Laparoscopic heminephroureterectomy in infants weighing less than 10 kilograms: The two peculiar cases

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)80-83
Number of pages4
JournalWorld Journal of Laparoscopic Surgery
Volume13
Issue number2
DOIs
Publication statusPublished - May 1 2020

Keywords

  • Heminephrectomy
  • Infant weighing less than 10 kg
  • Laparoscopy
  • Megaureter

ASJC Scopus subject areas

  • Surgery

Fingerprint Dive into the research topics of 'Laparoscopic heminephroureterectomy in infants weighing less than 10 kilograms: The two peculiar cases'. Together they form a unique fingerprint.

Cite this