腔鏡切除馬蹄腎泌尿上皮腫瘤:病例報告與文獻回顧
王樹吉1 、熊小澐2 、 裘坤元1
台中榮民總醫院外科部泌尿外科1 ;台中榮民總醫院放射線部2
Laparoscopic radical nephroureterectomy for urothelial carcinoma in a horseshoe kidney: a case report and literature review
Shu-Chi Wang1﹐Siu-Wan Hung2﹐Kun-Yuan Chiu1
1Division of Urology, Department of Surgery, Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China
2Department of Radiology, Taichung Veterans General Hospital, Taichung, Taiwan, Republic of China
Abstract:
A 75-year-old male suffered from gross hematuria for months and was diagnosed with urothelial carcinoma in the left moiety of a horseshoe kidney. Laparoscopic left side radical nephroureterectomy with open bladder cuff excision through a Gibson incision. The patient was discharged on post-operative day five uneventfully. Preoperative computed tomography is quite valuable for the evaluation of the anatomical variations in horseshoe kidneys. In conclusion, laparoscopic approach is effective for managing malignancy in horseshoe kidneys.