Related Experiment Video
Updated: Feb 2, 2026
06:31
Probe-based Confocal Laser Endomicroscopy of the Urinary Tract: The Technique
Published on: January 10, 2013
21.3K
Pediatric Partial Nephrectomy for Upper Urinary Tract Duplication Anomalies: A Comparison Between Different Surgical
Amos Neheman1, Eyal Kord1, Andrew C Strine2
1Department of Urology, Assaf Harofeh Medical Center, affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, Zerifin, Israel.
Urology
|November 27, 2018
Summary
Minimally invasive partial nephrectomy techniques (laparoscopic, robotic, and laparoendoscopic single-site) offer advantages over open surgery for children with nonfunctioning moieties in duplicated collecting systems. These approaches show reduced pain, shorter hospital stays, and less blood loss, proving safe and effective.
Area of Science:
- Pediatric Urology
- Surgical Oncology
- Nephrology
Background:
- Upper urinary tract duplication anomalies are common congenital conditions.
- A nonfunctioning moiety in these anomalies may require partial nephrectomy.
- Surgical management options include open and minimally invasive approaches.
Purpose of the Study:
- To compare four surgical approaches for partial nephrectomy in pediatric patients with upper urinary tract duplication anomalies.
- To evaluate the efficacy and safety of open partial nephrectomy (OPN), laparoscopic partial nephrectomy (LPN), robotic partial nephrectomy (RPN), and laparoendoscopic single site partial nephrectomy (LESS-PN).
Main Methods:
- Retrospective review of 59 pediatric patients undergoing partial nephrectomy for nonfunctioning moiety between 2007 and 2017.
- Comparison of patient demographics, perioperative data, surgical techniques, complications, and outcomes across OPN, LPN, RPN, and LESS-PN groups.
Main Results:
- Minimally invasive approaches showed significantly less estimated blood loss compared to OPN.
- OPN required higher postoperative analgesia (narcotics and acetaminophen) compared to all other groups.
- Operating time was significantly shorter for OPN and LESS-PN compared to LPN and RPN.
Conclusions:
- Minimally invasive partial nephrectomy (LPN, RPN, LESS-PN) is associated with decreased postoperative pain, shorter hospital stays, and reduced blood loss compared to open surgery.
- These minimally invasive techniques demonstrate efficacy and safety in treating nonfunctioning moieties in pediatric upper urinary tract duplication anomalies.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
513
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
513
01:28Urinary Tract Calculi I: Introduction
532
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
532
01:26Urinary Tract Infection I: Introduction
694
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
694
01:25Urinary Tract Infection II: Pathophysiology
733
The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...
733
01:29Anatomy of Respiratory System I: Upper Respiratory Tract
5.2K
The upper respiratory tract plays a vital role in the respiratory system, comprising several structures that facilitate air intake and prepare air for the lungs. It also serves as the first line of defense against pathogens and particles. This tract includes the nose and nasal cavity, the oral cavity, the paranasal sinuses, and the pharynx, each with specific functions and features.
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
5.2K
01:28Urinary Tract Calculi V: Nursing Management
306
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
306