Posterior approach for retroperitoneal laparoscopic bilateral nephrectomy in a child.
We report on a unique posterior approach for bilateral nephrectomy by retroperitoneoscopy that was conducted in a 13-year-old boy with end-stage renal disease managed by peritoneal dialysis. A posterior approach for bilateral nephrectomy by retroperitoneal laparoscopy provided adequate visualization and created enough working space for the manipulation. The procedure was performed during a short period, and the patient did not need to be repositioned. Retroperitoneal laparoscopic bilateral nephrectomy is a useful option in school-aged children with poorly functioning kidneys, particularly those children also undergoing peritoneal dialysis.
Fujisawa
Masato
M
Division of Urology, Department of Organ Therapeutics, Kobe University Graduate School of Medicine, Kobe, Japan.
Kawabata
Gaku
G
Gotoh
Akinobu
A
Hara
Isao
I
Okada
Hiroshi
H
Arakawa
Soich
S
Kamidono
Sadao
S
D000293:Adolescent; D005923:Glomerulosclerosis, Focal Segmental / Q000150:complications; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000601:surgery; D016030:Kidney Transplantation; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D011300:Preoperative Care