Pediatric Transumbilical Laparoendoscopic Single-site Nephroureterectomy: Initial Report

Do we need a cosmetic effect for radical nephrectomy? Laparoendoscopic single-site surgery would help to answer this question

“…Over 300 LESS procedures are recorded in medical databases. Thirtyseven radical nephrectomies have been performed using this approach [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]. We have presented 11 radical nephrectomies, so we think that our cases can serve as a substantial input to data referring to this issue.…”

“…It has to be emphasized that the LESS technique is expanding and can be found as an approach for retroperitoneal space and for paediatric surgery indication [14,15]. LESS urological surgery is feasible, offers improved cosmesis, and may offer decreased pain.…”

“…We have noted 86 LESS procedures performed due to oncological disease of the kidney, renal cancer or ureter cancer (nephrectomy, nephroureterectomy, or nephron sparing surgery). In 37 surgeries LESS was used as a method to perform radical nephrectomy in the case of renal cell carcinoma [5][6][7][8][9][10][11][12][13][14][15][16][17].…”

Single Port Paediatric Heminephrouretectomy

“…SILS has gained popularity in adult practice over recent years and has started to be employed in paediatric urology, having been applied to varicocelectomy, nephrectomy, pyeloplasty and nephrouretectomy. [14][15][16] Jeon et al recently described a single port lower pole heminephrectomy for a patient with a 3.5 cm lower pole metanephric adenoma. 17 We believe our case to be the first description of a SILS upper pole heminephrouretectomy for a child with a duplex kidney.…”

Pediatrik Endoskopik Üroloji’de Son Durum

“…Teknik ve teknolojik gelişmenin bir ürünü olarak, tek kesiden tüm portların girilebildiği "tek port" tekniği, özel-likle umblikustan yapıldığında skarsız cerrahi yapılabilmesi nedeni oldukça ilgi çekmiştir. Bu tekniğin pediatrik ürolojide de kullanımı gittikçe önem kazanmaktadır (37,38).…”