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A case report of laparoscopic pyeloplasty for ureteropelvic junction obstruction in a patient with horseshoe kidney Hiroshi SHIMURA 1 , Hidenori ZAKOJI 1 , Masayuki TAKEDA 1 1Department of Urology, Interdisciplinary Graduate School of Medical Science, University of Yamanashi Keyword: 馬蹄鉄腎 , 腎盂尿管移行部狭窄症 , 腹腔鏡下腎盂形成術 pp.833-838
Published Date 2016/11/15
DOI https://doi.org/10.11477/mf.4426200339
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A 28-year-old female who complained of left flank pain was referred to our institution to be investigated about left hydronephrosis. She was diagnosed as horseshoe kidney with ureteropelvic junction obstruction by computed tomography(CT). She has suffered from left colic flank pain for about 4 months. She underwent laparoscopic dismembered pyeloplasty without additional division of the isthmus because the obstruction was thought to be due to high insertion of ureter, and not to pressure where the ureter crossed the kidney. The operation time was 157minutes with minimal blood loss. The patient was discharged without any complications, and has not complained of pain during follow-up term. We considered that laparoscopic pyeloplasty could be feasible and safe for uretero-pelvic junction obstruction associated with horseshoe kidney.


Copyright © 2016, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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