Laparoscopic heminephrectomy in infants and children: first 54 cases

Area of Science:

• Pediatric Surgery
• Minimally Invasive Surgery
• Urology

Background:

• Heminephrectomy is commonly performed in children via open surgery.
• Laparoscopic techniques offer potential advantages over open procedures.

Purpose of the Study:

• To describe the experience with laparoscopic heminephrectomy using a retroperitoneoscopic approach in pediatric patients.
• To evaluate the feasibility and outcomes of this minimally invasive technique.

Main Methods:

• Retrospective and prospective data collection on patients undergoing laparoscopic heminephrectomy.
• Single surgeon, prone retroperitoneoscopic approach.
• Recording of patient demographics, surgical details, complications, and outcomes.

Main Results:

• 54 procedures performed in 48 children (median age 14 months).
• No intraoperative complications or conversions; four minor postoperative complications (hematuria, pyrexia).
• All patients remained asymptomatic at a median follow-up of 22 months.

Conclusions:

• Laparoscopic heminephrectomy via a retroperitoneoscopic approach is a feasible and safe procedure for pediatric patients.
• This technique is suitable for treating non-functioning duplex renal units in children and infants.
• Advanced laparoscopic skills enable successful outcomes with minimal complications.