Optimization of laparoscopic heminephrectomy in children
Laparoscopic heminephrectomy is performed in case of kidney duplication with dysfunction of one ofthe renal segments. This operation has important advantages over traditional open surgery. At the same time, there are numerous reports of complications of laparoscopic heminephrectomy which dictates the necessity of its further evaluation and optimization. Materials and methods. Laparoscopic heminephrectomy was performed in 42 children with compromised function of the upper and lower segments of duplicated kidney. This paper describes details of the surgical technique. Results. The operation lasted 90-205 (mean 127) min. Neither intraoperative complications nor conversions were documented. The treated patients remained in the hospital for 7.17 days on the average. Repeated intervention was needed in two patients who developed paranephral cyst and inflammation ofthe ureteral stump. Conclusion. Laparoscopic heminephrectomy can be successfully performed in children with a low complication rate.