AI Article Synopsis
- In pediatric urology, partial nephrectomy can be performed on infants to remove non-functioning kidney parts, with limited data available on such cases.
- An 11-month-old male patient with a duplicated renal collecting system underwent a robot-assisted laparoscopic lower pole nephrectomy due to severe hydronephrosis.
- The procedure was successful, and follow-up showed no complications, indicating that robotic nephrectomy is safe and effective for infants and younger children.
Article Abstract
Introduction: In pediatric urology, partial nephrectomy is used primarily to remove a non-functioning renal moiety in a duplicated system. There are few data on infants undergoing this procedure. As such, we present a robot-assisted laparoscopic lower pole partial nephrectomy in an infant.
Methods: Our patient was an 11-month-old (10.7 kg) male with a history of prenatal hydronephrosis, who was diagnosed postnatally with a duplicated right collecting system and severe hydroureteronephrosis of the right lower collecting system. A DMSA scan demonstrated no radiotracer uptake in the right lower pole. A robot-assisted laparoscopic lower pole partial nephrectomy was performed.
Results: A lower pole partial nephrectomy was accomplished. At 1 month postoperatively, an ultrasound demonstrated no hydronephrosis or perinephric fluid collection.
Conclusions: Robotic partial nephrectomy is safe and feasible in pediatrics including both older children and infants. It is successful for both upper and lower pole partial nephrectomies.
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| http://dx.doi.org/10.1016/j.jpurol.2016.09.007 | DOI Listing |
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