Laparoscopic heminephrectomy (ttn)

Laparoscopic
Laparoscopic
heminephrectmy
heminephrectomgy
for
duplex
kidneys
surgery for duplex kidney
Bs Hồ Minh Nguyệt



Surgical techniques
1. Upper pole
heminephrectomy
2. Ureteropyelostomy or
upper-to-lower
ureteroureterostomy
3. Ureteral reimplantation


Heminephrectyomy
1. Open surgery
2. Laparoscopy
3. Robotic


Heminephrectyomy


Expose kidney



Identify and assign ureters



Identify and assign vessels



Isolate moiety



Remove from viable moiety


Laparoscopic
heminephrectom
gy surgery


Laparoscopic heminephrectomy surgery

The advantages:
•Minimally

invasive

surgery
•The

simplest operation

•The

lowest complication

risk

The
disadvantages:
•Functioning

kidney
tissue be remove
•The

bottom end of the
ectopic ureter is left in
place -> a future source
of infection
•The

surgeon's
experiences


Laparoscopy

vs open surgery
•

The same complications (urine leak,
haemorrhage, vascular compromise,..)

•

Shorter length of hospital stay.

•

Longer operationing time.

•

Technically demanding procedure.



Laparoscopy may be
considered a gold
standard for
nephrectomy in
children.




Thanks you for

listening!