Laparoscopic Living-Donor Nephrectomy of a Horseshoe Kidney: A Case Report and Review of the Literature

Daniel Galvez, Justin Steggerda, Derrick Christopher, Daniel Borja-Cacho, Joseph Leventhal*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


We present the case of a living-donor nephrectomy of a horseshoe kidney. The recipient was a 33-year-old male with a history of end-stage renal disease secondary to IgA nephropathy. The donor was his 33-year-old partner who on preoperative cross-sectional imaging was found to have a horseshoe kidney with a single artery, vein and ureter. The donor operation was performed using a laparoscopic hand-assisted technique with transection of the interpolar fibrotic band using a stapler device. The backtable organ preparation was performed in a standard fashion with addition of a reinforcing hemostatic suture of the stapled fibrotic band. The donated kidney was transplanted extraperitoneally in the right iliac fossa of the recipient. The patient had an unremarkable postoperative course and was discharged home on post operative day 2 with normalizing renal function. To our knowledge, this is the first living donor nephrectomy of a horseshoe kidney performed using a laparoscopic hand-assisted technique.

Original languageEnglish (US)
Pages (from-to)455-459
Number of pages5
Issue number4
StatePublished - Dec 2021


  • donor nephrectomy
  • horseshoe kidney
  • kidney transplant

ASJC Scopus subject areas

  • Transplantation


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