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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

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Related Experiment Video

Updated: May 16, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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[Our experience in retroperitoneoscopic total or partial nephrectomies].

M S Fernández Córdoba1, J Gonzálvez Piñera, Y Argumosa Salazar

  • 1Servicio de Cirugía Pediátrica, Complejo Hospitalario Universitario de Albacete. msfernandezc@sescam.jccm.es

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|November 20, 2012
PubMed
Summary

Retroperitoneal laparoscopy is a safe alternative for benign kidney conditions, offering faster recovery than open surgery. The posterior approach may reduce operative time for total nephrectomies.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Pediatric Surgery

Background:

  • Retroperitoneal laparoscopic surgery is increasingly used for benign renal conditions.
  • It offers an alternative to open and transperitoneal approaches.

Purpose of the Study:

  • To evaluate the safety and efficacy of the retroperitoneal laparoscopic approach for pediatric renal surgery.
  • To compare outcomes between lateral and posterior prone positions.

Main Methods:

  • Retrospective review of 20 retroperitoneal laparoscopic procedures (13 total nephrectomies, 7 heminephrectomies) in children.
  • Procedures performed using either lateral or posterior prone positioning.
  • Data collected on operative time, oral feeding resumption, hospital stay, and complications.

Main Results:

  • Mean operative time was 200 minutes for partial and 278 minutes for total nephrectomies.
  • Oral feeding resumed at 11.4 hours, with an average hospital stay of 1.58 days for total nephrectomies and 2.18 days for heminephrectomies.
  • The posterior approach showed a shorter operative time for total nephrectomies (170 min vs. 216 min, P=0.024) with no significant differences in other outcomes.
  • No intraoperative bleeding occurred; complications included urine leaks, infections, and transient hematuria.

Conclusions:

  • Retroperitoneoscopy provides safe renal access, avoiding transperitoneal morbidity.
  • The posterior approach may offer advantages in operative time and workspace maximization.
  • This approach is a viable and safe option for pediatric renal surgery.