Laparoscopic nephrectomy for xanthogranulomatous pyelonephritis in childhood: The way forward

Joshi, Ashwini; Parashar, Karan; Chandran, Harish

doi:10.1016/j.jpurol.2007.11.014

Cited by 11 publications

(7 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[30] The role of laparoscopic nephrectomy for XGP is still controversial but, although challenging, can be successfully performed, even in children. [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.…”

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

View full text Add to dashboard Cite

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.

show abstract

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

View full text Add to dashboard Cite

show abstract

“…Currently, most case series addressing the role of laparoscopy in XGP are limited to adult patients [7]. A study from Birmingham Children's Hospital in the UK [7] provides the only current case series of LN for pediatric XGP.…”

Section: Discussionmentioning

confidence: 99%

“…A study from Birmingham Children's Hospital in the UK [7] provides the only current case series of LN for pediatric XGP. This study describes three children who underwent retroperitoneal LN with minimal complications, none requiring transfusion or open conversion.…”

Section: Discussionmentioning

confidence: 99%

“…However, more recent studies have shown that in experienced hands, LN can be performed with excellent results. There are few reports on LN for XGP in children, one which focuses solely on a retroperitoneal approach [7]. We report on a female pediatric patient with congenital obstruction who successfully underwent transperitoneal laparoscopic nephrectomy for XGP.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Role of Laparoscopic Nephrectomy in Pediatric Xanthogranulomatous Pyelonephritis: A Case Report

Brown

Chamberlain

Roth

2013

Case Reports in Urology

View full text Add to dashboard Cite

Xanthogranulomatous pyelonephritis (XGP) is a rare chronic renal infection characterized by the destruction of renal parenchyma. Traditional treatment involves open radical nephrectomy, which is challenging due to the inflammatory process associated with XGP. More recently, laparoscopic nephrectomy has been employed successfully in adult XGP. We present a case of a six-year-old female child with XGP who was successfully treated by laparoscopic nephrectomy with minor complications. Our case demonstrates the safety and feasibility of laparoscopic nephrectomy for childhood XGP, indicating that it should be considered a management option in such cases.

show abstract

“…Xanthogranulomatous kidneys were treated by laparoscopic approach safely. 7,8 In our series, we operated on only one xanthogranulomatous kidney; as it was very difficult to dissect the fat overlying the renal pedicle and to identify the pedicle safely, it was performed with the aid of the ligasure vessel sealing device, which helped us to safely control the renal pedicle with the fat around. Dissection of the kidney from the peritoneum was rather difficult and subcapsular dissection was used in some parts to prevent inadvertent injury to peritoneum and peritoneal structures.…”

Section: Discussionmentioning

confidence: 99%

Retroperitonoscopic Nephrectomy and Nephrouretrectomy in Children and Adolescents: Analysis of a Single-Center Experience

Badawy

Assem²,

Saad³

et al. 2011

Journal of Endourology

View full text Add to dashboard Cite

show abstract

Laparoscopic nephrectomy for xanthogranulomatous pyelonephritis in childhood: The way forward

Cited by 11 publications

References 6 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

The Role of Laparoscopic Nephrectomy in Pediatric Xanthogranulomatous Pyelonephritis: A Case Report

Retroperitonoscopic Nephrectomy and Nephrouretrectomy in Children and Adolescents: Analysis of a Single-Center Experience

Contact Info

Product

Resources

About