You have accessJournal of UrologyMisc. GU Oncology and Transplant1 Apr 2017V6-11 LAPAROSCOPIC RADICAL HEMINEPHROURETECTOMY IN HORSESHOE KIDNEY WITH HIGH-GRADE UROTHELIAL CELL CARCINOMA AND SINGLE-PORT BLADDER CUFF MANAGEMENT: FIRST CASE REPORT Marino Cabrera, Jose Gustavo Ramos, Claudia Lucia Ochoa, Angie Ramirez, Rodolfo Varela, Jorge Forero, and German Godoy Marino CabreraMarino Cabrera More articles by this author , Jose Gustavo RamosJose Gustavo Ramos More articles by this author , Claudia Lucia OchoaClaudia Lucia Ochoa More articles by this author , Angie RamirezAngie Ramirez More articles by this author , Rodolfo VarelaRodolfo Varela More articles by this author , Jorge ForeroJorge Forero More articles by this author , and German GodoyGerman Godoy More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.1586AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Horseshoe kidney is a renal fusion congenital disorder, affecting up to 0.25% of the general population. High-grade urothelial carcinoma represents about 5-7% of all renal tumors. We describe the laparoscopic approach of hemi-nephroureterectomy and lymphadenectomy with the single-port bladder cuff resection in a horseshoe kidney with upper urinary tract urothelial cell carcinoma. METHODS Male, 50 years old patient with an incidental endoscopic finding of a right renal pelvic tumoral lesion. The imaging studies revealed a horseshoe kidney. The angio-MRI of the abdomen reveals a tumor in the renal pelvis and in the first two-thirds of the ureter. The vascular artery study reveals a renal artery supplying blood to the tumoral lesion and the second artery to the inferior pole of the kidney. RESULTS Right laparoscopic radical hemi-nephroureterectomy with Isthmectomy and lymphadenectomy (perihiliar, paraaortic, precaval, and paracaval) whit single-port bladder cuff was performed without complications. The surgical specimen was all removed by the suprapubic incision of the single port. The pathology shows a tumor confined to the renal pelvis; ureter tumor extension recognized with partial obstruction in its proximal two-thirds, without recognizing infiltration ureteral wall. lymph node negative for tumor involvement. TNM: pT1 High-Grade N 0 M 0. Six months follow-up is satisfactory without relapse. CONCLUSIONS This is the first case reported which describes the laparoscopic approach for hemi-nephroureterectomy with lymphadenectomy and simultaneously by single-port bladder cuff in horseshoe kidney with upper urinary tract urothelial cell carcinoma. The single-port technique, allows an intravesical approach with a safe surgical margin while still attaining the benefits of a minimally invasive surgery. This procedure is viable and safe, inclusive in structural anomalies such as the horseshoe kidney with favorable oncologic short-term results. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e682 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Marino Cabrera More articles by this author Jose Gustavo Ramos More articles by this author Claudia Lucia Ochoa More articles by this author Angie Ramirez More articles by this author Rodolfo Varela More articles by this author Jorge Forero More articles by this author German Godoy More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...