, with preoperative anatomical visualization enhanced by 3D imaging software (SYNAPSE VINCENT). The total operative time was 6 h and 31 min, with a blood loss of 185 mL. The procedure was completed without complications. Histopathological examination revealed invasive urothelial carcinoma (pT3, high-grade carcinoma with carcinoma in situ), with negative surgical margins. In conclusion, robot-assisted radical nephroureterectomy is a feasible and safe approach for managing renal pelvic carcinoma in a horseshoe kidney. Preoperative 3D imaging enhances anatomical understanding, potentially improving surgical outcomes.