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The patient was positioned in 45ยบ lateral decubitus and a 10Fr urethral catheter was inserted. Videoscope was inserted through a 5-mm trocar that was fixed in the umbilicus using open access technique. Two 3.5-mm trocars were utilized in the midline subxiphoid position and in the left lower quadrant at the midclavicular line, respectively, for grasping and suturing. The colon was mobilized medially and then and ureteropelvic junction exposed. According to the malrotation of kidney, main renal vein was fallen on the ureteropelvic junction. Thus, the renal vein freed from surrounding tissues and then ureter released from pelvis and anastomosed together using Dismembered pyeloplasty with the standard technique in front of the renal vein. A 3-Fr ureteral stent was inserted through a 3-mm trocar. The Foley catheter was removed three days after the operation. We did not suture the skin of 3.5-mm trocars, and only the 5-mm trocar was repaired.