[Laparoscopic heminephrouretherectomy in children with double kidney]

Area of Science:

• Pediatric Surgery
• Urology
• Minimally Invasive Surgery

Context:

• Laparoscopic surgery is increasingly utilized in pediatric urology.
• Laparoscopic geminephrouretherectomy (LG) is a complex procedure for congenital anomalies.
• Limited data exists on LG in pediatric populations within our region.

Purpose:

• To document the initial experience with laparoscopic geminephrouretherectomy in pediatric patients in our country.
• To evaluate the feasibility, safety, and outcomes of LG in children.
• To establish a benchmark for future minimally invasive renal and ureteral surgeries.

Summary:

• Five children (aged 3-14 years) underwent laparoscopic procedures for renal and ureteral anomalies.
• One patient had a laparoscopic ureterectomy for a double ureter; four had laparoscopic geminephrouretherectomy (2 left, 2 right).
• Operative times ranged from 100-180 minutes with no intra- or postoperative complications. Patients were discharged between postoperative days 6-12.

Impact:

• This study introduces laparoscopic geminephrouretherectomy as a viable and safe option for pediatric patients in our country.
• The findings suggest excellent cosmetic and functional results, supporting the adoption of this minimally invasive technique.
• This experience provides a foundation for further research and application of advanced laparoscopic techniques in pediatric urology.