Laparoscopic Nephrectomy: Advantages of Technique in Infants and Newborns

Abstract

We believe that the laparoscopic approach should be considered if nephrectomy is indicated in newborns and infants less than 3 month of life. There are the advantages that simplify the surgical technique, reduce quantity of the necessary endoscopic instruments, and minimize surgical trauma and morbidity, thereby improving cosmetic results and reducing hospital stay in this age group.

Single trocar retroperitoneoscopic nephrectomy for unilateral multicystic dysplastic kidney in children

“…Laparoscopic nephrectomy for unilateral MCDK provides many advantages in comparison with open surgery [7][8][9]. Steven et al [8] performed operations for 13 patients without conversion using a transperitoneal approach with 3 trocars, with an average postoperative stay of only 27 h. However, the standard laparoscopic operation still left three scars and risk of intestinal obstruction [7][8][9].…”

“…Steven et al [8] performed operations for 13 patients without conversion using a transperitoneal approach with 3 trocars, with an average postoperative stay of only 27 h. However, the standard laparoscopic operation still left three scars and risk of intestinal obstruction [7][8][9]. To reduce the number of incisions, some surgeons have successfully attempted single port laparoscopic nephrectomy for MCDK [10,11].…”

“…Nephrectomy is reserved for some special indications [5,6]. Up to now, nephrectomy has been performed by open surgery or standard laparoscopic operation with three trocars [7][8][9]. We present the first experience in performing retroperitoneoscopic nephrectomy with a single trocar for MCDK.…”

Multicystic renal dysplasia: a diagnostic dilemma

“…Nephrectomy is the treatment of choice especially when associated with hypertension which disappears after surgery 17 18. Laproscopic nephrectomy is also a treatment option but still controversial 19. Nephrectomy is the mainstay of treatment when renal malignancies are associated with this.…”

Minimal invasive surgery in pediatric urology

“…Videoskopik cerrahi uygulanan kliniklerde laparoskopik veya retroperitoneospik yöntem art›k parsiyel veya total nefrektomi için ilk seçenek olarak kabul edilmektedir (33,34). Deneyimler artt›kça laparoskopik nefrektomi, anomalili böbreklerde, küçük bebeklerde de uygulanmaya bafllanm›flt›r (35,36). Ayr›ca, daha sonara da de¤inilece¤i gibi tek porttan nefrektomi ifllemi çocuklarda da uygulamaya bafllanm›flt›r.…”