Follow-up for laparoscopic renal denervation and nephropexy for autosomal dominant polycystic kidney disease-related pain in pediatrics.
OBJECTIVE
To present our medium-term experience with laparoscopic renal denervation and nephropexy for autosomal dominant polycystic kidney disease (ADPKD)-related pain in the pediatric patient.


METHODS
Twelve patients aged 8 to 19 years (mean age 12.4 years) with ADPKD presented with chronic pain refractory to narcotic analgesics. These 12 patients underwent laparoscopic renal denervation of 16 kidneys.


RESULTS
Mean operative time was 152 minutes and mean hospital stay was 2.17 days. All patients were pain-free at discharge and remain pain-free at a mean follow-up of 25.5 months. Three adolescent patients each had an episode of flank pain. One was associated with pyelonephritis, another with stones, and the third with trauma and a hematoma.


CONCLUSIONS
Laparoscopic renal denervation and nephropexy is a promising option for pediatric patients with uncontrolled ADPKD-related pain.
Casale
Pasquale
P
Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, Pennsylvania 19107, USA. casale@email.chop.edu
Meyers
Kevin
K
Kaplan
Bernard
B
D000293:Adolescent; D000328:Adult; D002648:Child; D003714:Denervation / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000294:innervation* / Q000601:surgery; D010535:Laparoscopy; D010147:Pain Measurement; D010148:Intractable Pain / Q000209:etiology / Q000601:surgery*; D016891:Polycystic Kidney, Autosomal Dominant / Q000150:complications*; D012189:Retrospective Studies