Retroperitoneal Laparoscopy for Renal Biopsy in Children

Caione, Paolo; Micali, Salvatore; Rinaldi, Stefano; Capozza, Nicola; Lais, Alberto; Matarazzo, Ennio; Maturo, G.; Micali, F

doi:10.1097/00005392-200009020-00040

Cited by 11 publications

(18 citation statements)

References 15 publications

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“…Caione et al analyzed LRB in 22 children with the same parameters used by us (12). Data such as sample success and age were similar to our series.…”

Section: Commentssupporting

confidence: 82%

“…Renal biopsy was reinforced after the report by Iversen & Braun showing PNRB as a safe, easy and less morbid method (15 Although PNRB is the standard procedure to obtain renal tissue samples nowadays, it is not indicated in different situations such as noncollaborative patients, failure to obtain samples for pathology tests, solitary kidney, morbid obesity and hematological disorders (1-4). In these cases, some authors suggest laparoscopic approach as an alternative to ORB (7)(8)(9)(10)(11)(12)16).…”

Section: Commentsmentioning

confidence: 99%

“…In laparoscopic approach, blood loss is minimized because biopsy bed is controlled quickly under direct view, which is not possible in PNRB. Another advantage of LRB is the high positivity about the renal samples (almost 100%) different from the needle method, which is around 90% of renal fragments (12,(16)(17)(18). We believe LRB eliminates the necessity of another procedure.…”

Section: Commentsmentioning

confidence: 99%

“…Caione et al performed the laparoscopic approach just where PNRB could not be applied, because of uncontrolled hypertension, hematological disorders, anti-platelet medications and anatomic abnormalities (12). In teenagers, PNRB is regarded as a better, less invasive method, which does not require either sedation or general anesthesia, since most patients are collaborative.…”

Section: Commentsmentioning

confidence: 99%

“…As an alternative to ORB in selected cases, some authors propose transperitoneal (7) or retroperitoneal laparoscopic approach (8)(9)(10)(11)(12). Laparoscopy allows potential advantages such as less postoperative pain, better cosmetic results, short hospitalization and convalescence (13,14).…”

Section: Introductionmentioning

confidence: 99%

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Retroperitoneoscopic renal biopsy in children

et al. 2007

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Objective: We present our experience in a series of 17 consecutive pediatric patients submitted to retroperitoneal laparoscopic renal biopsy. Materials and Methods: Retroperitoneal laparoscopic renal biopsy (LRB) was performed in 5 boys and 12 girls. Mean age was 8.1 years and age range from 2 to 12. Two or three trocars were used to expose the inferior pole of the kidney, remove enough cortical parenchymal specimen and fulgurate the biopsy site. Assessment included surgical time, estimated blood loss, hospitalization period, analgesia requirements, complications and number of glomeruli present in the specimen. Results: LRB was successfully performed in all 15 patients (88%). In two cases, LRB was not possible to be performed. One patient was converted to a transperitoneal laparoscopy due to tear in the peritoneum. The other patient had had previous abdominal surgery and, during retroperitoneal balloon dilation, the peritoneum was opened and the open biopsy was performed. A third patient had postoperatively a perirenal hematoma, which was solved spontaneously. Complication rate was 17.6% (3/17 cases). Mean operative time was 65 minutes, while mean estimated blood loss was 52 mL, mean hospital stay was 2.2 days and mean analgesic requirement was 100 mg of tramadol. The mean number of glomeruli present in the specimen was 60. Conclusion: Retroperitoneal laparoscopic renal biopsy in children is a simple, safe. Bleeding is still the most common complication. However, direct vision usually allows a safe control of this drawback. In our institution, laparoscopic approach is the chosen procedure in pediatric patients older than one -year -old.

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“…Caione et al analyzed LRB in 22 children with the same parameters used by us (12). Data such as sample success and age were similar to our series.…”

Section: Commentssupporting

confidence: 82%

Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

Section: Commentsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Retroperitoneoscopic renal biopsy in children

et al. 2007

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Laparoscopic renal biopsy in obese children

et al. 2005

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Percutaneous kidney biopsy is routinely used to obtain renal tissue for histological examination. It is usually successful and has very few contraindications. We describe two children with clinical obesity in whom the percutaneous approach failed to yield renal tissue for histology. They underwent successful laparoscopic kidney biopsies that yielded adequate renal tissue for diagnosis, although the first attempt in one patient yielded renal medulla necessitating a repeat biopsy. We recommend that laparoscopic kidney biopsies should be considered in obese children when percutaneous kidney biopsies are considered impossible.

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Laparoscopy in pediatric urology

Telsey

Caldamone

2001

Curr Urol Rep

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Laparoscopy in pediatric urology is a rapidly evolving field that is becoming part of the operative repertoire of an increasing number of pediatric urologists. This article summarizes the latest ideas and issues in the expanding field of laparoscopy in pediatric urology. New methods of obtaining laparoscopic access and retraction are discussed. Laparoscopic experiences in urologic reconstruction, diagnosis and treatment of the nonpalpable testis, renal surgery, ureteral reimplantation, varicocelectomy, hydrocelectomy, and herniorrhaphy are reviewed. Articles assessing the safety of a pneumoperitoneum in patients with a ventriculoperitoneal shunt are also discussed.

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Retroperitoneal Laparoscopy for Renal Biopsy in Children

Cited by 11 publications

References 15 publications

Retroperitoneoscopic renal biopsy in children

Retroperitoneoscopic renal biopsy in children

Laparoscopic renal biopsy in obese children

Laparoscopy in pediatric urology

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