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Laparoscopic nephrectomy for unilateral multicystic dysplastic kidney in children

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Abstract

The contemporary management of children with unilateral multicystic dysplastic kidney remains controversial. With the potential risks of hypertension, infection, and malignant transformation of the dysplastic kidney, conservative management necessitates long-term review with frequent ultrasound scans, urine analyses, and blood pressure checks. Operative management has traditionally used open nephrectomy with its associated patient morbidity. The introduction of laparoscopic procedures has allowed the development of techniques that reduce patient morbidity, hospital stay, and analgesia requirement. This article reports a series of 13 children who underwent elective laparoscopic nephrectomy for unilateral multicystic dysplastic kidney and discusses the advantages this procedure has to offer for their management.

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Authors and Affiliations

  1. Department of Paediatric Surgery, Royal Aberdeen Children’s Hospital, Aberdeen, United Kingdom

    L. C. Steven, A. G. K. Li & C. P. Driver

  2. Department of Paediatric Surgery, Royal Alexandra Hospital for Sick Children, Brighton, BN1 3JN, United Kingdom

    A. A. Mahomed

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  1. L. C. Steven
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  2. A. G. K. Li
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  3. C. P. Driver
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  4. A. A. Mahomed
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Correspondence to A. A. Mahomed.

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Steven, L.C., Li, A.G.K., Driver, C.P. et al. Laparoscopic nephrectomy for unilateral multicystic dysplastic kidney in children. Surg Endosc 19, 1135–1138 (2005). https://doi.org/10.1007/s00464-004-2014-9

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  • DOI: https://doi.org/10.1007/s00464-004-2014-9

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