Laparoscopic upper‐pole heminephrectomy for duplicated renal collecting system with superselective artery clamping using virtual partial nephrectomy analysis of Synapse Vincent: A case report
A 22‐year‐old woman was diagnosed with a duplicated renal collecting system with hydronephrosis and parenchymal loss in the upper pole of the left kidney. She underwent laparoscopic left upper‐pole nephrectomy. Although a complex hilar vascular anatomy was identified during the operation, preoperati...
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Veröffentlicht in: | International journal of urology 2015-11, Vol.22 (11), p.1075-1077 |
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container_title | International journal of urology |
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creator | Yoshida, Kenji Kinoshita, Hidefumi Hayami, Yutaro Nakamoto, Takahiro Takayasu, Kenta Sugi, Motohiko Matsuda, Tadashi |
description | A 22‐year‐old woman was diagnosed with a duplicated renal collecting system with hydronephrosis and parenchymal loss in the upper pole of the left kidney. She underwent laparoscopic left upper‐pole nephrectomy. Although a complex hilar vascular anatomy was identified during the operation, preoperative three‐dimensional computed tomographic reconstruction using a three‐dimensional image analysis device (Synapse Vincent; Fuji Medical Systems, Tokyo, Japan) greatly helped to accurately identify the anatomical renal hilum. For further detail, virtual partial nephrectomy analysis using a Voronoi decomposition was used to visualize the area supplied by a selected arterial branch including the atrophic cleavage line. We controlled the bleeding with selective clamping and safely carried out upper‐pole heminephrectomy according to the preoperative plan. |
doi_str_mv | 10.1111/iju.12897 |
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She underwent laparoscopic left upper‐pole nephrectomy. Although a complex hilar vascular anatomy was identified during the operation, preoperative three‐dimensional computed tomographic reconstruction using a three‐dimensional image analysis device (Synapse Vincent; Fuji Medical Systems, Tokyo, Japan) greatly helped to accurately identify the anatomical renal hilum. For further detail, virtual partial nephrectomy analysis using a Voronoi decomposition was used to visualize the area supplied by a selected arterial branch including the atrophic cleavage line. 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She underwent laparoscopic left upper‐pole nephrectomy. Although a complex hilar vascular anatomy was identified during the operation, preoperative three‐dimensional computed tomographic reconstruction using a three‐dimensional image analysis device (Synapse Vincent; Fuji Medical Systems, Tokyo, Japan) greatly helped to accurately identify the anatomical renal hilum. For further detail, virtual partial nephrectomy analysis using a Voronoi decomposition was used to visualize the area supplied by a selected arterial branch including the atrophic cleavage line. We controlled the bleeding with selective clamping and safely carried out upper‐pole heminephrectomy according to the preoperative plan.</description><subject>Constriction</subject><subject>duplicated renal collecting systems</subject><subject>Female</subject><subject>Humans</subject><subject>Hydronephrosis - surgery</subject><subject>Imaging, Three-Dimensional - methods</subject><subject>Japan</subject><subject>Kidney - abnormalities</subject><subject>Kidney - surgery</subject><subject>Laparoscopy - methods</subject><subject>Nephrectomy - methods</subject><subject>Synapse Vincent</subject><subject>three‐dimensional image analysis system</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>upper‐pole nephrectomy</subject><subject>Young Adult</subject><issn>0919-8172</issn><issn>1442-2042</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9u1DAQhy0EokvhwAsgH-GQ1nYSO-FWVRSKVuoByjXy2hPWlRMb_2mVWx-hr9RX4UnwdgviUh88subTN9b8EHpLyREt59hc5SPKul48QyvaNKxipGHP0Yr0tK86KtgBehXjFSG0ZrR7iQ4YrwlhfbdC92vpZXBROW8Uzt5D-H17550FvIXJzOC3AVRy04JHF7DO3holE2gcYJYWK2dt6Zv5J45LTDDhG5O2OOYiivDQugYsQ4KwYGXl5Hdojrv72oSUi6N8IJlS_x8mi3yJJmI34m_LLH0E_MPMCub0EZ9gJcs7gHchvUYvRmkjvHmsh-jy7NP30y_V-uLz-enJulJN24iKaaJYy0YNQsiaA_QgCB8V7TVvuW5rrnXfj5xzuuGbVrYt8JrzsiYmmK5JfYje770-uF8ZYhomExVYK2dwOQ5lzaLvOGtFQT_sUVU2GwOMgw9mkmEZKBl2iQ0lseEhscK-e9TmzQT6H_k3ogIc74EbY2F52jScf73cK_8A8hOnEw</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Yoshida, Kenji</creator><creator>Kinoshita, Hidefumi</creator><creator>Hayami, Yutaro</creator><creator>Nakamoto, Takahiro</creator><creator>Takayasu, Kenta</creator><creator>Sugi, Motohiko</creator><creator>Matsuda, Tadashi</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201511</creationdate><title>Laparoscopic upper‐pole heminephrectomy for duplicated renal collecting system with superselective artery clamping using virtual partial nephrectomy analysis of Synapse Vincent: A case report</title><author>Yoshida, Kenji ; Kinoshita, Hidefumi ; Hayami, Yutaro ; Nakamoto, Takahiro ; Takayasu, Kenta ; Sugi, Motohiko ; Matsuda, Tadashi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4547-2d0c252fde77a36ee9e706fc19d656d536dd99f6661b6b5a55e6366002272d303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Constriction</topic><topic>duplicated renal collecting systems</topic><topic>Female</topic><topic>Humans</topic><topic>Hydronephrosis - surgery</topic><topic>Imaging, Three-Dimensional - methods</topic><topic>Japan</topic><topic>Kidney - abnormalities</topic><topic>Kidney - surgery</topic><topic>Laparoscopy - methods</topic><topic>Nephrectomy - methods</topic><topic>Synapse Vincent</topic><topic>three‐dimensional image analysis system</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>upper‐pole nephrectomy</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshida, Kenji</creatorcontrib><creatorcontrib>Kinoshita, Hidefumi</creatorcontrib><creatorcontrib>Hayami, Yutaro</creatorcontrib><creatorcontrib>Nakamoto, Takahiro</creatorcontrib><creatorcontrib>Takayasu, Kenta</creatorcontrib><creatorcontrib>Sugi, Motohiko</creatorcontrib><creatorcontrib>Matsuda, Tadashi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshida, Kenji</au><au>Kinoshita, Hidefumi</au><au>Hayami, Yutaro</au><au>Nakamoto, Takahiro</au><au>Takayasu, Kenta</au><au>Sugi, Motohiko</au><au>Matsuda, Tadashi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic upper‐pole heminephrectomy for duplicated renal collecting system with superselective artery clamping using virtual partial nephrectomy analysis of Synapse Vincent: A case report</atitle><jtitle>International journal of urology</jtitle><addtitle>Int J Urol</addtitle><date>2015-11</date><risdate>2015</risdate><volume>22</volume><issue>11</issue><spage>1075</spage><epage>1077</epage><pages>1075-1077</pages><issn>0919-8172</issn><eissn>1442-2042</eissn><abstract>A 22‐year‐old woman was diagnosed with a duplicated renal collecting system with hydronephrosis and parenchymal loss in the upper pole of the left kidney. 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subjects | Constriction duplicated renal collecting systems Female Humans Hydronephrosis - surgery Imaging, Three-Dimensional - methods Japan Kidney - abnormalities Kidney - surgery Laparoscopy - methods Nephrectomy - methods Synapse Vincent three‐dimensional image analysis system Tomography, X-Ray Computed Treatment Outcome upper‐pole nephrectomy Young Adult |
title | Laparoscopic upper‐pole heminephrectomy for duplicated renal collecting system with superselective artery clamping using virtual partial nephrectomy analysis of Synapse Vincent: A case report |
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