Applicability of Laparoscopic Nephrectomy in the Treatment of Multicystic Dysplastic Kidney: Sorting Out Surgical Indication

Introduction We evaluated the applicability of laparoscopic nephrectomy in the treatment of multicystic dysplastic kidney (MCDK) in children, including procedures performed by resident physicians or trainees in surgical urology. Methods We retrospectively evaluated the medical records of 20 children with MCDK who underwent laparoscopic nephrectomy over a six-year period. Data collected included gender, laterality of the affected kidney, age at the time of surgery, the largest diameter of the multicystic kidney and associated urological diagnoses, surgical, and postoperative data. All surgical procedures were performed transperitoneally. Results The mean age at the time of surgery was 46 months with a slight predominance of girls. The right side was the more affected side, and the average diameter of the affected kidney at the time of surgical excision was 5.8 cm. Other changes in the urinary tract were found in five children. The mean operative time was 133 minutes. On pathological examination, on average, the pieces measured 4.8 cm and weighed 18.1 g. There were no operative complications. The average length of hospital stay was 37.35 hours. Conclusion Laparoscopic nephrectomy was confirmed as an applicable treatment for MCDK. The technique was easy to perform, safe and efficient, even when performed by trainees in pediatric urology.

Cureus. 2018 Jan 01*** epublish ***

Carlos Augusto F Molina, Jose Bessa Junior, Andrey G Estevanato, Gustavo S Viana, Inalda Facincani, Jose Murillo Bastos Netto, Silvio Tucci Junior

Division of Urology, Department of Surgery and Anatomy, Ribeirão Preto Medical School of University of São Paulo (fmrp-Usp)., Division of Urology, Department of Surgery, Universidade Estadual De Feira De Santana - UEFS., Division of Urology, Department of Surgery and Anatomy, Ribeirão Preto Medical School of University of São Paulo (fmrp-Ùsp)., Division of Pediatric Nephrology, Department of Pediatrics and Childcare, Ribeirão Preto Medical School of University of São Paulo (fmrp-Usp)., Division of Urology, Department of Surgery, Federal University of Juiz De Fora (ufjf)and Hospital E Maternidade Therezinha De Jesus of the School of Medical Sciences and Health of Juiz De Fora (hmtj/suprema).

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