RESUMO
Right double inferior vena cava with obstructed retrocaval ureter is an extremely rare anomaly with only a few reported cases in the literature. To the best of our knowledge, this is the first case report describing ureteric repair by use of a single-incision laparoscopic technique. In addition, this report addresses the underlying surgical challenges of this repair and provides a brief review of the embryology of this anomaly. The "Santosh Postgraduate Institute ureteric tacking fixation technique" provides ease of end-to-end uretero-ureteric anastomosis in a single-incision laparoscopic surgery.
Assuntos
Humanos , Masculino , Adulto Jovem , Cuidados Intraoperatórios/métodos , Complicações Intraoperatórias/prevenção & controle , Laparoscopia/métodos , Imageamento por Ressonância Magnética , Ureter Retrocava/diagnóstico , Resultado do Tratamento , Urografia/métodos , Procedimentos Cirúrgicos Urológicos/métodos , Veia Cava Inferior/anormalidadesRESUMO
Renal cell carcinoma associated with fused ectopic kidneys has rarely been reported in the literature. Here we report the first case of robot-assisted heminephrectomy for chromophobe renal cell carcinoma in an L-shaped fused ectopic kidney. The present case report highlights the importance of three-dimensional vision and enhanced maneuverability with the EndoWrist technology of the robotic surgical system for precise dissection. This report also highlights the importance of preoperative contrast-enhanced computed tomography with three-dimensional arterial reconstruction for surgical planning.