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Access for retroperitoneoscopy in small infants.

Oliver Sanchez1, Enrico Broennimann2, Jacques Birraux3

  • 1Division of Child and Adolescent Surgery, Department Woman-Mother-Child, University Center of Pediatric Surgery of Western Switzerland (CURCP), Lausanne University Hospital (CHUV), Lausanne, Switzerland; Division of Child and Adolescent Surgery, Department of Pediatrics, Gynecology and Obstetrics, University Center of Pediatric Surgery of Western Switzerland (CURCP), Geneva University Hospitals (HUG), Geneva, Switzerland.

Journal of Pediatric Urology
|February 24, 2026
PubMed
Summary
This summary is machine-generated.

Retroperitoneoscopy offers a safe and effective laparoscopic port placement technique for infant renal surgeries. This method has shown no complications in over 60 procedures, suggesting potential advantages in pediatric patients.

Keywords:
HeminephrectomyInfantsLaparoscopyNephrectomyPyeloplastyRetroperitoneal laparoscopyRetroperitoneoscopyUretero-ureterostomy

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Area of Science:

  • Pediatric Surgery
  • Minimally Invasive Surgery
  • Urology

Background:

  • Laparoscopic surgery in infants presents unique challenges.
  • Retroperitoneoscopy is an alternative approach for renal procedures.

Purpose of the Study:

  • To describe a detailed technique for laparoscopic port placement in infants using retroperitoneoscopy.
  • To evaluate the safety and efficacy of this approach in pediatric renal surgery.

Main Methods:

  • Detailed description of the retroperitoneoscopic technique for port placement in infants.
  • Application of the technique in over 60 renal surgeries (ablative and reconstructive) since 2017.
  • Utilized a combination of 5 mm and 3 mm ports for versatile instrument use.

Main Results:

  • No conversions or complications related to access or port placement were reported in over 60 infant surgeries.
  • The retroperitoneoscopic approach demonstrated excellent vision and allowed for the use of various surgical devices.
  • The technique was successfully applied in various procedures including nephrectomies, hemi-nephrectomies, pyeloplasties, and uretero-ureterostomies.

Conclusions:

  • Retroperitoneoscopy is a safe and effective method for laparoscopic port placement in infants undergoing renal surgery.
  • This technique may offer advantages in pediatric patients, such as a shorter distance to the target organ and greater abdominal wall flexibility.
  • The described approach is suitable for a range of pediatric reconstructive and ablative renal surgeries.