Laparoscopic hemi/partial nephrectomy in children with ureteral duplication anomalies

Introduction Recent advances in laparoscopic surgery as well as increasing experience with these techniques have led to the selection of laparoscopic surgery for hemi/partial nephroureterectomy in children with a non/poorly functioning moiety in a duplex kidney. There is very little data on the long...

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Published in:Pediatric surgery international 2011-07, Vol.27 (7), p.769-774
Main Authors: Nerli, Rajendra B., Vernekar, Ritesh, Guntaka, Ajay Kumar, Patil, Shivagouda M., Jali, Sujata M., Hiremath, Murigendra B.
Format: Article
Language:English
Subjects:
Adolescent
Child
Child, Preschool
Female
Humans
Infant
Kidney - abnormalities
Kidney - surgery
Laparoscopy - methods
Male
Medicine
Medicine & Public Health
Nephrectomy - methods
Original Article
Pediatric Surgery
Pediatrics
Retrospective Studies
Surgery
Treatment Outcome
Ureter - abnormalities
Ureter - surgery
Ureteral Diseases - complications
Ureteral Diseases - congenital
Ureteral Diseases - surgery
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Summary:Introduction Recent advances in laparoscopic surgery as well as increasing experience with these techniques have led to the selection of laparoscopic surgery for hemi/partial nephroureterectomy in children with a non/poorly functioning moiety in a duplex kidney. There is very little data on the long term follow-up of such children. We report our experience of laparoscopic hemi-nephroureterectomy in children with duplex moiety. Materials and methods We retrospectively reviewed the case records of children undergoing laparoscopic partial/hemi nephroureterectomy. Demographic data, age, weight, diagnosis, type of operation, operative time, concomitant and subsequent procedures, blood loss, use of drains, analgesic requirement, length of hospitalization and complications were recorded. Results 29 children (21 girls and 8 boys) underwent laparoscopic hemi/partial nephrectomy. The median operative time was 94 min (range 68–146 min). The mean blood loss was 25 ml and no children required perioperative blood transfusion. Conclusions Laparoscopic hemi/partial nephrectomy in children is safe, associated with decreased morbidity and shorter hospitalization. Long term follow-up is necessary to study long term outcomes.
ISSN:0179-0358
1437-9813
DOI:10.1007/s00383-011-2883-7