162 / 330
162
28
TH
CONGRESS OF THE ESPU
RESULTS
Operative time was 5h20min. Child needed 6 postoperative days to manage post-obstruction relief
polyuria. Stent was removed at the outpatient clinic on 10
th
day. One year postoperative URO
MRI confirmed the significant improvement of the hydronephrosis. At three years FU, the child is
asymptomatic, renal function is normal; ultrasound shows significant reduction of the dilatation with
normal renal growth.
CONCLUSIONS
Double stenosis on a single kidney can be treated simultaneously through retroperitoneal laparo-
scopic approach. Safety and efficiency could be achieved in our case by: side to side anastomosis
on one site, meticulous bipolar dissection, 3 mm instruments, use of fine suturing, and careful
postoperative metabolic surveillance.
10:48–11:00
Discussion
11:00–11:03
S15-6 (PP)
A COMPARISON BETWEEN LAPAROSCOPIC
AND RETROPERITONEOSCOPIC APPROACH FOR PARTIAL
NEPHRECTOMY IN CHILDREN WITH DUPLEX KIDNEY.
RESULTS OF A MULTICENTRIC SURVEY
Ciro ESPOSITO
1
, Maria ESCOLINO
2
, Go MIYANO
3
, Paolo CAIONE
4
,
Francois VARLET
5
, Fabio CHIARENZA
6
, Giovanna RICCIPETITONI
7
,
Alessandra FARINA
8
, Atsuyuki YAMATAKA
9
, Antonio SAVANELLI
1
,
Francesco TURRA’
1
, Dariusz PATKOWSKI
10
, Alessandro SETTIMI
1
,
Marco CASTAGNETTI
11
, Holger TILL
12
and Jean-Stephane VALLA
13
1) Federico II University of Naples, Traslational Medical Sciences, Naples, ITALY - 2) Federico II Unoversity of Naples,
Traslational Medical Sciences, Naples, ITALY - 3) Juntendo University School of Medicine, Tokyo, Japan, Pediatric
General and Urogenital Surgery, Tokyo, JAPAN - 4) Bambino Gesù Hospital, Pediatric Urology, Roma, ITALY - 5) Centre
Hospitalier Universitaire, Hopital Nord, Saint-Étienne, Pediatric Urology, Saint-Etienne, FRANCE - 6) San Bortolo
Hospital, Pediatric Surgery, Vicenza, ITALY - 7) Buzzi Children Hospital, Pediatric Surgery, Milan, ITALY - 8) Federico
II University of Naples, Traslational Medical Sciences, Naples, ITALY - 9) Juntendo University School of Medicine,
Pediatric General and Urogenital Surgery, Tokyo, JAPAN - 10) Wroclaw Medical University, Pediatric Surgery, Wroclaw,
POLAND - 11) University of Padua, Pediatric Urology, Padua, ITALY - 12) Medical University of Graz, Pediatric Surgery,
Graz, AUSTRIA - 13) Centre Hospitalier Universitaire Lenval, Pediatric Surgery, Nice, FRANCE
PURPOSE
We aimed to compare the laparoscopic and retroperitoneoscopic approach for partial nephrectomy
in infants and children with duplex kidney.
MATERIAL AND METHODS
The data of 102 patients underwent partial nephrectomy in a 5-years period using MIS procedures
were analyzed. Fifty-two children underwent laparoscopic partial nephrectomy (LPN) and 50 chil-
dren underwent retroperitoneoscopic partial nephrectomy (RPN). Average age at surgery was
4.2 years. Statistical analysis was performed using χ2 test with Yates corrections and t-student test.