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Laparoscopic Nephrectomy and Heminephrectomy

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Pediatric Endourology Techniques

Abstract

The minimally invasive approach for the management of benign renal conditions has become a standard technique in pediatric practice. Nephrectomy, heminephrectomy, and nephroureterectomy, by the retroperitoneal and transperitoneal route, are readily available in many centers worldwide. The benefits to the child in terms of a faster postoperative recovery and improved cosmesis are without question.

The retroperitoneal technique avoids colonic mobilization and has a reduced risk of injury to hollow viscera. However, the reversed orientation of the kidney and hilum and the comparatively smaller working space may make this approach difficult to master. The transperitoneal route has the advantage that it can allow a more complete ureterectomy when indicated. Complications from both approaches are uncommon.

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Correspondence to Imran Mushtaq MBchB,MD,FRCS(Glasg),FRCS(Paed) .

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Mushtaq, I. (2014). Laparoscopic Nephrectomy and Heminephrectomy. In: Godbole, P., Koyle, M., Wilcox, D. (eds) Pediatric Endourology Techniques. Springer, London. https://doi.org/10.1007/978-1-4471-5394-8_6

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  • DOI: https://doi.org/10.1007/978-1-4471-5394-8_6

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-5393-1

  • Online ISBN: 978-1-4471-5394-8

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