Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Laparoscopic nephrectomy for pediatric giant hydronephrosis.

Jonathan D Harper1, Satyan K Shah, D Duane Baldwin

  • 1Division of Urology, Loma Linda University Medical Center, Loma Linda, California 92354, USA.

Urology
|July 28, 2007
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Bubble Trouble: The Thermal Risk of Ureteral Laser Lithotripsy in an Air Bubble.

Journal of endourology·2026
Same author

The Third Endourological Society Census Report.

Journal of endourology·2026
Same author

Prevention of urinary stones with hydration: a randomised clinical trial of an adherence intervention.

Lancet (London, England)·2026
Same author

Evaluating the Sexual Quality of Life of Kidney Stone Formers: A Multicentric Cross-Sectional Study.

Journal of endourology·2026
Same author

Suction, flexion, and noise profile of three flexible and navigable suction ureteral access sheaths: a benchtop comparison.

World journal of urology·2026
Same author

Does instrumentation and irrigation configuration affect intrarenal pressure during PCNL?

BJUI compass·2026

Pediatric laparoscopic nephrectomy (LN) and laparoscopic nephroureterectomy (LNU) are safe for giant hydronephrosis. Careful attention to altered anatomy ensures successful outcomes in these challenging cases.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Nephrology

Background:

  • Giant hydronephrosis presents unique surgical challenges in pediatric patients.
  • Massive renal enlargement can distort normal abdominal anatomy, complicating surgical approaches.

Purpose of the Study:

  • To report the experience with laparoscopic nephrectomy (LN) and laparoscopic nephroureterectomy (LNU) in children with giant hydronephrosis.
  • To evaluate the safety and feasibility of these minimally invasive procedures in this specific patient population.

Main Methods:

  • Retrospective review of pediatric patients undergoing transperitoneal LN or LNU for giant hydronephrosis.
  • Internal decompression of the renal system with an end-hole stent was performed in cases of chronic infection and massive hydronephrosis.

Related Experiment Videos

  • Partial decompression facilitated abdominal space for visualization while maintaining turgidity for dissection.

    • Main Results:

    • Three LNs and two LNUs were successfully completed laparoscopically in children with giant hydronephrosis.
    • All cases exhibited anomalous vascular anatomy or orientation due to mass effect.
    • Mean surgery time was 281 minutes, with a mean estimated blood loss of 27 mL. Patients were discharged on postoperative day 3 with no complications.

    Conclusions:

    • Pediatric laparoscopic surgery for giant hydronephrosis is feasible despite challenges posed by large renal volume.
    • Careful management of altered anatomical relationships is crucial for safe and successful outcomes.
    • LN and LNU can be safely performed in pediatric patients with giant hydronephrosis.