World Journal of Laparoscopic Surgery

Register      Login

VOLUME 13 , ISSUE 2 ( May-August, 2020 ) > List of Articles

CASE REPORT

Laparoscopic Heminephroureterectomy in Infants Weighing Less Than 10 Kilograms: The Two Peculiar Cases

Marianna Iaquinto, Maria-Grazia Scarpa, Roberto De Castro, Daniela Codrich, Edoardo Guida, Alessia Cerrina, Federica Pederiva, Maria A Lembo, Jurgen Schleef

Keywords : Heminephrectomy, Infant weighing less than 10 kg, Laparoscopy, Megaureter

Citation Information : Iaquinto M, Scarpa M, De Castro R, Codrich D, Guida E, Cerrina A, Pederiva F, Lembo MA, Schleef J. Laparoscopic Heminephroureterectomy in Infants Weighing Less Than 10 Kilograms: The Two Peculiar Cases. World J Lap Surg 2020; 13 (2):80-83.

DOI: 10.5005/jp-journals-10033-1410

License: CC BY-NC 4.0

Published Online: 01-08-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: We report two peculiar cases of laparoscopic heminephrectomy in infants weighing less than 10 kg with megaureter of nonfunctioning renal upper pole. Cases description: A 6-month-old boy, with history of upper pole pyo-hydroureteronephrosis managed by percutaneous nephrostomy, was affected in the left side; while a 17-month-old girl, with history of abdominal mass then proved to be a giant megaureter of nonfunctioning renal upper pole, was affected in the right side and she was previously treated for primitive obstructive megaureter (in the lower pole). Laparoscopic heminephroureterectomy with a transperitoneal approach was performed. Mean length of surgery was 160 minutes. We reported no conversion to open surgery neither intraoperative bleeding/urine leakage. Mean hospitalization duration was 5 days. The reoperation rate was 0%. In both cases at preliminary follow-up, we reported a good outcome. Conclusion: Laparoscopic heminephrectomy is considered a technically challenging procedure, especially for small infant but, according to our experience, it is safe and effective if performed in pediatric centers with high experience in minimally invasive surgery.


PDF Share
  1. Robinson BC, Snow BW, Cartwright PC, et al. Comparison of laparoscopic vs open partial nephrectomy in a pediatric series. J Urol 2003;169(2):638–640. DOI: 10.1016/S0022-5347(05)63980-8.
  2. Koyle MA, Woo HH, Kavoussi LR. Laparoscopic nephrectomy in the first year of life. J Pediatr Surg 1993;28(5):693–695. DOI: 10.1016/0022-3468(93)90034-I.
  3. Moore RG, Kavoussi LR, Bloom DA, et al. Pediatric urology: postoperative adhesion formation after urological laparoscopy in the pediatric population. J Urol 1995;153(3 Pt 1):792–795. DOI: 10.1097/00005392-199503000-00076.
  4. Yao D, Poppas DP. A clinical series of laparoscopic nephrectomy, nephroureterectomy and heminephroureterectomy in the pediatric population. J Urol 2000;163(5):1531–1535. DOI: 10.1016/S0022-5347(05)67672-0.
  5. Wallis MC, Khoury AE, Lorenzo AJ, et al. Outcome analysis of retroperitoneal laparoscopic heminephrectomy in children. J Urol 2006;175(6):2277–2280. DOI: 10.1016/S0022-5347(06)00338-7.
  6. Castellan M, Gosalbez R, Carmack AJ, et al. Transperitoneal and retroperitoneal laparoscopic heminephrectomy-what approach for which patient? J Urol 2006;176(6 Pt 1):2636–2639. DOI: 10.1016/j.juro.2006.08.053.
  7. Sydorak RM, Shaul DB. Laparoscopic partial nephrectomy in infants and toddlers. J Pediatr Surg 2005;40(12):1945–1947. DOI: 10.1016/j.jpedsurg.2005.08.013.
  8. Mulholland TL, Kropp BP, Wong C. Laparoscopic renal surgery in infants 10 kg or less. J Endourol 2005;19(3):397–400. DOI: 10.1089/end.2005.19.397.
  9. Schneider A, Ripepi M, Henry-Florence C, et al. Laparoscopic transperitoneal partial nephrectomy in children under 2 years old: a single-centre experience. J Pediatr Urol 2010;6(2):166–170. DOI: 10.1016/j.jpurol.2009.06.012.
  10. Aydogdu I, Silay MS. Transperitoneal laparoscopic heminephroureterectomy in the pediatric population: a single-centre experience using a sealing device. Can Urol Assoc J 2018;12(9): 409–414. DOI: 10.5489/cuaj.4992.
  11. Kapoor V, Elder JS. Simultaneous bilateral robotic-assisted laparoscopic procedures in children. J Robot Surg 2015;9(4):285–290. DOI: 10.1007/s11701-015-0528-x.
  12. Esposito C, Varlet F, Patkowski D, et al. Laparoscopic partial nephrectomy in duplex kidneys in infants and children: results of an european multicentric survey. Surg Endosc 2015;29(12):3469–3476. DOI: 10.1007/s00464-015-4096-y.
  13. Jordan GH, Winslow BH. Laparoendoscopic upper pole partial nephrectomy with ureterectomy. J Urol 1993;150(3):940–943. DOI: 10.1016/S0022-5347(17)35656-2.
  14. Nerli RB, Vernekar R, Guntaka AK, et al. Laparoscopic hemi/partial nephrectomy in children with ureteral duplication anomalies. Pediatr Surg Int 2011;27(7):769–774. DOI: 10.1007/s00383-011-2883-7.
  15. Piaggio L, Franc-Guimond J, Figueroa TE, et al. Comparison of laparoscopic and open partial nephrectomy for duplication anomalies in children. J Urol 2006;175(6):2269–2273. DOI: 10.1016/S0022-5347(06)00342-9.
  16. Leclair MD, Vidal I, Suply E, et al. Retroperitoneal laparoscopic heminephrectomy in duplex kidney in infants and children: a 15-year experience. Eur Urol 2009;56(2):385–389. DOI: 10.1016/j.eururo.2008.07.015.
  17. Eshtewi SA. Laparoscopy complications in neonates and small infants. World J Laparosc Surg 2008;1(2):15–19. DOI: 10.5005/jp-journals-10007-1052.
  18. Iwanaka T, Uchida H, Kawashima H, et al. Complications of laparoscopic surgery in neonates and small infants. J Pediatr Surg 2008;39(12):1838–1841. DOI: 10.1016/j.jpedsurg.2004.08.011.
  19. You D, Bang JK, Shim M, et al. Analysis of the late outcome of laparoscopic heminephrectomy in children with duplex kidneys. BJU Int 2010;106(2):250–254. DOI: 10.1111/j.1464-410X.2009.09038.x.
  20. Valla JS, Breaud J, Carfagna L, et al. Treatment of ureterocele on duplex ureter: upper pole nephrectomy by retroperitoneoscopy in children based on a series of 24 cases. Eur Urol 2003;43(4):426–429. DOI: 10.1016/S0302-2838(03)00043-5.
  21. Metzelder ML, Kübler JF, Nustede R, et al. LigaSure in laparoscopic transperitoneal heminephroureterectomy in children: a comparative study. J Laparoendosc Adv Surg Tech A 2006;16(5):522–525. DOI: 10.1089/lap.2006.16.522.
  22. Miranda ML, Oliveira-Filho AG, Carvalho PT, et al. Laparoscopic upper-pole nephroureterectomy in infants. Int Braz J Urol 2007;33(1):87–91. DOI: 10.1590/S1677-55382007000100015.
  23. Gundeti MS, Patel Y, Duffy PG, et al. An initial experience of 100 paediatric laparoscopic nephrectomies with transperitoneal or posterior prone retroperitoneoscopic approach. Pediatr Surg Int 2007;23(3):795–799. DOI: 10.1007/s00383-007-1941-7.
  24. Mahomed AA, Hoare C, Welsh F, et al. A two-centre experience with the exclusive use of laparoscopic transperitoneal nephrectomy for benign renal disease in children. Surg Endosc 2007;21(9):1532–1536. DOI: 10.1007/s00464-006-9162-z.
  25. Gozen AS, Badawy H, Teber D, et al. Outcome of laparoscopic upper pole heminephroureterectomy in children: a two-centre experience. Arab J Urol 2016;14(4):287–291. DOI: 10.1016/j.aju.2016.08.006.
  26. Kim C, McKay K, Docimo SG. Laparoscopic nephrectomy in children: systematic review of transperitoneal and retroperitoneal approaches. Urology 2009;73(2):280–284. DOI: 10.1016/j.urology.2008. 08.471.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.