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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

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: 08-12-2020

Copyright Statement:  Copyright © 2020; The Author(s).


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.

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