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Laparoscopic Partial Nephrectomy for Duplex Kidneys in Infants and Children: How We Do It
Ciro Esposito1, Maria Escolino1, Giuseppe Autorino1
1Pediatric Surgery Unit, Federico II University of Naples, Naples, Italy.
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|September 7, 2021
Summary
Duplication anomalies in duplex kidneys can lead to poorly functioning poles. Laparoscopic partial nephrectomy is a surgical technique to remove nonfunctioning kidney poles in children, improving outcomes.
Area of Science:
- Urology
- Pediatric Surgery
- Congenital Malformations
Background:
- Duplication anomalies of the kidney are common congenital urinary tract malformations.
- Duplex kidneys often feature a poorly or nonfunctioning pole, potentially requiring surgical intervention.
- Indications for partial nephrectomy in children include reflux or ectopic ureter/ureterocele causing incontinence.
Purpose of the Study:
- To describe the technique of laparoscopic partial nephrectomy in pediatric patients with duplex kidneys.
- To highlight critical technical steps for successful surgical outcomes in infants and children.
Main Methods:
- Laparoscopic partial nephrectomy procedure.
- Focus on critical technical steps for execution in pediatric patients.
Main Results:
- The study details the surgical technique for laparoscopic partial nephrectomy in pediatric duplex kidneys.
- Successful execution of the surgical procedure is emphasized as crucial for positive outcomes.
Conclusions:
- Laparoscopic partial nephrectomy is a viable surgical option for nonfunctioning poles in pediatric duplex kidneys.
- Meticulous adherence to surgical technique is paramount for successful treatment of these congenital anomalies.

