Retroperitoneoscopic Nephrectomy in Pediatric Patients
Salvatore Fabio Chiarenza1, Valeria Bucci1, Elisa Zolpi1
1Pediatric Surgery and Urologic Unit, Regional Center of Minimally Invasive Surgery and Urology, San Bortolo Hospital, Vicenza, Italy.
Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|September 30, 2021
Summary
Minimally invasive surgery (MIS) is the preferred method for pediatric nephroureterectomy due to its effectiveness in treating conditions like renal dysplasia. The lateral retroperitoneal approach is highlighted as the standard technique for this procedure in children.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Minimally invasive surgery (MIS) is increasingly adopted in pediatric urology.
- Nephroureterectomy is a common urological procedure in children.
- Indications include nonfunctional kidneys, renal dysplasia, and kidney damage from uropathy.
Purpose of the Study:
- To illustrate the retroperitoneoscopic nephroureterectomy technique in infants and children.
- To report on the authors' 20-year experience with this MIS approach.
Main Methods:
- The study focuses on the lateral retroperitoneal approach for MIS nephroureterectomy.
- Techniques for retroperitoneoscopic nephroureterectomy in pediatric patients are detailed.
- The authors present their 20-year surgical experience.
Main Results:
- The lateral retroperitoneal approach is the typical method for nephroureterectomy, even with MIS.
- Retroperitoneoscopic nephroureterectomy is a viable and established technique in pediatric urology.
- The authors' extensive experience supports the efficacy of this approach.
Conclusions:
- Minimally invasive nephroureterectomy, particularly via the lateral retroperitoneal route, is a leading treatment for pediatric urological conditions.
- The retroperitoneoscopic technique is well-established and effective for pediatric nephroureterectomy.
- Long-term experience validates this approach for managing nonfunctional or damaged kidneys in children.
Related Concept Videos
01:26Kidney Transplant II: Surgical Procedure
98
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...
98
01:25Urinary Tract Calculi VI: Surgical Management
72
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...
72
01:16Kidney Transplant III: Nursing Management
104
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
104
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion
37
In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
37
01:28Kidney Transplant I: Introduction
82
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
82