Laparoscopic nephroureterectomy for end-stage reflux nephropathy in a child.
End-stage renal disease secondary to vesicoureteral reflux often necessitates removal of the affected kidney and its refluxing ureter. Advances in laparoscopic techniques have made nephroureterectomy through the laparoscope possible in a minimally invasive way. We describe our surgical steps for laparoscopic nephroureterectomy in all 11-year-old girl with end-stage reflux nephropathy. Reduced trauma of surgical access, minimal postoperative morbidity, shorter hospital stay, and minimal scarring make laparoscopic nephroureterectomy a comparatively desirable surgical approach, especially in pediatric patients.
Das
S
S
Department of Urology, Kaiser Permanente Medical Center, Walnut Creek, CA 94596.
Keizur
J J
JJ
Tashima
M
M
D002648:Child; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000209:etiology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D009392:Nephrectomy / Q000379:methods*; D014513:Ureter / Q000601:surgery*; D014718:Vesico-Ureteral Reflux / Q000150:complications / Q000601:surgery*