LAPAROSCOPIC HEMINEPHRECTOMY IN CHILDREN (A REVIEW)



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Abstract

The laparoscopic technique for the treatment of duplex kidney anomaly became popular thanks to the efforts of G. Jordan and B. Winslow, who in 1993 successfully performed the world’s first laparoscopic heminephrectomy in a child. This operation has made its way into the world of surgical methods that have great potential for improving postoperative patient recovery and cosmetics, asserting the progress of pediatric endourology. Since the first report of laparoscopic heminephrectomy, a minimally invasive approach has gained popularity, and in some advanced surgical centers it has completely replaced open surgery in the treatment of urinary tract abnormalities. To date, there are several studies that demonstrate the safety and feasibility of laparoscopic heminephrectomy in children; nevertheless, the use of such an approach in the pediatric population is limited. Other endosurgical techniques for treating duplex kidney anomaly include retroperitoneoscopy, single-port laparoscopy and robotic surgery. The choice of endosurgical heminephrectomy technology is determined in accordance with the patient’s age, possession of technical capabilities and personal experience of the surgeon. In the literature, there is still a relative lack of evidence of the safety and effectiveness of endosurgical operations designed to remove the affected kidney segment in children. The purpose of the scientific review is to analyze the results of laparoscopic heminephrectomy in children and present its strengths and weaknesses, based on data that exist today in modern scientific literature.

About the authors

Yu. Yu. Kozlov

Irkutsk Municipal Pediatric Clinical Hospital; Irkutsk State Medical Academy of Continuing Education; Irkutsk State Medical University

Author for correspondence.
Email: noemail@neicon.ru
ORCID iD: 0000-0003-2313-897X
Россия

A. A. Rasputin

Irkutsk Municipal Pediatric Clinical Hospital

Email: noemail@neicon.ru
ORCID iD: 0000-0002-5690-790X
Россия

K. A. Kovalkov

Regional Clinical Pediatric Hospital

Email: noemail@neicon.ru
ORCID iD: 0000-0001-6126-4198
Россия

P. G. Baradieva

Irkutsk Municipal Pediatric Clinical Hospital

Email: noemail@neicon.ru
ORCID iD: 0000-0002-5463-6763
Россия

Ch. B. Ochirov

Irkutsk Municipal Pediatric Clinical Hospital

Email: noemail@neicon.ru
ORCID iD: 0000-0002-6045-1087
Россия

V. M. Kapuller

Hadassah University Medical Center, Hebrew University

Email: noemail@neicon.ru
ORCID iD: 0000-0003-0076-5778
Россия

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