Laparoscopic management and outcomes in non-functioning moieties of duplex kidneys in children

An unusual complication of ischemic injury to upper pole ureter during lower pole heminephroureterectomy

“…[1,2] Although large amounts of research have attempted to compare laparoscopic and open surgery procedures, as of yet no long term studies have been conducted on laparoscopic cases therefore comparisons are difficult to draw. [5] An unusual complication of ischemic injury to upper pole ureter during lower pole heminephroureterectomy Katherine Victoria Hurst, Ashok Daya Ram 1 , Dragan Milanovic, Swe Lynn 2 ABSTRACT Lower pole heminephroureterectomy is a common paediatric urology procedure with few reported complications. We report a case of possible vascular ischemic injury to the normal remaining ureter following a lower pole heminephroureterectomy, probably due to both ureters sharing a common blood supply.…”

Laparoscopic ureteroureterostomy in children with a duplex collecting system plus obstructed ureteral ectopia

“…Transperitoneal upper moiety heminephrectomy is preferred by some authors in children with ectopic ureters and ureteroceles [18,19]. The relative ease of extirpative transperitoneal procedures compared with functional procedures and the common belief that the upper moiety has a high degree of dysplasia increase the tendency to perform upper moiety heminephrectomy in children with ectopic ureters and ureteroceles [20].…”

Laparoscopic ipsilateral ureteroureterostomy in the management of ureteral ectopia in infants and children

“…Some have advocated that upper pole hemi-nephrectomy, either via an open or laparoscopic approach, to remove the upper pole renal moiety in children with ectopic ureters and ureteroceles is preferred [13,14]. Previously, it was felt that the upper pole moiety should be removed secondary to a high degree of dysplasia and hypoplasia found upon pathologic analysis of these specimens [15e17].…”