Laparoscopic nephrectomy of a cross-fused ectopic kidney in a child with hypertension.
OBJECTIVE
We report a case of laparoscopic nephrectomy of a cross-fused ectopic kidney in a 4-year-old girl with renal hypertension and Fanconi anemia.


METHODS
We performed a transperitoneal laparoscopy. Ectopic kidney resection was done after dissection of the pathological kidney and after clamping vessels, using an ultrasonic device. Hospitalization time was 4 days.


RESULTS
At 6 months, blood pressure was normalized and the patient showed an adequate growth curve.


CONCLUSIONS
The transperitoneal route is very effective when a nephrectomy is necessary. It offers perfect exposure with limited risk of complications.
Negre
T
T
Service de chirurgie viscérale et urologique pédiatrique Pr Guys, CHU Timone, Marseille, France. thibault.negre@ap-hm.fr
Haddad
M
M
Garaix
F
F
Fernandez
C
C
Guys
J M
JM
de Lagausie
P
P
D002675:Child, Preschool; D005199:Fanconi Anemia / Q000150:complications*; D005260:Female; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology* / Q000601:surgery; D007668:Kidney / Q000002:abnormalities* / Q000098:blood supply / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008279:Magnetic Resonance Imaging; D009392:Nephrectomy / Q000379:methods*