Laparoscopic complete/partial nephroureterectomy in children in a single institution—nearly a decade of experience: what have we learned?

Holbrook, Charlotte; Salam, Smeer; Kulkarni, Milind; Mathur, Azad

doi:10.1007/s00383-010-2818-8

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…[31] However, a high conversion rate (27%) and longer operative time should be expected in adults [32] and in children. [33] Furthermore, nephrectomised children, especially those with vesico-ureteral reflux (VUR), may experience complications related to persistence of the distal ureteral stump. In our patient, the laparoscopicassisted approach was chosen to remove the distal stone and, at the same time, minimize the residual ureteral stump.…”

Section: Discussionmentioning

confidence: 99%

Laparascopic-assisted nephroureterectomy for shaped urolithiasis and xanthogranulomatous pyelonephritis: Case report and review of literature

Pastore

Niglio

Basile

et al. 2013

Afr J Paediatr Surg

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We report a case of xanthogranulomatous pyelonephritis (XGP) complicated by shaped urolithiasis, severe hydroureteronephrosis and kidney exclusion treated by laparoscopic-assisted nephroureterectomy. A 9 year-old boy was referred to us for recurrent episodes of urinary tract infection, abdominal pain and severe hydronephrosis. Abdominal CT and a Tc-99m MAG3 scan showed a non-functioning obstructed kidney with shaped urolithiasis of the distal ureter. XGP was suspected, and nephroureterectomy was performed by laparoscopic distal ureterectomy and open extraperitoneal nephrectomy. This technique avoided the need for a more extended nephrectomy incision or even a second iliac incision. It also ensured complete excision of the distal ureter with minimal risk of developing the ureteral stump syndrome, which sometimes follows nephroureterectomy. We believe that laparoscopic-assisted nephroureterectomy may be a suitable technique in those cases of difficult nephrectomy where a ureteral stump syndrome is likely to develop.

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Section: Discussionmentioning

confidence: 99%

Laparascopic-assisted nephroureterectomy for shaped urolithiasis and xanthogranulomatous pyelonephritis: Case report and review of literature

Pastore

Niglio

Basile

et al. 2013

Afr J Paediatr Surg

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“…In an attempt to establish a flowchart for the management of MCDK that answers the existing questions, aligns cost and morbidity, and optimizes the benefits of clinical presentation and surgical approach, our division established laparoscopy as the technique of choice for nephrectomy in children with MCDK [ 17 ]. It is indicated for the dysplastic kidney with size > 5 cm after the first year of life, or < 5 cm with no signs of regression in three subsequent years of clinical follow-up.…”

Section: Discussionmentioning

confidence: 99%

Applicability of Laparoscopic Nephrectomy in the Treatment of Multicystic Dysplastic Kidney: Sorting Out Surgical Indication

Molina

Bessa

Estevanato

et al. 2018

Cureus

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Introduction We evaluated the applicability of laparoscopic nephrectomy in the treatment of multicystic dysplastic kidney (MCDK) in children, including procedures performed by resident physicians or trainees in surgical urology. Methods We retrospectively evaluated the medical records of 20 children with MCDK who underwent laparoscopic nephrectomy over a six-year period. Data collected included gender, laterality of the affected kidney, age at the time of surgery, the largest diameter of the multicystic kidney and associated urological diagnoses, surgical, and postoperative data. All surgical procedures were performed transperitoneally. Results The mean age at the time of surgery was 46 months with a slight predominance of girls. The right side was the more affected side, and the average diameter of the affected kidney at the time of surgical excision was 5.8 cm. Other changes in the urinary tract were found in five children. The mean operative time was 133 minutes. On pathological examination, on average, the pieces measured 4.8 cm and weighed 18.1 g. There were no operative complications. The average length of hospital stay was 37.35 hours. Conclusion Laparoscopic nephrectomy was confirmed as an applicable treatment for MCDK. The technique was easy to perform, safe and efficient, even when performed by trainees in pediatric urology.

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Laparoscopic Versus Open Upper Pole Heminephroureterectomy for the Treatment of Duplex Kidneys in Children

Gołębiewski

Łosin

Murawski

et al. 2013

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Laparoscopic complete/partial nephroureterectomy in children in a single institution—nearly a decade of experience: what have we learned?

Cited by 3 publications

References 9 publications

Laparascopic-assisted nephroureterectomy for shaped urolithiasis and xanthogranulomatous pyelonephritis: Case report and review of literature

Laparascopic-assisted nephroureterectomy for shaped urolithiasis and xanthogranulomatous pyelonephritis: Case report and review of literature

Applicability of Laparoscopic Nephrectomy in the Treatment of Multicystic Dysplastic Kidney: Sorting Out Surgical Indication

Laparoscopic Versus Open Upper Pole Heminephroureterectomy for the Treatment of Duplex Kidneys in Children

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