Abstract
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.
Similar content being viewed by others
References
Jednak R, Kryger J, Barthold J, Gonzalez R (2000) A simplified technique for upper pole heminephrectomy for duplex kidney. J Urol 164:1326
Malek RS, Kelalis PP, Burke EC (1972) Simple and ectopic ureterocele in infancy and childhood. Surg Gynecol Obstet 134:611–616
Piaggio L, Franc-Guimond J, Figueroa TE, Barthold JS, Gonzalez J (2006) Comparison of laparoscopic and open partial nephrectomy for duplication anomalies in children. J Urol 175:2269–2273
Gundetti MS, Ransley PG, Duffy PG, Cuckow PM, Wilcox DT (2005) Renal outcome following heminephrectomy for duplex kidney. J Urol 173:1743–1744
Jordan GH, Winslow BH (1993) Laparoendoscopic upper pole partial nephrectomy with ureterectomy. J Urol 150:940–943
Wallis MC, Khoury AE, Lorenzo AJ, Pippi-Salle JL, Bagli DJ, Farhat WA (2006) Outcome analysis of retroperitoneal laparoscopic heminephrectomy in children. J Urol 175:2277–2282
Valla JS, Breaud J, Carfagna L, Tunsini S, Steyaert H (2003) Treatment of ureterocele on duplex ureter: upper pole nephrectomy by retroperitoneoscopy in children based on a series of 24 cases. Eur Urol 43:426–429
Janetschek G, Seibold J, Radmayr C, Bartsch G (1997) Laparoscopic heminephroureterectomy in pediatric patients. J Urol 158:1928–1930
Robinson BC, Snow BW, Cartwright PC, DeVries CR, Hamilton BD, Anderson JB (2003) Comparison of laparoscopic versus open partial nephrectomy in a pediatric series. J Urol 169:638–640
El Ghoneimi A, Farhat W, Bolduc S, Bagli D, Mclorie G, Khoury A (2003) Retroperitoneal laparoscopic vs open partial nephroureterectomy in children. BJU Int 91:532–535
Singh R, Wagener S, Chandran H (2010) Laparoscopic management and outcomes in non- functioning moieties of duplex kidneys in children. J Paed Urol 6:66–69
Miranda LM, Oliveira-Filho AG, Carvalho PT, Ungersbock E, Olimpio H, Bustorff-Silva JM (2007) Laparoscopic upper pole nephroureterectomy in infants. Int Braz J Urol 33:87–93
Borzi PA (2001) A comparison of the lateral and posterior retroperitoneoscopic approach for complete and partial nephroureterectomy in children. BJU Int 87:517–520
Borzi PA, Chin P, Winkle D (2000) A selective retroperitoneoscopic approach to nephrectomy and partial nephrectomy. BJU Int 85:20
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Nerli, R.B., Vernekar, R., Guntaka, A.K. et al. Laparoscopic hemi/partial nephrectomy in children with ureteral duplication anomalies. Pediatr Surg Int 27, 769–774 (2011). https://doi.org/10.1007/s00383-011-2883-7
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-011-2883-7