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19–22 APRIL, 2017, BARCELONA, SPAIN
MATERIAL AND METHODS
Transperitoneal laparoscopic pyeloplasty was performed in the lateral position. Following comple-
tion of the anterior wall anastomosis, a Kirschner wire (K wire -1.6mm x 250mm,Ortho Solutions) is
introduced through the cranially placed working port, and under laparoscopic vision guided through
the open pelvis, middle or lower calyx and finally through the renal parenchyma to emerge on the
surface of the posterior abdominal wall. A blue nephro-ureteric stent (Urosoft Multipurpose Stent
4.7Fr; Angiomed-Bard) is threaded on to the posterior end of the K wire. The K wire is then retracted
through the port to deliver the stent into the pelvis to place the curl of the stent within the renal
pelvis and the straight limb extending across the anastomosis into the ureter stopping well short
of the vesico-ureteric junction. Post operatively, the stents were knotted at 48 hours and patients
discharged. They returned for stent removal after a week.
RESULTS
8-patients, aged 3-months to 4-years had externalised nephro-ureteric stents placed. One patient
had concomitant vesico-ureteric-junction obstruction which required further cystoscopy and stent-
ing. No bleeding or other stent related complications were encountered.
CONCLUSIONS
Our method of external stenting is technically feasible, safe and reproducible. It obviates the need
for a further anaesthetic and avoids potential risks of another procedure. Secondary benefits include
avoiding another hospital admission.
VS-31 (VS without presentation)
LEFT LAPAROSCOPIC RADICAL NEPHRECTOMY
IN THE NEWBORN INFANT
Ilia KAGANTSOV
1
, Violetta SHESTAKOVA
2
, Andrey KARMANOV
2
, Ilya SANNIKOV
3
and Anton GOLOVIN
3
1) Federal State Budget Educational Institution of Higher Education «Syktyvkar State University named a, Pediatric
Urology, Syktyvkar, RUSSIAN FEDERATION - 2) Republican Children's Clinical Hospital Syktyvkar, Republic Komi,
Russia., Oncology, Syktyvkar, RUSSIAN FEDERATION - 3) Republican Children's Clinical Hospital Syktyvkar, Republic
Komi, Russia., Pediatric Urology, Syktyvkar, RUSSIAN FEDERATION
PURPOSE
In this video, we present left laparoscopic radical nephrectomy in the new born infant.
MATERIAL AND METHODS
The child is 29 days old. His weight is 3,600. The tumor of left kidney under 3,5 cm in size was pre-
natally diagnosed by ultrasonography . Computerized Tomography Scan on kidneys was performed
after the child's birth, that showed a big tumor of the left kidney which hadn't spread beyond the
organ's margins. We made the decision to perform left laparoscopic radical nephrectomy.
RESULTS
After mobilization of renal hilum renal vein, duplicated artery and ureter were clamped separately
with Gemolok and then incised. Kidney was completely mobilized and placed into a plastic bag
which had been extracted out of the abdominal cavity through the additional 40mm incision in the
pelvic area. The drainage of the abdominal cavity wasn't necessary. Operation time was 80 min.
Postoperative period was smooth; patient was discharged in the satisfactory state on the 5
th
day
after the repair. Histopathology report mesoplastic nephroma.
CONCLUSIONS
The laparoscopic radical nephrectomy is a feasible and safe procedure in newborn with
nephroblastoma.