Laparoscopic transperitoneal approach: choice in the correction of pyeloureteral stenosis in the pediatric horseshoe kidney

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Nicolás Rosales Parra
Juliana Lucia Molina Valencia
Marcela Cadavid Navas
Walter David Romero Espitia

Abstract

Background: Horseshoe kidney (HR) is associated in 33% of cases with pyeloureteral stenosis (UPE), for which reconstruction is required, without the need to divide the isthmus; currently, a transition towards laparoscopic management is taking place. Case report: male with a prenatal diagnosis of left hydronephrosis, persistent finding in the postnatal stage, in addition to confirmation of fusion of the lower renal poles (horseshoe kidney), in follow-up, an obstructive pattern was observed in uroresonance, transabdominal pyeloplasty was performed laparoscopically without complications. Discussion: the minimally invasive approach for performing pyeloplasty is a relatively new technique, with few reports in the pediatric population and reports in non-orthotopic kidneys. Conclusion: the transperitoneal laparoscopic approach for horseshoe kidney pyeloplasty provides adequate visualization of the structures and workspace, allowing a high success rate and safety.

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How to Cite
Rosales Parra, N., Molina Valencia, J. L., Cadavid Navas, M., & Romero Espitia, W. D. (2023). Laparoscopic transperitoneal approach: choice in the correction of pyeloureteral stenosis in the pediatric horseshoe kidney. Pediatría, 55(Suplemento 1), 28–31. https://doi.org/10.14295/rp.v55iSuplemento1.414
Section
Case report

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