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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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...
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

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Single Port Donor Nephrectomy
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Simultaneous Bilateral Pediatric Nephrectomies: Indications, Approach and Outcomes Over a 15-Year Period.

A M Lombardo1, M Stout1,2, A Zann3,4

  • 1Department of Urology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.

Pediatric Transplantation
|April 1, 2025
PubMed
Summary

Bilateral simultaneous native nephrectomies in children are safe and effective for end-stage renal disease management. This study reviewed 10 pediatric cases, finding successful outcomes with both open and robotic approaches.

Keywords:
bilateral nephrectomynephrectomypediatric urologyrenal transplantrobotic

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Area of Science:

  • Pediatric Surgery
  • Nephrology
  • Renal Disease Management

Background:

  • Bilateral simultaneous native nephrectomies are rarely reported in pediatric patients.
  • This study addresses the lack of data by evaluating a single tertiary care center's 15-year experience.

Purpose of the Study:

  • To evaluate the indications and outcomes of bilateral simultaneous native nephrectomies in pediatric patients.
  • To assess the safety and efficacy of different surgical approaches (open vs. robotic).

Main Methods:

  • Retrospective chart review of pediatric patients (<21 years) undergoing bilateral simultaneous native nephrectomy from 2009 to 2024.
  • Analysis of surgical indications, operative approach, and patient outcomes.

Main Results:

  • Ten pediatric patients underwent the procedure, with a mean age of 9.6 years.
  • Indications included hypertensive crisis, nephrotic syndrome, and others; six patients were on hemodialysis preoperatively.
  • Both open and robotic approaches were utilized, with successful outcomes including resumption of peritoneal dialysis (PD) postoperatively in two patients.

Conclusions:

  • Bilateral simultaneous native nephrectomy is a safe and effective procedure for pediatric patients with end-stage renal disease.
  • The procedure can be successfully performed using either open or minimally invasive (robotic) techniques.