Retroperitoneal approach for laparoscopic nephrectomy is feasible in a child with difficult access due to severe scoliosis.
Retroperitoneal minimal access surgery has been widely described and practiced in many paediatric urology units. However, retroperitoneal laparoscopic nephrectomy performed in the presence of severe scoliosis has not been described in the literature before. We report a challenging case of a 13-year-old girl with severe scoliosis requiring a nephrectomy. The feasibility of performing a retroperitoneal laparoscopic nephrectomy in paediatric patients with severe scoliosis is discussed.
Krishna Kumar
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Department of Paediatric Urology, Birmingham Children's Hospital, Birmingham, UK. sasisang@rediffmail.com
Kannan
R Y
RY
Chandran
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H
D000293:Adolescent; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D009392:Nephrectomy / Q000379:methods*; D012187:Retroperitoneal Space / Q000601:surgery*; D012600:Scoliosis / Q000150:complications* / Q000000981:diagnostic imaging; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed