Diagnosis: Unilateral Ectopic Kidney (Pelvic Position)—Non-Functional on DMSA (No Cortical Activity)
- Procedure: Laparoscopic Nephrectomy
- Approach: 3-Port Transperitoneal
- Surgeon: Dr. Sam Vivek, Minimal Access & GI Surgeon
Key Highlights:
- Precise laparoscopic dissection of aberrant pelvic renal vessels.
- Identification and secure control of short renal pedicle using Hem-o-lok clips.
- Careful ureteric division with preservation of adjacent pelvic structures.
- Minimal blood loss and uneventful postoperative recovery.
Intraoperative Findings (Image Sequence):
- Ectopic pelvic kidney with fibrotic capsule.
- Aberrant vascular anatomy arising from iliac vessels.
- Short renal vein controlled with Hem-o-lok.
- Mobilization of ureter and complete kidney retrieval.
Outcome:*
- Post-op Recovery: Smooth, no complications.
- Histopathology: Atrophic nonfunctional renal tissue.
Clinical Significance:
- Demonstrates the feasibility of safe laparoscopic nephrectomy even in ectopic pelvic kidneys with aberrant vasculature.
- Highlights expertise in complex minimal access renal surgery in non-standard anatomical settings.