Laparoscopic transperitoneal approach: choice in the correction of pyeloureteral stenosis in the pediatric horseshoe kidney
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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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References
Hsi-Yang W, Howard M, Snyder III. Developmental and Positional Anomalies of the Kidneys. En: Holcomb and Ashcraft’s Pediatric. 7 Ed. Philadelphia: Saunders/Elsevier; 2020. p. Saunders/Elsevier.
Chertin B, Puri P. Pyeloplasty. En: Pediatric Surgery. Alemania: Springer; 2014. p. 485-92.
Carpentier X, Amiel J. Síndrome de la unión pieloureteral en el adulto: tratamiento quirúrgico a cielo abierto. EMC – Urol. 2008;40(3):1-9. DOI: https://doi.org/10.1016/S1761-3310(08)70041-0
Restrepo JHM, Ceballos MM, Sabaleta TIR, López AL, Toscano CAO. Anomalías de la rotación y la fusión renal. Rev Colomb Radiol. 2013;24(3):3751-5.
Hsu THS, Presti JC. Anterior extraperitoneal approach to laparoscopic pyeloplasty in horseshoe kidney:a novel technique. Urology 2003;62(6):1114-6. DOI: https://doi.org/10.1016/j.urology.2003.07.003
Sedláček J, Kočvara R, Molčan J, Dítě Z, Dvořáček J. Transmesocolic laparoscopic pyeloplasty in children: A standard approach for the left-side repair. J Pediatr Urol. 2010;6(2):171-7. DOI: https://doi.org/10.1016/j.jpurol.2009.06.010
Taghavi K, Kirkpatrick J, Mirjalili SA. The horseshoe kidney: Surgical anatomy and embryology. J Pediatr Urol. 2016;12(5):275-80. DOI: https://doi.org/10.1016/j.jpurol.2016.04.033
Blanc T, Koulouris E, Botto N, Paye-Jaouen A, El-Ghoneimi A. Laparoscopic Pyeloplasty in Children with Horseshoe Kidney. J Urol. 2014;191(4):1097-103. DOI: https://doi.org/10.1016/j.juro.2013.10.059
Esposito C, Masieri L, Blanc T, Manzoni G, Silay S, Escolino M. Robot-assisted laparoscopic pyeloplasty (RALP) in children with horseshoe kidneys: results of a multicentric study. World J Urol. 2019;37(10):2257-63. DOI: https://doi.org/10.1007/s00345-019-02632-x
Blanc T, Muller C, Abdoul H, Peev S, Paye-Jaouen A, Peycelon M, et al. Retroperitoneal Laparoscopic Pyeloplasty in Children: Long-Term Outcome and Critical Analysis of 10-Year Experience in a Teaching Center. Eur Urol. 2013;63(3):565-72. DOI: https://doi.org/10.1016/j.eururo.2012.07.051
Wang P, Xia D, Ma Q, Wang S. Retroperitoneal Laparoscopic Management of Ureteropelvic Junction Obstruction in Patients with Horseshoe Kidney. Urology. 2014;84(6):1351-4. DOI: https://doi.org/10.1016/j.urology.2014.07.029