Academic Journal
Robot-Assisted Radical Nephroureterectomy in a Patient With Horseshoe Kidney: A Case Report.
| Title: | Robot-Assisted Radical Nephroureterectomy in a Patient With Horseshoe Kidney: A Case Report. |
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| Authors: | Shiode R; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Watanabe R; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Kakuda T; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Suzuki D; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Nobumori S; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Sugihara N; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Yamakawa M; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Saiki K; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Kono R; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Noda T; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Nishimura K; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Fukumoto T; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Miura N; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Miyauchi Y; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Kikugawa T; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan., Saika T; Department of Urology, Ehime University Graduate School of Medicine, Toon, Japan. |
| Source: | Asian journal of endoscopic surgery [Asian J Endosc Surg] 2025 Jan-Dec; Vol. 18 (1), pp. e70054. |
| Publication Type: | Case Reports; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Wiley Blackwell Country of Publication: Japan NLM ID: 101506753 Publication Model: Print Cited Medium: Internet ISSN: 1758-5910 (Electronic) Linking ISSN: 17585902 NLM ISO Abbreviation: Asian J Endosc Surg Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: Japan : Wiley Blackwell |
| MeSH Terms: | Robotic Surgical Procedures*/methods , Kidney Neoplasms*/surgery , Kidney Neoplasms*/complications , Kidney Neoplasms*/diagnostic imaging , Nephroureterectomy*/methods , Fused Kidney*/complications , Fused Kidney*/surgery , Carcinoma, Transitional Cell*/surgery , Carcinoma, Transitional Cell*/complications, Humans ; Male ; Middle Aged ; Imaging, Three-Dimensional |
| Abstract: | 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. (© 2025 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.) |
| References: | A. Z. Weizer, A. D. Silverstein, B. K. Auge, et al., “Determining the Incidence of Horseshoe Kidney From Radiographic Data at a Single Institution,” Journal of Urology 170, no. 5 (2003): 1722–1726. A. Ng, A. Nathan, N. Campain, et al., “Robot‐Assisted Surgery in Horseshoe Kidneys: A Safety and Feasibility Multi‐Centre Case Series,” Journal of Clinical Urology 17, no. 4 (2022): 355–362. E. Roussel, G. Tasso, R. Campi, et al., “Surgical Management and Outcomes of Renal Tumors Arising From Horseshoe Kidneys: Results From an International Multicenter Collaboration,” European Urology 79, no. 1 (2021): 133–140. Y. Wei, L. Shen, Q. Ji, and Q. Zhu, “Retroperitoneal Robot‐Assisted Single‐Port Laparoscopic Treatment of the Horseshoe Kidney With Renal Cell Carcinoma: Report of Two Cases,” Asian Journal of Surgery 45, no. 6 (2022): 1267–1269. M. M, B. BB, D. WC, and B. St.M, “Heminephrectomy for a Large Renal Mass in a Horseshoe Kidney: A Case Report Outlining a Robotic‐Assisted Laparoscopic Approach,” Laparoscopic, Endoscopic and Robotic Surgery 5 (2022): 78–81. S. Uketa, Y. Shimizu, R. Yamaguchi, N. Utsunomiya, and S. Kanamaru, “Robot‐Assisted Partial Nephrectomy via Retroperitoneal Approach in a Patient With Horseshoe Kidney,” IJU Case Reports 4, no. 4 (2021): 239–242. E. R. Latif, I. Ahmed, M. Thomas, and B. Eddy, “Robotic Nephroureterectomy in a Horseshoe Kidney for Upper Tract Urothelial Carcinoma,” BMJ Case Report 14, no. 6 (2021): e234901. J. Tao, G. Liu, C. Liang, et al., “Outcomes of Robot‐Assisted Laparoscopic Isthmus Division Using Endoscopic Transection Equipment in the Treatment of Symptomatic Horseshoe Kidney,” Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A 32, no. 6 (2022): 646–652. |
| Contributed Indexing: | Keywords: 3D construction images; horseshoe kidney; robot‐assisted radical nephroureterectomy |
| Entry Date(s): | Date Created: 20250410 Date Completed: 20250410 Latest Revision: 20251202 |
| Update Code: | 20260130 |
| DOI: | 10.1111/ases.70054 |
| PMID: | 40210236 |
| Database: | MEDLINE |
| ISSN: | 1758-5910 |
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| DOI: | 10.1111/ases.70054 |