title: Laparoscopic hemi/partial nephrectomy in children with ureteral duplication anomalies.
abstract: BACKGROUND
  Recent advances in laparoscopic surgery as well as increasing experience with these techniques have led to the selection of laparoscopic surgery for hemi/partial nephroureterectomy in children with a non/poorly functioning moiety in a duplex kidney. There is very little data on the long term follow-up of such children. We report our experience of laparoscopic hemi-nephroureterectomy in children with duplex moiety.
  
  
  METHODS
  We retrospectively reviewed the case records of children undergoing laparoscopic partial/hemi nephroureterectomy. Demographic data, age, weight, diagnosis, type of operation, operative time, concomitant and subsequent procedures, blood loss, use of drains, analgesic requirement, length of hospitalization and complications were recorded.
  
  
  RESULTS
  29 children (21 girls and 8 boys) underwent laparoscopic hemi/partial nephrectomy. The median operative time was 94 min (range 68-146 min). The mean blood loss was 25 ml and no children required perioperative blood transfusion.
  
  
  CONCLUSIONS
  Laparoscopic hemi/partial nephrectomy in children is safe, associated with decreased morbidity and shorter hospitalization. Long term follow-up is necessary to study long term outcomes.
authors: KLE University's JN Medical College, KLES Kidney Foundation, KLES Dr Prabhakar Kore Hospital and MRC, Belgaum, 590010, India. rajendranerli@yahoo.in
authors: Rajendra B
authors: RB
authors: Nerli
authors: Ritesh
authors: R
authors: Vernekar
authors: Ajay Kumar
authors: AK
authors: Guntaka
authors: Shivagouda M
authors: SM
authors: Patil
authors: Sujata M
authors: SM
authors: Jali
authors: Murigendra B
authors: MB
authors: Hiremath
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007668:Kidney / Q000002:abnormalities / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D009392:Nephrectomy / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014513:Ureter / Q000002:abnormalities* / Q000601:surgery; D014515:Ureteral Diseases / Q000150:complications / Q000151:congenital / Q000601:surgery*