Robot-Assisted Partial Nephrectomy in a High-Complexity Renal Tumor in a Horseshoe Kidney.
Marcos Tobias-Machado, Ricardo C Brianson, John Eder Gamarra Bravo et al.
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Case in brief
A 33-year-old man with a 7.5-cm renal mass in a horseshoe kidney underwent robot-assisted partial nephrectomy. Preoperative imaging facilitated understanding of the tumor's relationship with aberrant vessels and the collecting system. The surgery was completed without complications, and pathology confirmed clear cell renal cell carcinoma with negative margins. The patient maintained stable renal function and showed no recurrence at 12 months follow-up.
Diagnostic / clinical pearl
Robot-assisted partial nephrectomy can be successfully performed in patients with complex renal tumors in horseshoe kidneys, provided careful preoperative planning is conducted.