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Related Experiment Videos

Laparoendoscopic upper pole partial nephrectomy with ureterectomy

G H Jordan1, B H Winslow

  • 1Department of Urology, Eastern Virginia Medical School, Children's Hospital of The King's Daughters, Norfolk.

The Journal of Urology
|September 1, 1993
PubMed
Summary
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This study reports the first laparoendoscopic partial nephrectomy for a duplicated collecting system in a young patient. The minimally invasive approach successfully treated recurrent urinary tract infections caused by ureteral anomalies.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery
  • Congenital Anomalies

Background:

  • Recurrent urinary tract infections (UTIs) in children can indicate underlying anatomical abnormalities.
  • Bilateral renal collecting system duplication is a congenital anomaly that may lead to complications such as UTIs.
  • Ureteral anomalies, including ureteroceles and ectopic orifices, are often associated with renal duplication.

Observation:

  • A 14-year-old female presented with a history of recurrent UTIs since 18 months of age.
  • Anatomical evaluation revealed bilateral duplication of the collecting systems.
  • The right upper pole moiety had an obstructing orthotopic ureterocele, and the left upper pole moiety had an ectopic ureteral orifice.

Findings:

  • The patient underwent a laparoendoscopic right upper pole partial nephrectomy with ureterectomy.

Related Experiment Videos

  • This procedure represents the first reported instance of a laparoendoscopic approach for an upper pole partial nephrectomy in this context.
  • The surgical intervention aimed to address the obstructive and ectopic ureteral anomalies contributing to recurrent UTIs.

    • Implications:

    • Laparoendoscopic partial nephrectomy is a viable and potentially less invasive surgical option for managing upper pole moiety complications in duplicated renal systems.
    • This technique may offer advantages in terms of recovery and reduced morbidity for pediatric patients with complex urogenital anomalies.
    • Further research and case studies are warranted to establish the long-term efficacy and safety of this minimally invasive approach.