Laparoscopic pelvic nephrectomy: essential preoperative and intraoperative considerations
Healy, K.A.; Margules, A.; Kundavaram, C.; Hubosky, S.G.; Lallas, C.D.
Canadian Journal of Urology 19(3): 6299-6302
2012
ISSN/ISBN: 1195-9479 PMID: 22704319 Document Number: 657932
Pelvic kidneys are typically asymptomatic, but surgical intervention may be required in select cases. Laparoscopic pelvic nephrectomy is a feasible option. Given the highly variable vascular anatomy, careful surgical planning and meticulous technique are necessary. We present our experience with this minimally invasive approach. A 46-year-old male with a painful, non-functioning left pelvic kidney initially underwent left ureteral stent placement. He was noncompliant and lost to follow up. He re-presented and elected for laparoscopic pelvic nephrectomy. The procedure was performed without complications. Key features included detailed preoperative vascular imaging, ureteral catheterization, optimal port placement, and dissection from a cephalad to caudal direction. Laparoscopic nephrectomy is a safe and efficacious treatment for diseased pelvic kidneys.